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HIPAA COMPLIANCE
ClinixMIS recognizes that no system can make a physician practice or a billing company “HIPAA Compliant” because that is a very broad area that transcends mere computer systems, but we have worked hard to evaluate areas where our CLINIX system can best provide our clients with either compliance or tools and environments to facilitate compliance. We have focused many hours of analysis and programming time on the areas where we felt we could most assist our clients to meet the challenges and opportunities presented by HIPAA. Data Security – With the CLINIX system, you don’t have to worry about your servers sitting under someone’s desk or in a closet. Our state of the art servers are housed in a hardened, certified, HIPAA compliant data center protected by digital security systems that provide you with instant compliance with the data security provisions of HIPAA. Our use of VPN (Virtual Private Networks) for client connections to the ClinixMIS data center along with secure data transmission technology, such as encrypted FTP protocols, with data trading partners such as hospitals and insurance companies meet or exceed standards required by HIPAA for the movement of protected data between data trading partners. Transaction Sets – ClinixMIS utilizes HIPAA mandated transaction code sets in all aspects of the CLINIX system. We added tables to our Oracle database that contain the ANSI code sets, such as taxonomy codes, claim adjustment reason codes, and modifiers, all of which are used to validate data as it is entered into the system. ANSI X12 Standards – ClinixMIS files millions of electronic claims each year directly from the Clinix system to Medicare, Medicaid, Blue Cross Blue Shield, and Railroad Medicare in over 30 states using the ANSI X12 4010A 837 standards. We also receive and prepare electronic remittance (ERA) files from those same payers for our clients in a very convenient, business “smart” manner using both the ANSI X12 4010A 835 standards and our own proprietary design within the CLINIX system user interface. During the early stages of HIPAA implementation ClinixMIS was the first company to be certified for ANSI claim submission by several Medicare contractors, such as CIGNA. ClinixMIS also files commercial claims through Emdeon in the ANSI X12 837 format. NPP and PHI – ClinixMIS developed tools within the patient account area of the system to allow our online clients to note compliance with NPP requirements and to create automatic “triggers” or reminders for your staff when working with accounts containing PHI requests by the patient. Although we have met or exceeded standards on behalf of our clients, we continue to monitor additional developments in this area to insure that our clients are protected – from the system perspective. Should you have questions, comments, or suggestions regarding our HIPAA program, please contact me directly. Jerry L. Killough "As the owner of two national specialty oriented billing services who does business in over 21 states and services over 75 practices representing over 150 providers, it was critical to select a company that would ensure our stability and future for not only my staff, but for the clients we do business with as well. We needed all hands on deck with our new software vendor, and that's what we got with ClinixMIS. Their entire staff worked diligently to make our transition as smooth and quick as possible." Inga Ellzey |