HIPAA: 7 KEY STEPS FOR HIPAA CONTINGENCY PLANNING

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains CMS guidance for HIPAA contingency planning in the context of the transactions and code sets standard. It is aimed at providers, health plans, and other HIPAA-covered entities that need to understand the broad components of a contingency plan, ongoing monitoring expectations, and the importance of documentation and communication while working toward compliance.

Why This Topic Matters

It helps organizations assess whether the article is relevant to their HIPAA compliance efforts and understand the general planning topics CMS expects covered entities to address during transition periods.

Article Sections

  1. CMS guidance on HIPAA contingency planning

    Introduces CMS expectations for covered entities that are not yet fully compliant and explains the overall purpose of contingency planning.

  2. Key components of a contingency plan

    Outlines the major planning areas discussed in the article, including assessment, risk review, action planning, communication, testing, and monitoring.

  3. Lesson learned

    Summarizes the article’s emphasis on documentation and demonstrating good-faith compliance efforts.

What You Will Learn

  • How CMS frames contingency planning during HIPAA transactions and code sets compliance efforts.
  • The broad planning areas covered in CMS guidance for covered entities.
  • Why communication, testing, monitoring, and documentation are emphasized in contingency planning.
  • Who may find the article relevant during HIPAA compliance transition periods.

Who Should Read This

  • Health care providers
  • Health plans
  • HIPAA-covered entities
  • Compliance staff
  • Billing and revenue cycle professionals

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