Live Webinar HIPAA Audit and Enforcement Update: What to Focus on to Help Avoid Today’s Compliance Issues by Jim Sheldon-Dean

01:00 PM EDT | 10:00 AM PDT | 12:00 PM CDT Duration 90 Minutes

Webinar Includes : All the training handouts , certificate ,Q/A and 90 mins Live Webinar

"Hear By Jim Sheldon-Dean award-winning, best-selling commercial utility software; and mission-critical, fault-tolerant communications satellite control systems"

HIPAA audit and enforcement activities are now being increased and how you must be prepared or risk significant penalties


HIPAA enforcement and audits are now a significant reality, and settlements for violations are being announced for more violations regularly.  Now, with the increases in breach reporting and the HIPAA random audit program, enforcement of HIPAA is something that every HIPAA entity and business associate needs to be aware of and prepared for, by taking the proper steps in advance to have your compliance in order and the documentation to prove it.

HIPAA violations can occur for a wide variety of reasons, and if HHS investigates, you may wind up on the receiving end of multi-million dollar penalties, and corrective action plans that can easily cost ten times the cost of the settlement amount or more.  If you are not prepared to address issues that have been shown to be a problem in prior breaches and violations, HHS may use a heavy hand in making an example of you – even the head of the HHS Office for Civil Rights has said he’s looking for a “big, juicy settlement” – you don’t want to be that settlement!

Not only that, if you don’t address the issues that have been shown to be a problem for others in the past, you are leaving yourself open to having those same problems yourself, and have to report breaches or be subjected to an investigation when a patient complains.

Finally, the HIPAA Audit program is required by law and is not going away any time soon.  While HHS may still be absorbing the results of the last round, we now know what kind of questions and expectations may be involved in the final program, and being ready to survive a HIPAA Audit is essential.

In this session we will discuss the HIPAA audit and enforcement programs and how they work, and discuss the areas that caused the most issues in prior audits and enforcement actions.  We will explore what kind of issues and what kind of entities had the most problems, and show where entities need to improve their compliance the most.  We will also explore the typical risk issues that lead to breaches of health information and see how those issues may become a target for auditors in the next round.

Knowing what questions are likely to be asked and have been asked at prior HIPAA compliance audits can make preparing for and surviving a HIPAA audit much easier.  USDHHS has published the updated protocol being used for the HIPAA audits, so it is possible to know how to prepare for an audit.  Nearly any health care covered entity may be subject to an audit or enforcement investigation; all entities 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.  We will examine the updated HIPAA Audit Protocol as well as other questionnaires that have been used in the past and may be used to help prepare an organization for a future review.

We will discuss what information and documentation must be prepared in advance so that you can be ready for an audit or enforcement review at any time, including sample information request forms and questions asked at prior audits.  The session will also cover how to know if you may become the subject of an audit or enforcement action, and what you can do to help limit your exposure.  We will discuss how most enforcement actions come about and what can be done to prevent incidents that lead to enforcement activity.

Learning Objectives

At the conclusion of the session, participants will be able to:

1. Understand how to use information about breaches, enforcement actions, and prior HIPAA Audits to focus attention on the most important issues.

2. Know how to use simple documentation tools like the HIPAA Audit Protocol to review compliance and track improvements.

3. Understand what to expect if you are selected for an enforcement investigation.

4. Know more about the typical kinds of breaches that can occur and how to prevent them.

Areas Covered

•     Find out what the audit process is, what HHS OCR is likely to ask you if you are selected for an audit or compliance review, and what you'll have to have prepared already when they do.
•     Learn how to make the HIPAA Audit Protocol useful to you as a way to organize and track your compliance work, and collect your documentation references.
•     Find out what you'll need to have documented to survive an audit or compliance review and avoid fines.
•     Learn how to use an information security management process to evaluate risks and make decisions about how best to protect PHI and meet patient needs and desires.
•     Find out what policies and procedures you should have in place.
•     Learn about the training and education that must take place and be documented to ensure your staff uses health information properly and does not risk exposure of PHI.
•     Find out the steps that must be followed in the event of a breach of PHI.
•     Learn about how the HIPAA audit and enforcement activities are now being increased and how you must be prepared or risk significant penalties.

Who will Benefit

Attendees should include Compliance Officers, Privacy and Security Officers, and leadership and staff in health information management, information security, and patient relations, as well as staff in patient intake and front-line patient relations and any others that are involved in, interested in, or responsible for, patient communications, information management, and privacy and security of Protected Health Information under HIPAA, including:

•     Compliance director
•     CEO
•     CFO
•     Privacy Officer
•     Security Officer
•     Information Systems Manager
•     HIPAA Officer
•     Chief Information Officer
•     Health Information Manager
•     Healthcare Counsel/lawyer
•     Office Manager
•     Contracts Manager

Industries who can attend

This 90-minute online course is intended for professionals in the Healthcare Regulatory Compliance Industry

Speaker Profile

Jim Sheldon-Dean

Jim Sheldon-Dean 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 health care entities. 

Sheldon-Dean serves on the HIMSS Information Systems Security Workgroup, has co-chaired the Workgroup for Electronic Data Interchange Privacy and Security Workgroup, and is a recipient of the WEDI 2011 Award of Merit. He is a frequent speaker regarding HIPAA and information privacy and security compliance issues at seminars and conferences, including speaking engagements at numerous regional and national healthcare association conferences and conventions and the annual NIST/OCR HIPAA Security Conference in Washington, D.C. 

Sheldon-Dean has more than 30 years of experience in policy analysis and implementation, business process analysis, information systems and software development. His experience includes leading the development of health care related Web sites; award-winning, best-selling commercial utility software; and mission-critical, fault-tolerant communications satellite control systems. In addition, he has eight years of experience doing hands-on medical work as a Vermont certified volunteer emergency medical technician. Sheldon-Dean received his B.S. degree, summa cum laude, from the University of Vermont and his master’s degree from the Massachusetts Institute of Technology.

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