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Preparing an ASCA Compliance Plan. Then what?

Preparing an ASCA Compliance Plan. Then what?. HIPAA Summit IV Washington DC, April 25, 2002 Kepa Zubeldia, M.D. What you have done. Compliance Plan Implementation Process Assessed your HIPAA Awareness Education on HIPAA Operational Assessment

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Preparing an ASCA Compliance Plan. Then what?

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  1. Preparing an ASCA Compliance Plan. Then what? HIPAA Summit IV Washington DC, April 25, 2002 Kepa Zubeldia, M.D.

  2. What you have done • Compliance Plan • Implementation Process • Assessed your HIPAA Awareness • Education on HIPAA • Operational Assessment • Gap analysis, Implementation Issues, workplan. • Development & Testing Assessment • Involve vendor, testing plan • Budget • Reason for filing for Extension

  3. The glorious moment • File your ASCA Compliance Plan http://www.cms.hhs.gov/hipaa/hipaa2/ • Get your confirmation number • No need for “approval” • Extension is automatic

  4. What you need to do • Implement your compliance plan • Actually, do the things you said you would do in the plan you filed !!! • Become aware of your gaps and limitations. Work to solve them. • Engage your vendors. Evaluate your business needs. Contact your trading partners. • Start testing before April 16, 2003

  5. But I have time… • It takes 7 days to 3 months for a system conversion. • Your vendor has many customers to convert. Get in line. • Testing with your trading partners takes time. Typically 2-6 months. • Change your business practices to capture the data required by HIPAA.

  6. Gartner Research “For HIPAA to work, more than 13 million pairs of a payer and a provider must implement an average of 2.2 transactions each.” • Assuming only one analyst day per transaction, the industry would need 2.9 Million analyst months to implement HIPAA Research Note K-13-0374

  7. A sense of urgency • Don’t wait for your trading partners to be ready. YOU need to be ready. • HIPAA is much more complex than Y2K. • Not just an EDI or a technology issue, but a business issue. • We don’t have much time. • You have made a “promise” to HHS.

  8. What if you don’t make it? • The HIPAA police does not have badges yet, but… • Payers do NOT want paper and probably will not ramp up for it. • Medicare will require EDI • Except from small providers • The delays in payment can kill your business. • The Public Relations component can kill your business.

  9. Contact Kepa Zubeldia President and CEO Kepa.Zubeldia@claredi.com (801) 444-0339 x205

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