Ensuring HIPAA Compliance

To assist its clients with HIPAA compliance, GTESS takes a dual approach, ensuring: 1) its own HIPAA readiness, and 2) the facilitation of client compliance. Our core workflow system provides clients with the electronic transfer of information, enabling format standardization for healthcare transactions. Additionally, our document management solution allows faster and easier compliance with privacy standards. Of course, as a healthcare "business associate," our own HIPAA compliance is always top-of-mind.

Transaction Standards — GTESS is on the forefront of the efforts to convert non-standard and standard formats for electronic claims and encounters, and the conversion of paper forms to electronic format for the ease of transmission between covered entities and business associates.

Privacy Standards — GTESS has engaged in a comprehensive organizational effort to ensure compliance with state and HIPAA privacy regulations. The efforts of GTESS to comply are fully documented and are made available to our clients for their review and satisfaction that GTESS provides satisfactory safeguards.

Security Standards— GTESS has taken reasonable and industry acceptable efforts to ensure the safety of protected healthcare information, consistent with the Notice of Proposed Rulemaking (NPRM) on Security regulations. GTESS intends to fully comply with the finalized security regulations regarding healthcare information management.

About HIPAA

The Health Insurance Portability & Accountability Act of 1996 (August 21), Public Law 104-191 (HIPAA) was passed by Congress to reform the insurance market and simplify healthcare administrative processes. HIPAA requires improved efficiency in healthcare delivery by standardizing electronic data interchange, and ensuring the privacy and security of protected health information through the establishment of regulations and standards. The administrative simplification provisions of HIPAA are intended to reduce the number of forms and methods of completing health insurance claims and other payment-related documents, and to implement the use of standardized code sets and universal identifiers. Another goal is to increase the use and efficiency of electronic exchange of standard healthcare information.