HIPAA Certification Training Class: Certified HIPAA Professional (CHP)


Description The Health Insurance Portability and Accountability Act (HIPAA) is about insurance portability, fraud, and administrative simplification. In this HIPAA training boot camp we examine basics of the Administrative Simplification portion of the HIPAA legislation. We examine HIPAA Transactions and Code Sets, Identifiers, Privacy and Security. It is this provision of the HIPAA regulation that is the watershed legislation for healthcare information systems.

This HIPAA provision is resulting in substantial changes in business development processes, policies and procedures for all covered entities – providers (hospitals, laboratories and pharmacies) clearinghouses and payers.

The focus of the program is to better understand the implications of HIPAA legislation and identify critical compliance requirements for your business.

The program is designed to focus on specific aspects of the HIPAA Administrative Simplification Title. It addresses HIPAA requirements in the areas of Transactions, Privacy and Security. It is strongly recommended that all key members of the enterprise HIPAA team attend this two-day boot camp so that a common body of HIPAA knowledge may be established. This will provide the base line to launch HIPAA implementation initiatives.

The complete two-day Certified HIPAA Professional training class program is ideal for Healthcare Executives, Senior Clinicians, Chief Information Officers, Lawyers, Compliance Officers, Privacy and Security Officials, Quality Assurance and Risk Managers, Insurance Executives, Physicians and Office Managers, Pharmaceutical Company Executives, and Clinical Trial Organization Professionals.

There is no prerequisite for this course. CHP is level 1 of HIPAA Certification. No other educational qualifications required.

Learning Objectives
This Certified HIPAA Professional certification training helps you better understand HIPAA’s Administrative Simplification Act as well as how to create a framework for initiating and working towards a blueprint for HIPAA compliance. From this boot camp you will learn the following about HIPAA:

Understand why HIPAA requirements will cause significant changes in policies, procedures and processes within the organization in the handling of patient records.

Examine how implementing HIPAA will affect the way healthcare entities organize and staff to achieve and monitor compliance with patient privacy/confidentiality needs.

Step through qualifications and positioning strategies for a Chief Privacy Officer and requirements for a Chief Security Officer.

Learn why HIPAA compliance is better focused as a business issue than as an IT issue, although IT will play a major role in implementing compliant systems.

Review specific requirements and implementation features within each security category.

Step through how to plan and prepare for HIPAA compliance. HIPAA is about awareness first, assessment second and finally action focused on gaps identified.

Day One

Module(s) covered: 1, 2
Book used: Certified HIPAA Professional (CHP)

Module 1: HIPAA at a Glance

Estimated Implementation Costs
Compliance Updates – HITECH Act
Do The HIPAA Rules Apply To Me?
Business Associate Test
If I’m a Covered Entity or Business Associate – What Do I Do?
What penalties are there for violations with HITECH Act Changes?
Should Business Associates Fear Penalties?
What if State Laws Conflict?
How do the Privacy and Security Acts Differ?
What Are the Implementation Deadlines?

Module 2: What is the Privacy Rule

Using and Disclosing PHI?
Patient Rights
Forms, Forms, Forms
Notice of Privacy Practice
Unique Release Situations
Who Are Non-Business Associate Organizations?
Employers – What Role Is This Anyway?
Government Access to PHI
Minimum Necessary Standard
Privacy – Can We Talk?
Arranging the Office
Must I Document and Provide Patient Access to Oral PHI?
Are Co-Workers Protected?

Day Two

Module(s) covered: 3,4
Book used: Certified HIPAA Professional (CHP)

Module 3: What are Transactions and Code Sets?

Diagnostic and Procedure Codes
Physician’s Office Codes
Dental Codes
Drug Codes
Other Services
ANSI ASC X12N Standards – Huh?
Are Pharmacy Transactions the Same?
NPI, EIN, NPlanID, and NHI…Oh, my!
National Provider Identifier (NPI)
NPI Enumerator
National Provider System (NPS)
Applying for an NPI
EIN aka NEI aka EIN
National Health Plan Identifier (NPlanID)
National Health Identifier for Individuals (NHI) (Suspended)

Module 4: What is the Security Rule?

Defining Security
Confidentiality, Integrity and Availability (CIA)
Definition and Terminology
Approach and philosophy
Security Rule Selection Criteria
Administrative Safeguards
Physical Safeguards
Technical Safeguards
Group Health Plans
Policies, Procedures and Documentation Requirements
Some Non-Technical Explanations of Technical Solutions