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Patient Support Center

Find resources on Suburban Orthopaedic Medical Center and what you need to know before your appointment.

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HIPPA

What is HIPAA Compliance?

The U.S. Department of Health and Human Services is responsible for creating and issuing new standards regarding the use or exchange of Protected Health Information (PHI). The basic premise is any healthcare provider or business associate must be HIPAA-compliant which means that he must be able to show due diligence in their attempt to comply with the HIPAA Security and/or Privacy Rule. The and/or for Privacy is for Business Associates who may only have to comply with the Security Rule and only parts of the Privacy based on the job they are performing for the Covered Entity.

Multiple rule changes and expanded regulations has made it much more complex to become HIPAA-compliant. Recent developments that have aided to the difficulty to comply are The American Recovery and Reinvestment Act 2009 and the 2013 HIPAA Omnibus Rule. The ARRA has gained prominence owing to the presence of the Health Information Technology for Economic and Clinical Health or the HITECH Act within it. These law changes including the recently approved Omnibus rule will require Covered Entities to perform audits and track more and more HIPAA compliance information to be able to say that they are HIPAA Compliant.

The HIPAA Act of 1996 has set strict standards regarding a patient’s Protected Health Information (PHI) as a part of its Privacy Rule regulations.

HIPAA Compliance for Covered Entities

This part of the rule addresses all issues concerned with saving/accessing/sharing medical & personal information of an individual. The concept of a Covered Entity is at the core of Privacy Rule regulations. All Healthcare Providers and Health Plans are called Covered Entities.

However, this is a very basic definition, as the realm of a Covered Entity implies to all Business Associates that are involved in accessing/sharing an individual’s medical health information. A Business Associate represents all persons or organizations that are involved in the direct functioning of a Covered Entity or act on behalf on a Covered Entity.However, it does not involve the employees of a covered entity. For example, the clerical staff at a healthcare center is not regarded as a Business Associate. However, an outsourcing firm that is handling medical billing on behalf of the medical facility is a Business Associate, i.e. it is bound to follow HIPAA compliance guidelines.

This includes covered entities (CE), anyone who provides treatment, payment and operations in healthcare, and Business Associates (BA), anyone with access to patient information and provides support in treatment, payment or operations. Subcontractors, or business associates of business associates, must also be in HIPAA compliance.

The HIPAA Privacy Rule addresses the saving, accessing and sharing of medical and personal information of any individual, while the HIPAA Security Rule more specifically outlines national security standards to protect health data created, received, maintained or transmitted electronically, also known as electronic protected health information (ePHI).

hippa seal of compliance
The physical and technical safeguards are the road map to successful HIPAA compliance

• Physical safeguards include limited facility access and control, with authorized access in place. All covered entities, or companies that must be HIPAA compliant, must have policies about use and access to workstations and electronic media. This includes transferring, removing, disposing and re-using electronic media and electronic protected health information (ePHI).

• Technical safeguards require access control to allow only the authorized to access electronic protected health data. Access control includes using unique user IDs, an emergency access procedure, automatic log off and encryption and decryption.

• Audit reports, or tracking logs, must be implemented to keep records of activity on hardware and software. This is especially useful to pinpoint the source or cause of any security violations.

• Technical policies should also cover integrity controls, or measures put in place to confirm that ePHI hasn’t been altered or destroyed. IT disaster recovery and offsite backup are key to ensure that any electronic media errors or failures can be quickly remedied and patient health information can be recovered accurately and intact.

• Network, or transmission, security is the last technical safeguard required of HIPAA compliant hosts to protect against unauthorized public access of ePHI. This concerns all methods of transmitting data, whether it be email, Internet, or even over a private network, such as a private cloud.

We utilize "The Guard" from Compliancy Group LLC to Achieve, Illustrate, and Maintain our HIPAA compliance, covering the Administrative side of HIPAA Privacy, Security, HITECH Breach Notification, Technical side with HIPAA IT Risk Analysis, Device Audit, and Physical side with our Physical Site Audit.

 

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We Focus on Patient Care!

Insurance & Billing

Suburban Orthopaedic Medical Center is centered on patient care and treatment, most insurances are accepted, but different providers allow for different plans and benefits. We participate with Medicare and with many state commercial policies such as Horizon Blue Cross Blue Shield and Aetna.

Suburban Orthopaedic Medical Center offers a free financial consultation to determine your coverage and benefits your policy entitles you to. We also offer a free Insurance verification by phone.

To receive your free financial consultation & insurance verification as well as any additional questions regarding payments or bills/statements contact us at (973) 483-2277.

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Start the Path to Healing!

Personal Injury Protection (PIP)

Have you been involved in an auto accident recently?

Most states have programs that help pay for medically necessary and reasonable care due to an auto accident. This protection is called Personal Injury Protection and is provided by your insurance company. Seeing a doctor after a car accident is one of the most important things you can do to retain your personal injury case, because only a doctor can document and validate your injuries after an accident.

Why is it important to see a personal injury doctor right after your accident?

In order to open a personal injury case you must have documented proof from medical personnel proving your injuries. Our physicians here at Suburban Orthopaedic Medical Center will document your conditions and provide your personal injury lawyer the proper documentation so they may build a strong case to get you the settlement you deserve!

Why see a doctor even if you don’t feel hurt?

Most injuries that are caused from an auto accident differ from your standard everyday injuries. Majority of the time these injuries are seen to be musculoskeletal and may not show immediately after your accident for reason such as your body being in shock. Waiting to see a doctor may only extend your recovery process while making your case decrease in value. Common injuries such as whiplash can be treated by personal injury doctors and given the proper care so they may heal without lasting effects.

Why see a personal injury doctor even if you have gone to the ER after an auto accident?

When you visit the ER after a car accident the most common procedure is to check the patient for life threatening or immediate health threats, their objectives usually do not include diagnosing your injuries sustained from the wreck. Even if they have prescribed you medication for the pain you should still see a personal injury physician to assess your body and determine any other injuries that may have lasting effects on your daily routines.

Call Suburban Orthopaedic Medical Center’s healthcare staff to speak about possible treatment options after you have experienced a car accident: (973) 483-2277.

 

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person with injured hand writing accident injury claim compensation with a marker
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About Your VisitWhat's Next?What to ExpectFirst Visit ChecklistNew Patient Forms

About Your Visit

No need to worry, here at Suburban Orthopaedic Medical Center we focus on getting the patient well again through multiple different treatment approaches. If you experience any of the following, Suburban will be able to help you in your road to recovery.

• If you have been involved in a work accident such as a slip and fall.

• If you have been involved in an automobile, motorcycle, or bus accident.

• If you have chronic pain in a specific area of your body.

• If you have a previous injury that hasn’t healed or been treated.

• If you have any concern with the musculoskeletal portion of your body.

• If you have incurred an injury, or feel pain and/or discomfort.

If you feel you may have any of these you may be a candidate to become a patient at Suburban Orthopaedic Medical Center, feel free to contact us for a free financial consultation & insurance verification as well as any additional questions at (973) 483-2277.

Our physicians are board certified and our medical personal have countless hours of experience in the medical field. Suburban Orthopaedic Medical Center has grown tremendously since its opening and now houses many different specialties focusing on musculoskeletal care including, Orthopaedic Surgeons, Physician Assistants, Chiropractors, Pain Management, Physical Therapists, and Physical Medicine & Rehabilitation physicians.

elderly person holding their lower back in pain with the image of their spine visible

What Happens Next?

Now that you have identified your area(s) of pain or discomfort, the next step is to contact us and discuss the type of physician you would like to see. Suburban Orthopaedic Medical Center offers a variety of physicians and specialties. Currently we employ Orthopaedic Surgeons, Chiropractors, Interventional Pain Management, Physical Medicine and Rehabilitation (PM&R;), Physician Assistants, and Physical Therapists.

If you are unsure which physician specialty you should see or have questions regarding the different kinds of specialties and what areas they treat, check out the FAQ section for additional information. If you know your condition or have an idea and would like further information check out the “Conditions” menu; most conditions can be treated by a variety of specialties depending on their severity and other variables.

If you are still unsure with which type of provider you would like to see, feel free to call our practice at (973) 483-2277 and speak with a staff member who may direct and answer your questions, while helping you schedule an appointment with the appropriate doctor.

What to Expect?

Once you have made your appointment you will be given your appointment date. Suburban asks that you take a look at the First Visit Checklist, so you have an idea of how to prepare for your first visit. During your initial exam your doctor will:.

• Ask you a series of questions along with an evaluation of your condition and the severity of it.

• Discuss a treatment plan that will best fit your injury and style of life.

• Discuss possible referrals or other providers that may treat you at different parts of your recovery journey.

Suburban Orthopaedic Medical Center is devoted to our patients and their health, we place patient satisfaction above everything! If you have any questions or concerns please feel free to contact us at (973) 483-2277 to speak with a representative about any questions, or scheduling an appointment.

 

If you are concerned with the costs or insurance involved in treatment, please refer to our Insurance & Billing page or contact us directly!

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First Visit Checklist

Please be sure to bring the following so that we can get you in to see the doctor as soon as possible.

• Photo ID (driver’s license or other).

• Updated family medical information and personal information (cell/e-mail).

• Insurance Card.

• List of medications.

• List of allergies.

• Copies of past records/procedures (X-rays, MRI’s, etc.).

• Copay if required (credit card, check or cash are accepted).

• Other doctors’ contact Information.

• List and dates of all tests performed.

• Results of recent tests performed from other health providers.

• Any Additional paperwork from an attorney or other correspondence.

• Patient forms preferably filled out prior to the day of your appointment.

Suburban Orthopaedic Medical Center is devoted to our patients and their health, we place patient satisfaction above everything! If you have any questions or concerns please feel free to contact us at (973) 483-2277 to speak with a representative about any questions, or scheduling an appointment.

If you are concerned with the costs or insurance involved in treatment, please refer to our Insurance & Billing page or contact us directly!

Make an Appointment

New Patient Forms

For Your Convenience

To save you time we have our patient forms online for you to print and fill out. Please bring completed form(s) to the office for your appointment.

Personal History

Notice of Privacy Practice

Historia Personal Español

Wellness Awaits You!
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