Essay

ELECTRONIC HEALTH RECORDS, HIPAA,
AND HITECH: SHARING AND PROTECTING
PATIENTS’ HEALTH INFORMATION
S tep 1
S te

St

e

0 p1 Follow up payments and collections

Preregister patients KEY TERMS

p2

Establish financial responsibility
St

ep
3

Step

9

Generate patient statements

Check in patients Review coding compliance Ste

p4

Medical Billing Cycle
Monitor
payer adjudication St

ep
8

Prepare and transmit claims

Ste

Check out patients Review billing compliance p7

St

ep

5

S tep 6

Learning Outcomes
After studying this chapter, you should be able to:

2.1 Explain the importance of accurate documentation when working with medical records.

2.2 Compare the intent of HIPAA and ARRA/HITECH laws.
2.3 Describe the relationship between covered entities and business
Copyright © 2014 The McGraw-Hill Companies

associates.

2.4
2.5
2.6
2.7

2

Explain the purpose of the HIPAA Privacy Rule.
Briefly state the purpose of the HIPAA Security Rule.
Explain the purpose of the HITECH Breach Notification Rule.
Explain how the HIPAA Electronic Health Care Transactions and
Code Sets standards influence the electronic exchange of health information. 2.8 Explain how to guard against potentially fraudulent situations.
2.9 Explain how various organizations enforce HIPAA.
2.10 Assess the benefits of a compliance plan.

abuse accountable care organization (ACO) accounting of disclosure
American Recovery and Reinvestment Act
(ARRA) of 2009 audit authorization breach breach notification business associate (BA)
Centers for Medicare and Medicaid
Services (CMS) clearinghouse code set compliance plan covered entity (CE) de-identified health information designated record set (DRS) documentation electronic data interchange (EDI) encounter encryption evaluation and management (E/M) fraud Health Care Fraud and Abuse Control Program health information