Insurance - HIPAA / HITECH Compliance

HIPAA Compliance

The Administrative Simplification provisions under Title II of the Health Insurance Portability & Accountability Act (HIPAA) were enacted to improve the efficiency of healthcare delivery by establishing guidelines for standardizing electronic patient data interchange and securing patient confidentiality. These provisions have had broad implications for health plans because the administrative oversight needed to stay in compliance impact an organization’s time, finances and reputation.  The Compliance 360 system has been proven by hundreds of healthcare providers and payors as an effective solution for managing HIPAA compliance.

HITECH Compliance

The Economic Stimulus Act of 2009 significantly expands the scope of HIPAA requirements.  The HITECH provisions of the act expand HIPAA regulations to include mandatory data breach notifications, heightened enforcement, increased penalties and expanded patient rights.  As a result, healthcare providers, payors and business associates that have access to Protected Health Information (PHI), need new and enhanced tools to ensure compliance, reduce the risk of privacy breaches and the overall risk of sanctions and penalties.  The Compliance 360 system has been expanded, building on a track record of success with HIPAA compliance, to include new features specially to address the expanded requirements of the HITECH Act.

How can Compliance 360 help you with HIPAA and HITECH Compliance?

Today, many healthcare providers, health plans and their business associates continue to manually manage multiple, independent processes including the revision, distribution and acknowledgement of policies and procedures.  They are also attempting to manually remediate gaps in compliance, assess and test overall risks related to breaches and required notifications, as well as preparing for the new proactive audits mandated by the HITECH act.  Without the automation of these tasks on a common platform, your staff must expend enormous effort to address all the requirements, remediate compliance gaps and document evidence of your compliance status and breach management readiness.  Lack of automation also results in increased risk of privacy breaches, sanctions and fines.

You can significantly streamline HIPAA and HITECH compliance efforts, reduce overhead costs and ensure desired outcomes by using Compliance 360 to:

• Manage your assessment of compliance with the new and updated regulations and easily include your employees as well as your business associates in the process.
• Revise and administer your HIPAA and HITECH policies and procedures, and link them to the specific requirements in the new and updated regulations.
• Assess your key risk areas and test your process to ensure that each risk is managed appropriately.
• Manage privacy breaches and streamline the required reporting and notification process using a Compliance 360 workflow template specifically designed for this process. The HITECH Privacy Breach Management application supports:
  • Logging and tracking of unauthorized disclosures,
  • Managing investigations of suspected privacy breaches,
  • Managing and logging the results of risk-of-harm assessments,
  • Tracking and logging the status of notifications of affected parties, and
  • Producing the reports needed for annual reporting to HHS.
• Use the Virtual Evidence Room™ to consolidate your proof-of-compliance for immediate and thorough response to proactive, regulatory audits.
• Revise and manage contracts with business associates to mitigate your risks and ensure they are operating in full compliance with the expanded laws and regulations.
• Reduce the overall risk of expanded enforcement actions and monetary penalties.

Additional HIPAA and HITECH Resources

• Compliance 360 HITECH Privacy Breach Management Solution Overview

Learn More

To request a personal demonstration of Compliance 360 for HIPAA and HITECH compliance, please contact us.