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The Health insurance Portability and Accountability Act (HIPAA) was passed in 1996 by Congress to establish national standards for privacy and security of personal health data.


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For me the problem is that I use the GW modifier so infrequently that when I need it I can't remember which modifier it is.


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Many people mistakenly think that this means that the patient must be bed ridden or critically ill. However, that is not always the case.


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HIPAA process must include clearly stated policy, educational materials and events, clear enforcement means, a schedule for testing of HIPAA compliance, and means for continued transparency about HIPAA   more...compliance.


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There are other examples of care that can be rendered that is not related to the terminal condition.



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Many billers think that if a patient is a Hospice patient that they cannot get reimbursed for services if they are not reimbursed by the Hospice carrier.



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HIPAA intends to allow smooth flow of PHI for healthcare operations subject to patient's consent but prohibit any flow of unauthorized PHI for any other purposes.


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Failure to comply with HIPAA risks accreditation and reputation damage, lawsuits by federal government, financial penalties, ranging from $100 to $250,000



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Again, the service is unrelated to the terminal condition, but you can't just ignore the conjunctivitis.



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This in some cases means that the patient may need to see a medical provider for something that is not related to the terminal condition.



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The chiropractor can still see the patient even though they are receiving hospice and the chiropractor doesn't have to get hospice to agree to pay for the care.



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The key term of HIPAA is Protected Health Information (PHI), which includes anything that can be used to identify an individual


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HIPAA intends to allow smooth flow of PHI for healthcare operations subject to patient's consent but prohibit any flow of unauthorized PHI for any other purposes.



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