HIPAA Compliance Requires Coding, Processes Update

Michael H. Smith, for HealthLeaders Media , October 11, 2010

An outsource service provider will also be able to offer proactive solutions based on their experience with other payer organizations. By working with multiple plans, they can share industry best practices and provide additional savings through economies of scale. An experienced outsource service provider will help drive continuous improvement, ensure standardization of processes and integrate with the payer's corporate culture while delivering sound business practices and regulatory requirements.

A provider with a blend of onshore and offshore capabilities will further reduce costs and ensure best-in-class disaster recovery and business continuity. Payers can also take advantage of reduced costs through labor arbitrage without the challenging aspects of coordination, cultural differences and lack of local familiarity.

As organizations prepare for regulatory change and an influx of new member applications and customer service requirements, the need to increase operational efficiencies, reduce costs and ensure compliance with new regulations is essential. With the right access to resources and expertise, organizations can swiftly comply with the latest standards and effectively adapt to the changes and challenges brought on by healthcare reform. Change is underway.  What's your plan to embrace it?

Michael H. Smith is the Senior Director of Business Development for SOURCECORP, Inc.. With more than 15 years experience in the outsourcing industry and a member of numerous industry advisory boards, Smith brings an informed perspective on trends and best practices in BPO solutions for the healthcare industry. He is also a Certified Information Capture Professional and Certified Document Imaging Architect. For more information, email MikeSmith@srcp.com..

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4 comments on "HIPAA Compliance Requires Coding, Processes Update"

Linda Walker (10/19/2010 at 9:59 AM)
What carriers do you know outsource overseas? I've worked for 3 of the top 5. And as for HIPAA compliance, how do US entities make sure offshore entities ARE HIPAA compliant? do they rely on them just saying it's so? Are compliance officers from the US positioned overseas? Other countries do NOT have to adhere to HIPAA compliance. HIPAA compliance is the liability of the US entity!

catherine.woods (10/13/2010 at 1:52 PM)
Hi Linda, Most health care insurance companies already offshore most claims and provider data management. There are specific data security protocols that are used to safeguard the data to ensure the all HIPAA requirements are maintained. Does your practice work with a claims clearing house? Thanks, Cathy

Jeremy Engdahl-Johnson (10/12/2010 at 12:10 PM)
There's no way to eliminate the risk and uncertainty of the move to ICD-10, but there are four steps organizations can take throughout ICD-10 implementation to manage the risk. More at http://www.healthcaretownhall.com/?p=2420




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