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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
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
As of 2005, HIPAA mandates various security measures to preserve and protect patient information, including access to all such data.
- 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).
- 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.
- 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 the threat of unauthorized access is eliminated
With Hygeia™, all of these features are already integrated to ensure compliance with the most stringent security requirements. Please ask your ZTS representative for more information on how Hygeia™ can help you become and stay compliant.
