Preparing for HIPAA Audits — Having Documentation Ready to Go and Avoiding Issues

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

HIPAA Compliance Audit Program: Trends and Learnings from 2016

Following the Department of Health and Human Services’ HIPAA compliance program’s trial audits and a second round of audits in 2016, including those of HIPAA business associates, HHS has indicated that the HIPAA audit program will become permanent. It’s time to focus on lessons learned from the current round while the final program is being designed. All covered entities may be subject to an audit, and they need to know what kinds of questions they’ll be asked, what information they'll need to provide, and how to prevent issues that could lead to violations and fines.

Join this informative session by expert speaker Jim Sheldon-Dean, where he will discuss the HIPAA audit program and how it works, the areas that caused the most issues in the 2012 audits, and the areas that were targeted in the 2016 audits. Jim will explore the kind of issues that were most prevalent and the kind of entities that had the most problems, and where you need to improve your compliance the most.

Jim will also explore the typical risk issues that lead to breaches of health information and will discuss how those issues might be targets for auditors in the future. Jim will examine the updated HIPAA audit protocol as well as other questionnaires that have been used in the past and might be used to help prepare an organization for a future review. Additionally, Jim will present the methods for using the contents of the HIPAA audit protocol to build your own compliance plan and compliance management tool.

Session Highlights

  • Risk issues that lead to breaches of health information and how those issues might be targets for auditors
  • Contents of the HIPAA audit protocol used in 2016
  • What documentation needs to be on hand if your organization is selected for an audit
  • Methods for using the contents of the HIPAA audit protocol to build your own compliance plan
  • Enforcement regulations and recent changes that increase fines and create new penalty levels
  • Documentation requirements for compliance
  • Framework of security policies necessary for compliance
  • Results of prior HHS audits (and their penalties), including recent actions involving multi-million dollar fines and settlements
  • Steps to prepare for an audit and respond to an audit request
  • Upcoming trends in information security risks
  • The refocused and redefined HIPAA audit program
  • Prevalent security and privacy compliance issues based on HIPAA 2012 and 2016 audits and the breach notification process
  • How the HHS is now auditing HIPAA covered entities and business associates even if there have been no complaints or problems reported
  • Examining the HIPAA audit protocol and the sets of questions asked at other HIPAA audits previously
  • What HHS OCR is likely to ask you if you are selected for an audit, and how to prepare
  • Rules you need to comply with and policies you can adopt to come into compliance

Who Should Attend

  • Compliance manager
  • HIPAA officer
  • Chief information officer
  • Health information manager
  • Medical office manager
  • Medical practice lawyer
  • CFO, CEO, and COO
  • Privacy officer
  • Information security officer

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About Our Speaker

Jim Sheldon Dean - HIPAA Compliance & Regulations Expert

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...   More Info
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