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Fall Finance Conference October 26, 2000

Join us at the Fall Finance Conference to learn about university audit practices and the importance of HIPAA compliance in the healthcare industry. Discover how to assess risks, analyze controls, and ensure business practices are effective, efficient, and compliant with regulatory policies.

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Fall Finance Conference October 26, 2000

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  1. Fall Finance ConferenceOctober 26, 2000 Salim M. Alani Director, University Audit

  2. Office of University Audit • Mission Statement To provide audit and advisory services to the University Community by assessing risks, analyzing controls, and ensuring that business practices are effective, efficient, and compliant with University and regulatory policies.

  3. Office of University AuditOrganizational Chart Auditor Auditor Auditor Auditors will be assigned to different audit teams on project basis.

  4. UNIVERSITY AUDIT GOALS • To get away from after the fact audits to a more proactive, pre-emptive auditing model. • Focus our effort on the essence of good management practices versus mechanics. • Assist the institution in building the capacity to absorb change. • Improve and validate performance, underwriting quality in the decision making process and asking questions which fresh eyes can do.

  5. What’s a HIPAA?

  6. What Is HIPAA? • Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191) aka Kennedy-Kassebaum Act • Deals with issues like • Guarantees health insurance access, portability, and renewal • Tax provisions for medical savings accounts • Cost reductions

  7. Administrative Simplification Requires • Improved efficiency in healthcare delivery by standardizing electronic data interchange (EDI), and • Protection of confidentiality and security of health data through setting and enforcing standards

  8. Applies To • Health plans • Health care clearinghouses • Health care providers (who transmit or store information in electronic form)

  9. Costs • DHHS: “rival and perhaps exceed the cost of fixing the Y2K problem” • 33 cents of every healthcare dollar spent between now and 2002 • Administration: $3.8 billion over 5 years • Insurance industry: up to 10 times that

  10. Purported Benefits • Improved cash flow • Savings on administrative costs • Improved disease tracking and quality monitoring • Real-time access to eligibility, enrollment and claims status

  11. Justification • Cost savings (?) • “It’s the law” • Required to meet Medicare conditions of participation and accreditation • Sanctions (per calendar year): • Civil fines up to $25,000 per person per standard • Criminal penalties up to $250,000 per person per standard • Business partners will require it • Patients (customers) will want it

  12. Some Areas Involved • Hospitals/Health Systems • Medical Schools • Dental Schools • Student Health/Counseling Services • Human Resources • Information Technology • Legal Affairs/General Counsel • University Audit • Compliance • Finance Health System

  13. Hot Audit Area • COMPLIANCE • COMPLIANCE • COMPLIANCE

  14. E-mail Thinking defensively applies to all media: paper, fax machine, computers - especially e-mail..

  15. E-mail Casual attitudes toward e-mail allow thoughts off the top of your head to be sent without so much as a spell-check – let alone a meaning-check.

  16. E-mail Treat all e-mail communications seriously, like the official records they are. Think before you write. Edit before you send.

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