HIPAA Privacy, Security, and Enforcement Rules

The regulation package, “Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules,” is as massive as its title, weighing in at 563 pages, and consisting of four final rules. An article posted to InsideARM.com, January 18, 2013, summarizes the regulations. 

Additional information.... www.hhs.gov

Physicians Practice ...A great all-around resource for healthcare providers.

Billing Strategies To Improve Patient Payment Collections "...advent of high-deductible health plans (HDHPs) has accelerated the problem for physicians to remain profitable..."

The New Healthcare Consumer - Riding the Sea of Change "...65% of bad debt in healthcare comes from unpaid patient balances..."


New Research Examines Self Pay "...According to research from athenahealth, one million Americans had a high-deductible healh plans (HDHP) in 2005. That number had risen to 17.5 million Americans by 2014, and as many as 40 million Americans are projected to have HDHPs by 2018..."

3 Big Factors That Make Patient Self-Pay a Headache  "...According to Healthcare Finance News, more than half of provider bills don’t get paid. And for every dollar billed to patients, providers have historically failed to collect 65 cents..."

New HFMA Study Examines Rise of Self-Pay "...finds that more patients are paying healthcare providers themselves. The study shows that self-pay has “increased by 10 percent during the last five years,” as high-deductible health plans (HDHPs) have become more common..."

Self-Pay Collections Is a Whole New Animal "...Payment to healthcare providers involves three key processes in the revenue cycle: Insurance follow-up, denials management, and self-pay management..."

New Study Examines Patient Payment and the Affordable Care Act  "...Even among patients that gained insurance after the passage of the ACA, many of them had high-deductible health plans (HDHPs) that make patients need to self-pay for at least part of their care. Some patients are more able to do this than others, and providing uncompensated care is an ongoing issue for CHCs..."

IRC § 501 (r) Developments and the Importance of Compliance Programs "...Hospitals must also ensure that their contracts with billing and collection vendors include essential terms prescribed by the 501(r) regulations and provide the hospitals with the rights and resources necessary to comply with Section 501(r)..."