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Medstar's HIPAA Policy

HIPAA is broken down into three sets of standards:
1- transactions and code sets;
2- privacy;
3- security.
Ultimate responsibility for HIPAA regulation compliance lies with covered entities.
Covered entities are defined as:
1- health plans,
2- health care clearinghouses
3- health care providers

Medstar's HIPAA Compliance Statement
In order to help customers through the process of compliancy, MedStar pledges to:
· follow all ongoing HIPAA developments, and their effect on transaction and code sets; privacy; and security.
· guarantee to maintain HIPAA compliancy within its software.
· build in privacy and security features and functions as required for software vendors.
· build in privacy and security features and functions into its software that will help customers in their compliancy efforts.
· implement changes affecting software vendors as they are published.
· distribute HIPAA updates free of charge to all customers in good standing.

HIPAA Standards & Medstar's Actions.
The following section describes each HIPAA standard by defining what it is, who needs to comply and the actions MedStar is taking.

Standard 1: Transactions and code sets.
a. Summary
This rule adopts standards for eight electronic transactions and for code sets to be used in those transactions. Conversion to designated HIPAA standard ASC X12 formats are requested.

b. Who is directly affected?
Covered entities (health plans, health care clearinghouses, and certain health care providers) and some vendors.

c. MedStar's Actions
To meet HIPAA regulations, Medicare is mandating claims transmission via the ANSI format. MedStar has successfully been using the X12 ANSI formats since April 2000.
Standard 2: Privacy

a. Summary
Security measures are the specific measures covered entity must take to protect personal health information from unauthorized breaches of privacy. Security also includes measures taken to ensure against the loss of integrity of personal health information, such as might occur if patients' records are lost or destroyed by accident. The HIPAA privacy rules require general security measures be put in place, and the proposed security rules prescribe a detailed and comprehensive set of activities to guard against unauthorized disclosure of personal health information stored or transmitted electronically or on paper.

b. Who is directly affected
Covered entities (health plans, health care clearinghouses, and certain health care providers)

c. MedStar's Actions
MedStar has created Security Regulations User Clearances that allow administrators to set security levels that are based on job function and need-to-know basis. Access to sensitive patient information can be restricted by the covered entity's administrators. In addition, MedStar has created flexible reporting and billing modules that can be modified by administrators to include or exclude certain types of information. MedStar's “power to the user” philosophy allows administrators to establish these parameters.

In addition, MedStar's audit trails include levels of security based on user log in. Users will be granted access to those areas that they have been give access to. Audit trails cannot be tampered with and, unlike other packages, administrators have direct access to system audit trail thereby eliminating reliance on the software vendor.

Finally, MedStar's team of experts are trained to consult with users on additional security plans to prevent loss or damage of patient information. The MedStar team will advise users on Back-up Plans and Disaster Recover Plans.

 
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