This seminar is designed for human resource professionals, business owners and managers, third party claims administrators, insurance claims representatives, risk managers, safety directors, rehabilitation specialists, occupational health nurses, medical office managers and attorneys.
By April 14, 2003, workers’ compensation in Georgia will undergo sweeping change. Employers and their third party administrators, medical providers, their billing companies, and attorneys will be swept up in the preparation for regulatory onset of the privacy regulations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Those regulations establish standards for protecting the privacy and confidentiality of personally identifiable health information. Effective April 14, 2001, compliance with those regulations is required within two years.
While the Act itself and implementing regulations specifically “exempt” workers’ compensation, many questions are being raised about the impact of the new regulations on the providers of services in Georgia workers’ compensation system and how they should do business within that system in light of HIPAA.
Will service providers really be exempted? Outside of the State of Georgia Workers’ Compensation Board, providers of workers’ compensation services are private sector entities. Each will require an organization-wide assessment to determine if practice or business operations will need to be modified or developed for non-workers’ compensation business. Service providers will then need to determine if it makes business or financial sense to have two different, yet parallel, internal practices to deal with confidentiality of identifiable health information. Ultimately, these questions will force business decisions as to whether to continue to provide services in group health and workers’ compensation markets.
The purpose of this seminar is to assist human resource directors and payroll professionals, business owners, third party claims administrators, insurance claims representatives, risk managers, safety directors, rehabilitation specialists, medical office managers and attorneys in assessing how the new privacy regulations will impact on their business practices and how they will deliver services to their clients and patients. While not speaking for the State of Georgia Workers’ Compensation Board, the lecturers will highlight practical pitfalls and solutions for service providers in their storage, handling and exchanges of confidential personally identifiable information from individuals and how they share that information amongst each other and with the Board.
Regulatory change of this magnitude requires planning and concerted action. After a review of the highlights of the new regulations, the speakers will discuss the practical ramifications on the legal, business and the return to work process within workers’ compensation. Each speaker is a nationally known expert in his/her field with a record of developing successful solutions to meet a changing environment.
HIPAA Privacy Regulations
- Overview Of HIPAA Privacy Regulations
- Drafting Of Confidentiality/Access Code Agreements And Supporting Policies
- Analysis Of Which Relationships Are “Covered Entity” Or “Business Partner” Relationships, Which Are Not But Require Safeguards And Which Are Covered By Provider Policies
- How Service Providers May Achieve The “Minimum Necessary” Standard Of The Privacy Rules
Service Providers Of Rehabilitation And Return To Work Services
- The Impact On Policies And Procedures To Assure Compliance
- Accommodating The “Minimum Necessary” Standard
- Redefining Partner Relationships Among Service Providers
Employers And HIPAA
- Benefits Administration And Claims Processes
- Return To Work Issues And Decision Making
- Health And Productivity Programs
- Data Management And Outcomes Analysis
Panel Discussion, Question And Answer: Summary Of Changes To Business Practices Regulated By BWC’s MCO And Medical Provider Policies