National Provider Identifier

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    CMS 1500 is a paper claim form that is a used by healthcare providers in order to submit claims and invoices to insurance carriers in order to receive payments for services provided to a patient. Before CMS -1500 was formed according to In 1975 the American Medical Association (AMA) approved a universal claim form called Health care financing Administration also known as HCFA-1500. During the transition of HCFA-1500 AMA joined forces with the Centers for Medicare and Medicaid Services (CMS) to form a Uniform Claim Task Force to promote and standardize the use of the universal health claim form, which was later replaced by the National Uniform Claim Committee (NUCC). In 2001 the HCFA-1500 become known as the CMS 1500 when Health Care financing…

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    Title II procedural policies focus on fraud and abuse within Health Care industries. Because this title is so extensive, it can be further broken down into 5 rules. These rules include- the Privacy Rule and the Final Omnibus Rule update, the Transactions and Code Sets Rule, the Security Rule, the Unique Identifiers Rule, also known as the National Provider Identifier, and the Enforcement Rule. The Privacy rule regulates the use and disclosure of Protected Health Information (PHI), which is, by…

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    It is important to note that the production identifier instance data will not be submitted to the GUDID but rather the type of production identifiers that are used for a particular medical device and appearing on the corresponding device package label. Not unlike a national electronic catalogue of medical devices, the GUDID is opened to the general public through the National Library of Medicine where all domestically distributed medical devices will be searchable by the device identifier,…

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    HIPAA Summary

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    The Health Insurance Portability and Accountability Act (HIPAA) passed in 1996 to help set a national standard to protect certain patient health information (Gartee, 2011). The major goal of HIPAA is to ensure a patient’s Health Information (PHI) is utilized by the correct individuals at the correct time to perform a certain job. In addition, HIPPA sets the standards by which PHI can be shared with covered entities and family; plus allowing the patient to receive notice on how their PHI will…

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    HIPAA Transactions

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    The HIPAA Transactions and Code Sets Rule oversee how health care providers handle business via the internet. It founds the business-to-business communications and dictates a standard that everyone must follow. This also creates the codes and/or terminology to be used. Standardized transactions were implemented with one end goal in mind and that was to save money. If a practice management application printed the usual claim form, which was the HCFA 1500 and it is now the CMS 1500, the…

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    PHI Case Study

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    de-identified. De-identified health information is information that has been stripped of all a patient’s personal data. There are eighteen elements that are removed before any information can be requested. The information that is stripped or made de-identified are: names, all geographical subdivisions smaller than a state, all elements dates (except year), telephone numbers, facsimile numbers, email addresses, social security numbers, medical record numbers, health plan beneficiary numbers,…

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    any and all patient information cannot be shared by anyone unless that information is harmful to themselves or others. Although the HIPAA law was passed in 1996, there were a few rules intended to be important additions to it that were not finalized until 1999 or after. These include… • The Privacy Rule (1999) • Transaction and Code Sets Final Rule (2000) • Security Rule • National Provider and Identifier • Enforcement Rule (2006) This law is broken up into two titles: Title 1 and Title 2.…

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    specialists, hospitals and health care providers. The system will enhance free choice of clinicians hence foster coordination with private and public community-based programs for children, infants, adolescents, and adults. It will also include a scope of services which will include preventive, behavioral, emergency, inpatient, acute and chronic illnesses and home health care (Middleton, 2015). The system will support an insurance coverage that ensures patients get access to affordable and…

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    The History Of HIPAA

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    Firstly, the history of HIPPA is the most important. HIPPA is short for The Health Insurance Portability and Accountability Act which is originally known as the Kennedy-Kassebaum Bill, a set of regulations that became a law in 1996. Its purpose is to help people carry their health insurance from one business to the next, as well as restructure the movement of medical records from one health care institution to another. According to Skloot she states “Today, no scientist would dream of…

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    States national security is top priority rather than privacy just a few days ago CNN reported that “White House asks Silicon Valley to Silence ISIS Online”. As you can see any average citizen would see this as an invasion of privacy and yes they are right because now Apple and Google will be overhearing our conversations instead of the National Security Agency. As, you may have read in the newspaper or heard in the news that the National Security Agency can’t not tap phones without a warrant…

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