E/M Coding Alert - 2011 Issue 45
Privacy: HIPAA Audits Are Heating Up--Is Your Practice Prepared?
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Article Overview
This piece covers the HHS/OCR HIPAA audit initiative and the broad compliance areas likely to be reviewed, including privacy, security, breach notification, documentation, training, and internal policy review. It is aimed at covered entities, business associates, compliance staff, and healthcare administrators who want to understand how the audit process works and why ongoing preparedness matters.
Why This Topic Matters
HIPAA audits can affect organizations of many sizes and care settings, so understanding the audit process and maintaining current privacy and security programs helps practices demonstrate compliance and respond more effectively if selected.
Article Sections
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HIPAA Audits Announced
Introduces the federal audit initiative and the agencies and legislation behind it. Summarizes the broader compliance framework addressed by the pilot program and its timeframe.
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Who Will Be Audited?
Describes the categories of organizations that may be selected for review. Covers the general scope of entities involved and notes that audits may also arise from other enforcement activity.
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What You Can Expect
Explains the audit notification and document-request process at a high level. Also outlines the onsite review stage and the reporting process that follows.
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What You Need To Do
Focuses on preparation efforts such as maintaining documentation and periodically reviewing privacy and security practices. Emphasizes ongoing internal oversight and workforce training as part of readiness.
What You Will Learn
- How the HIPAA audit program was established and what it is intended to assess
- Which broad categories of covered entities and business associates may be audited
- What happens after an organization is selected for review
- What types of internal compliance records and preparedness efforts are discussed
- Why periodic review and training are important for ongoing HIPAA readiness
Who Should Read This
- Covered entities
- Business associates
- Healthcare compliance professionals
- Practice managers
- Privacy and security officers
- Healthcare administrators
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