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Setting the Facts Straight About ICD-10: What Physicians Need to Know About the Transition

Author: AHIMA

Source: AHIMA Advocacy and Policy

Publication Date: November 2014

While many organizations see the benefits of using ICD-10, including the ability to capture more detailed information, others have concerns, including the costs of implementation. Despite the significant amount of information that has been published about ICD-10 during the last 10 years, many misconceptions persist today. The information below covers basic facts about the ICD-10 transition that are of particular interest to the physician community.

ICD-9-CM Coordination and Maintenance Committee Discusses Code Proposals for FY2004

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: December 13, 2002


The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS), met on December 5-6, 2002 in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochair....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: March 02, 2001

Reaction to AHIMA’s Previous Comments on the Standards for the Privacy of Individual Identifiable Health Information

Applicability

AHIMA recommended that the scope of the rule be extended to include all individually identifiable health information, including purely paper records....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures for Which an Authorization Is Required

Standard: Authorizations for Uses and Disclosures

Authorizations Required: General Rule
The Rule states (§164.508) that except as otherwise permitted or required by [the Rule], a covered entity may not use or discl....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Definitions

Definitions play a key role in the Privacy Rule, and there are a number of definitions provided in the final rule: §160.103 (65FR82798), §160.202 (65FR82800), §164.501 (65FR82803), and §164.504 (65FR82802). Due to their detail, several of the definitions are important componen....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Modifications

The Rule’s provision for modifications (§160.104) follow the same approach as the other HIPAA regulations. "The Secretary may adopt a modification at any time during the first year after the standard [rule] or implementation specification is initially adopted [the rule....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Amendment of Protected Health Information

Standard: Right to Amend

The Rule says (§164.526) that "an individual has the right to have a covered entity amend PHI or a record about the individual in a designated record set for as long as the PHI is maintained in the designate....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures for Which Consent, an Authorization, or Opportunity to Agree or Object Is Not Required

The Rule states (§164.512) that "a covered entity may use or disclose PHI without the written consent or authorization of the individual as described in Consent for Uses or Di....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Other Requirements Relating to Uses and Disclosures of Protected Health Information

This section of the Rule (§164.514) begins by covering the standard and specifications for de-identification of PHI. In this analysis, this item is covered in Uses and Disclosures of De-Identified Protecte....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Consent for Use or Disclosures to Carry Out Treatment, Payment, or Health Care Operations

Standard: Consent Requirement

The Rule states (§164.506) that "a covered health care provider must obtain the individual’s consent, in accordance with this [Rule], prior to using or di....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Access of Individuals to Protected Health Information

Standard: Access to PHI—Right of Access

The Rule states (§164.524) that "an individual has a right of access to inspect and obtain a copy of PHI about the individual in a designated record set, for as long as the PH....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Notice of Privacy Practices for Protected Health Information

Standard: Notice of Privacy Practices—Right to Notice

The Rule states (§164.520) that "an individual has a right to adequate notice of the uses and disclosures of PHI that may be made by the covered entity, a....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Rights to Request Privacy Protection for Protected Health Information

Standard: Right of an Individual to Request Restriction of Uses and Disclosures of PHI

The Rule provides a standard (§164.522) that states that "a covered entity must permit an individual to request that....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosure of Protected Health Information: General Rules
Standard: General

DHHS takes the approach to privacy-based on who, when, and under what circumstances protected health information (PHI) can and cannot be used. To further clarify the Rule’s intent, it has been writte....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures: Organizational Requirements

Hybrid Entities

Standard/Specification: Healthcare Component
The discussion in this part of the Rule (§164.504) notes that except for where it is specifically noted, when dealing with a hybrid entity [see Definitions], the r....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Accounting of Disclosures of Protected Health Information

Standard: Right to an Accounting of Disclosures of PHI

The Rule states (§164.528) that "an individual has a right to receive an accounting of disclosures of PHI made by a covered entity in the six [6] years prior to....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001


Uses and Disclosures Requiring an Opportunity for the Individual to Agree or to Object


The Rule states (§164.510) that "a covered entity may use or disclose PHI without the written consent or authorization of the individual as described in the sections..[on Consents and Au....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Administrative Requirements

Standard: Personnel Designations—Privacy Officer

The Rule states (§164.530(1)(i)) that: "A covered entity must designate a privacy official who is responsible for the development and implementation of the policies and procedures of the entit....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures of De-Identified Protected Health Information

Standard: Uses and Disclosures to Create De-Identified Information

The Rule (§164.502(c)) states "a covered entity may use PHI to create information that is not individually identifiable health information o....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Preemption of State [and other] Law[s]

{The preemption of state law remains one of the more controversial issues with Privacy. Parties generally disagreed on three specific issues. First, various groups that include AHIMA support complete preemption to establish a uniform national standar....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. Resources

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001



Initially the reader will find only a few Web site resources available. As with other HIPAA components, this will change as the industry matures in its understanding. Since the final Rule has already created comments, the Secretary has already indicated that several technical amendments wi....

Final Rule for Standards for Privacy of Individually Identifiable Health Information

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy | AHIMA regulation analysis

Publication Date: January 02, 2001

Notes

Readers will notice that some word such as "healthcare" may be written in more than one way in this analysis. Style guides often require the term "healthcare" be stated as such, however, the federal government uses the term as "health care." In this document we will be using the te....

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