Day 1
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Lesson 1: HIPAA Fundamentals |
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• HIPAA Basics |
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• HIPAA’s Administrative Simplification
Title |
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• HIPAA Penalties |
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• HIPAA-Related Organizations |
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• Covered Entity |
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• Health Plan |
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• Clearinghouse |
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• Health Care Provider |
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• Business Associates |
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• Trading Partner Agreement |
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• Workforce |
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• Organized Health Care Arrangement |
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• UMO |
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Lesson 2: HIPAA Transactions, Code Sets
and Identifiers |
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• Transactions |
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• Impacted Health Care Transactions |
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• Target Entities |
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• Scope |
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• Penalties |
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• ASCA |
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• ANSI ASC X12 Standard |
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• Transaction Type 270 |
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• Transaction Type 271 |
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• Transaction Type 276 |
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• Transaction Type 277 |
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• Transaction Type 278 Request and Response |
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• Transaction Type 820 |
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• Transaction Type 834 |
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• Transaction Type 835 |
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• Transaction Type 837 - Professional |
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• Transaction Type 837 - Institute |
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• Transaction Type 837 - Dental |
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• HIPAA Code Sets |
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• ICD-9-CM Volumes 1 and 2 |
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• CPT-4 |
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• CDT |
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• ICD-9-CM Volume 3 |
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• NDC |
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• HCPC |
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• HIPAA National Health Care Identifiers |
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• Provider Identifier |
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• Employer Identifier |
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• Health Plan Identifier |
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• Individual Identifier |
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Day 2
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Lesson 3: HIPAA Privacy Rule |
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• Introduction |
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• Who is Impacted? |
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• Scope |
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• Exceptions |
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• Timeline |
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• Key Definitions |
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• IIHI |
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• PHI |
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• Deidentified Information |
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• Use |
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• Disclosure |
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• Treatment |
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• Payment |
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• Health Care Operations |
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• Notice Requirement |
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• Core Elements |
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• Changes to a Notice |
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• First Interaction |
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• Authorization Requirement |
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• Core Data Elements and Required Statements |
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• Defective Authorizations |
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• Revocations |
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• Key Parties Impacted |
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• Minimum Necessary |
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• Oral Communications |
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• Health-Related Communications and
Marketing |
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• Research |
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Lesson 4: HIPAA Security Rule |
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• Threats |
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• Definition and Terminology |
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• Security |
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• Security Services |
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• Security Mechanisms |
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• Security Rules |
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• Categories of Safeguards |
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• Implementation Specifications |
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• Approach and Philosophy |
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• Security Principles |
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• Administrative Safeguards |
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• Physical Safeguards |
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• Technical Safeguards |
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• Organizational Requirements |
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• Policies and Procedures, and Documentation
Standards |
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• Electronic Signatures (proposed
rule) |
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Lesson 5: Crafting a Plan (Getting Started) |
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• HIPAA and e-Business |
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• Developing a Compliance Strategy |
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• Planning for Privacy Compliance |
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• Key Privacy Policy Documents |
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• PHI Data Exchange Scenarios |
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• Privacy Officer Responsibilities |
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• Addressing Business Associates |
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• Releasing PHI to Third Parties |
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• Planning for Security Compliance |
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• Security Manager Job Description |
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• Establishing the Security Compliance Framework |
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• Possible Framework for Compliance |
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• Step 1: Training and Awareness |
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• Step 2: Security Assessment |
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• Step 3: Business Risk Analysis |
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• Step 4: Implementation |
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• Step 5: Auditing and Enforcement |
