The random HIPAA Compliance Audit program had a year of trial audits in 2012. The US Department of Health and Human Services has reviewed the results of that work and the HIPAA audit program is being restarted based on what was learned from the 2012 audits. Areas of weakness as shown in the 2012 audits and as shown by breach reports are the likely targets for the next round of audit questions, and HHS is sending out requests for information to 1200 covered entities and business associates to determine their suitability to be audited.
While in the past, audits had been performed only at entities that reported a breach or had a complaint filed against them, the new rule calls for audits whether or not there is a complaint or breach. This means that the HHS Office for Civil Rights (OCR) can show up and ask to perform an audit on short notice, and your organization will need to provide a response in less than fifteen business days. USDHHS has published the protocol used for the 2012 HIPAA audits by the HHS contractors, so it is possible to know much better now how to prepare for an audit. Knowing what questions are likely to be asked and have been asked at prior HIPAA compliance audits can make preparing for and surviving a HIPAA audit much easier.
If your organization is not ready, the HIPAA rules have new, significantly higher fines, including mandatory minimum fines of $10,000 for willful neglect of compliance. In addition, HIPAA enforcement has taken on a new importance at HHS; officials have publicly stated that enforcement is now a priority, and that means being ready for an audit is more important than ever. The "slap-on-the-wrist" days are over and fines and settlements are being levied, with more on the way – don't let your organization be hit for an audit unprepared.
The HIPAA Audit Protocol is not easy to use in its incarnation as a web-based tool, and it does have several deficiencies because of the changes in the rules that became enforceable September 23, 2013. HIPAA expert Jim Sheldon-Dean will present methods for using the contents of the HIPAA Audit Protocol to build your own compliance plan by extracting and updating the contents and relating your compliance activities directly to the questions that might be asked.
With this session, you will:
Who should attend:
Compliance manager, HIPAA officer, chief information officer, health information manager, medical office manager, medical practice lawyer, CFO, CEO, COO. Privacy officer and information security officer.
- Jim Sheldon-Dean
- Jim Sheldon-Dean
- Kim Stanger
- Michael-Marron Stearns
- Thomas J. Force
Jim Sheldon-Dean is a healthcare compliance and HIPAA expert in the areas of privacy and security regulatory compliance and business process analysis, He is the founder and director of compliance services at Lewis Creek Systems, LLC, a Vermont-based consulting firm founded in 1982, providing information privacy and security regulatory compliance services to a wide variety of healthcare entities. Jim is a frequent speaker regarding HIPAA...
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