RealMed’s Accreditations and Compliance

HIPAA Compliance

RealMed is committed to ensuring that we are compliant with all HIPAA and other regulations. RealMed has met and continues to meet or exceed all applicable regulations relating to the Health Insurance Portability and Accountability Act of 1996, including all regulations relating to privacy and security. We carefully and systematically review our policies and procedures annually to ensure continued compliance.

Electronic Healthcare Network Accreditation Commission (EHNAC)

Biennially, RealMed has engaged EHNAC to perform a comprehensive third party review of our security and privacy measures. EHNAC is a national accreditation organization and a 501c3 not-for-profit and federally recognized Standards Development Organization. Accredited companies have achieved the highest level of accreditation in the industry for HIPAA Privacy and Confidentiality, Technical Performance, Business Practices and Resources.

RealMed has been accredited by EHNAC since 2001 and currently holds the Healthcare Network Accreditation Plus Electronic Healthcare Networks (HNAP-EHN) accreditation. In November 2011, we received our sixth consecutive EHNAC accreditation.

Please see www.ehnac.org for additional information on EHNAC and the accreditation process.

Council for Affordable Quality Healthcare® (CAQH)

RealMed is CAQH Committee on Operating Rules for Information Exchange® (CORE) Phase I certified.

Through CORE, CAQH is working to make it easier for physicians and hospitals to access patient insurance information, including eligibility and benefits data, before or at the point of care. CORE operating rules allow providers to submit a request, using the electronic system of their choice, to obtain a variety of coverage information for any patient and from any participating health plan. Providers will receive more consistent and predictable data, regardless of health plan.

Please see www.caqh.org for additional information on CAQH and the Core certification process.

Maryland Healthcare Commission

RealMed has been certified as an Electronic Health Network (EHN) by the Maryland Health Care Commission since November 2001.

The MHCC is an independent regulatory agency whose mission is to plan for health system needs, promote informed decision-making, increase accountability, and improve access in a rapidly changing health care environment by providing timely and accurate information on availability, cost, and quality of services to policy makers, purchasers, providers and the public. The MHCC Electronic Health Network certification program, in partnership with the Electronic Health Network Accreditation Commission (EHNAC), a national accreditation organization, assures that networks operating in Maryland meet industry best practice standards related to privacy and confidentiality, technical performance, business practices, physical and human resources, and security.

Please see mhcc.maryland.gov for additional information about the MHCC electronic health network certification.

CORE™, the CORE-certification/Endorser Seals and logo are trademarks of CAQH® Copyright 2009, Council For Affordable Quality Healthcare®. All rights reserved.