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Healthcare and HIPAA

Hygeia™ integrates HIPAA mandated security and privacy requirements and is aligned with the guidelines set forth for EDI

EMR

transaction data sets to ensure that your practice is fully compliant with all mandates. In addition, ZTS is partnering with various ‘Standards Organizations’ to ensure that new standards, as they are released, are seamlessly integrated into Hygeia™. All this means that you will always have the latest technological advances just a mouse click away.







EDI Transaction Sets

As of 2003, all electronic claims and related transactions are required to be compliant with HIPAA mandated EDI data set formats.

  • All claims need to comply with guidelines for ANSI X12 837.
  • All remittance advice transactions need to comply with guidelines for ANSI X12 835.
  • All Eligibility Inquiries need to comply with guidelines for ANSI X12 270/271.

HIPAA Security Compliance

EMR

As of 2005, HIPAA mandates various security measures to preserve and protect patient information including the access to all such data.

  • All patient healthcare information needs to be secured physically as well as electronically:
    • Access must be limited to those authorized to view and/or retrieve the information.
    • Data must be physically secure from theft.
    • Data must be secure from electronic theft (hacking).
    • An audit trail of all Access and/or changes to patient data should be maintained.
    • All user accounts should have time limits set for inactivity (auto logout).
  • All patient information needs to be stored reliably:
    • Data must be ‘backed-up’ and stored to recover as and when required.
    • Current as well as historic data must be available for retrieval in emergencies.
  • All patient information needs to be transferred in a secure manner:
    • Data must be encrypted to ensure security.
    • Digital signatures should be used to verify credentials of users and systems.
    • Networks need to be ‘fire-walled’ to ensure that unauthorized access threat is eliminated.

Hygeia™ already has all these features integrated to ensure compliance with the stringent security requirements. Please ask your ZTS representative for more information on how Hygeia™ can help you get compliant and stay compliant.

 
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