HIPAA COMPLIANCE

HIPAA Compliance

Congress approved the landmark Health Insurance Portability and Accountability Act (HIPAA) in 1996, bringing about significant reforms to the healthcare system. The Clinton Health Reform proposal served as the inspiration for the law, which was primarily designed to increase access to health insurance and strengthen the legal framework against fraudulent medical invoicing. Other ancillary sections of the law that address protected health information privacy and administrative simplification have a significant impact on Managed Care Organizations, Providers, Payers, their business partners, and any other organization that stores, processes, or transmits healthcare information.

HIPAA amends the Internal Revenue Code of 1986 by:

  • Enhancing health insurance coverage's mobility and continuity in both group and individual markets
  • Combating waste, fraud, and abuse in health insurance and healthcare delivery
  • Promoting the use of medical savings accounts
  • Expanding the availability of long-term care services and insurance
  • Simplifying the administration of health insurance

The Act also contains guidelines for enhancing and keeping an eye on the security and privacy of any records that contain patient and health plan information. As part of the HIPAA rules, the Department of Health and Human Services (HHS) suggested in 1998 a National Standard Employer Identifier (NSEI), a Nation Standard Provider Identifier (NPI), and security guidelines for electronic health data.

By requiring many administrative and financial operations to be transmitted electronically and protecting private health information, the Administrative Simplification requirements of HIPAA aim to increase the effectiveness of healthcare delivery.

All new hires are subject to thorough background investigations by our HR department prior to the "employee confirmation process." Employees can only access our system with verified logins and passwords. Additionally, only authorized personnel have access to critical information, and we continuously monitor to make sure that no one else has access to our clients' data. All of our staff members also have to sign confidentiality agreements and complete confidentiality training, as mandated by HIPAA.

HIPAA Readiness

We respond proactively to all of our customers' complaints regarding compliance, taking them extremely seriously. The most cutting-edge technology infrastructure is housed in our distribution centers to address data security concerns. This is how we move past the fundamentals.

  • Data Confidentiality
    Given the sensitivity associated with Healthcare Information, all our teams work on fully locked down terminal PCs that don't have a floppy drive, CD drive, or USB port. No process executive has email access and there is no movement of data across the globe.

    The teams have restricted remote access to the client's software applications and tools enabling them to do the work required to accomplish the required services only in a secure manner. Specific client networks are physically isolated and have dedicated firewalls into the client's network for additional security.

  • Physical Security
    In our delivery centre, no one is allowed in without screening and no one is allowed to bring in or take any information capture devices including mobile phones and cameras. The facility is truly locked down with access only to authorized individuals in client-specific areas protected by card readers and biometric technology-enabled secure access systems. A 24x7 security force physically guards the facility against any unauthorized access.

  • Employee Hiring & Background Checks
    Our HR department conducts extensive background checks on all new employees before our "employee confirmation process." Once confirmed, employees can access our system only with valid logins and passwords. Furthermore, access to sensitive information is on a "need to know basis" and we constantly keep watch to prevent any of our clients' data from being accessed except by authorized employees. In addition, all our employees receive confidentiality training (as required by HIPAA) and must sign confidentiality agreements.

Six Sigma Approach

To be competitive, businesses need to constantly streamline operations, lower expenses, and eliminate waste. To this end, many are turning to Six Sigma and Lean concepts.

Businesses can save expenses while increasing quality, customer happiness, cycle times, and quality by implementing the Six Sigma process-improvement technique.

We are always seeking for methods to enhance the caliber of our operations and narrow our attention to providing excellent client service. A key component of this endeavor and evidence of our dedication to incorporating process improvement into each and every client engagement is the Six Sigma program.

Practically every department in our business has seen performance gains because to Six Sigma principles and techniques, which have also enabled us to offer significant cost reductions to our clients.

The Six Sigma technique seeks to provide near-perfect outcomes by identifying, tracking, and reducing problem areas and flaws in products and services through the use of data and statistical analysis tools.

The statistical process control approach that gives a "sigma value" between one and six based on the number of defects per million is where its name originates. Six represents only 3.4 flaws per million, or 99.99966% perfect, which is the optimal number. This number can be applied to a wide range of goods, services, or processes—from software to back-office administrative tasks—and frequently results in financial savings. Certified Six Sigma black belts, according to the Six Sigma Academy, can save businesses a significant amount of money.

Internally, our Six Sigma methods lower expenses while raising income and improving staff and customer satisfaction. On the outside, we've enhanced service delivery, which is frequently gauged by mutually agreed-upon Service Level Agreements (SLAs)."We have a strong Lean/Six Sigma program that delivers results, Ultimately Lean/Six Sigma principles help us reduce costs and as we reduce costs we pass those savings on to clients."