HHS To Strengthen Enforcement Of HIPAA Transaction Rules
Newest First  |  Oldest First  |  Threaded View
Ken Terry
Ken Terry,
User Rank: Apprentice
1/7/2014 | 5:27:42 PM
Re: How much bite?
The fines in the proposed rule are not for healthcare providers but for health plans that don't comply with the operating rules for HIPAA transactions. Most hospital financial and practice management system on the market can spit out claims and claims status/eligibility requests in the required 5010 format today. But health plans that don't comply with operating rules can't necessarily receive that data without tweaking by an intermediary, usually an electronic clearinghouse.
Lorna Garey
Lorna Garey,
User Rank: Author
1/7/2014 | 5:13:21 PM
How much bite?
Ken, I recall reading a comment from a HC CIO who said it costs his hospital significantly less to pay the fine for HIPAA non-compliance than to implement the controls necessary to come into compliance. And, that's assuming HHS even audits and imposes a fine.

Do you think a percentage of practices are simply going to take such risks, or will the fines be large enough to hurt?

Register for InformationWeek Newsletters
White Papers
Current Issue
Increasing IT Agility and Speed To Drive Business Growth
Learn about the steps you'll need to take to transform your IT operation and culture into an agile organization that supports business-driving initiatives.
Twitter Feed
InformationWeek Radio
Sponsored Live Streaming Video
Everything You've Been Told About Mobility Is Wrong
Attend this video symposium with Sean Wisdom, Global Director of Mobility Solutions, and learn about how you can harness powerful new products to mobilize your business potential.