Healthcare

Healthcare providers, payers, and medical colleges need to ensure high-quality patient care while containing costs. A vital part of this is the ability to effectively manage the millions of documents and images spread out across a healthcare organization that comprise patient records and other critical documents. This diverse, distributed content - required for decision-making by numerous professionals and staffers in the organization - may not be available when needed or may be out-of-date or inconsistent. Our technologies and services are being used in a wide array of healthcare environments including hospitals, medical colleges, research institutes, and care-giving organizations.

HIPAA Compliance

HIPAA regulations require health care organizations to be more efficient and run their organizations more securely to enhance patient service and ensure the privacy and security of private personal health information.

The road to HIPAA compliance can be a challenge. Access to personal health information must be limited and its confidentiality must be diligently protected. Secure systems and processes must be in place to provide information in a timely, efficient and cost-effective way to the people that need to use it to drive patient healthcare decisions. In addition, healthcare organizations need to provide a reliable audit trail for tracking and reporting communications.

Key HIPAA Privacy and Security Areas

• Authentication: In any exchange of electronic data, each party to the transaction must prove that every other party is exactly who they claim to be.

• Access: All medical records must be secured from unauthorized access—even amongst its own employee body.

• Reporting/tracking: Log all access, transfers, and use of patient data (including for backup purposes), and audit those accesses, transfers, and uses against patient authorization.

Sample Processes and Information Impacted by HIPAA

• Health claims and equivalent encounter information
• Enrollment in and disenrollment from a health plan
• Eligibility for a health plan
• Healthcare payment and remittance advice
• Health plan premium payments
• Referral certification and authorization
• Coordination of benefits
• Prescriptions

Learn more about how QAI can help healthcare organization support HIPAA compliance, reduce costs and improve efficiency by contacting us today.