...•What did you learn from the HIPAA tutorial? •Why is this information important? •How will you use this information in the future? On April 14, 2003 the Health Insurance portability and Accountability Act of 1996 (HIPAA) took effect, and these federal regulation have had an impact on the field of healthcare. It affords certain protections to persons covered by health care plans, including continuity of coverage when changing jobs, standards for electronic health care transactions, and primary safeguards for the privacy of individually identifiable patient information. Protecting healthcare information is the key essential in a healthcare organization. In an Internet video, Barclay (2010) states it is imperative that all healthcare providers be knowledgeable about the HIPAA standards and protect the rights of patients and residents. However, patients also have the responsibilities to give accurate information about their condition and to participate in treatment and care. With that being said the doctrine of informed consent allows patients full disclosure to make a knowledgeable decision about their care. Failure of patient confidentiality gives rise to legal liability. Identifying different forms of security breaches and creating measures to safeguards standards, procedure and policies against leaking personal health information (PHI) will maintain and promote growth of an organization. Identifying different forms of security breaches and instituting measures to implement...
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... HSM Law Profile Paper HIPAA LEGAL SUMMARY The use of Information technology now allows human service organizations to more efficiently keep track of high priority information on clients, costs, and regulations. Years ago this information was kept by hand in ledgers. Nowadays client numbers, costs, and regulations have increased astronomically. As such information technology is the only way to keep track. There are a plethora of IT solutions for human service organizations. Out of the box solutions typically contain applications that record physician orders and keep track of claims and medical record information. Modern day regulation sets are complex and the need to keep track of these is extremely important. A good example of a large and complex regulation set is the Health Insurance Portability and Accountability act (HIPAA) which was put into law in 1996 by president, Bill Clinton. HIPAA has multiple facets. However the most important is that it sets rules on how to properly communicate medical data. Individuals, groups, or organizations that need to transfer medical data must do so according to HIPAA rules. As such administrators of health service organizations as well as IT professionals must understand the rules (Information Technology Association of America, 2004). The two most important components of HIPAA are simplification and privacy. Simplification means that the underlying HIPAA system must be based on one computer language...
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...simplification requirements of HIPAA? • Electronic transactions and code sets standards requirements • Privacy requirements • Security requirements • National identifier requirements 2. Name 3 factors used to determine whether you need to comply with HIPAA. a. Whether the health plan is self-insured or fully insured b. Whether the plan sponsor receives PHI or SHI c. How the plan sponsor utilizes SHI. 3. What are the three categories of entities affected by HIPAA Medical Privacy Regulations? • Health Care Providers: Any provider of medical or other health services, or supplies, who transmits any health information in electronic form in connection with a transaction for which standard requirements have been adopted. • Health Plans: Any individual or group plan that provides or pays the cost of health care. • Health Care Clearinghouses: A public or private entity that transforms health care transactions from one format to another. 4. What would Business Associates of covered entities consist of as it pertains to HIPAA’s regulation? HIPAA defines a business associate as an individual or corporate "person" that: • performs on behalf of the covered entity any function or activity involving the use or disclosure of protected health information (PHI); and • is not a member of the covered entity's workforce. 5. Who is covered by the Privacy Rule in HIPAA? Give some examples. • Health care providers who transmit any health information electronically...
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...regarding HIPAA HIPPA Rule HIPP is a privacy rule that is set up to protect a patient’s person health information. This personal health information coverage gives a patient a number of rights on how their medical records are kept and who has the right to view them. The HIPAA privacy rule has a number of safeguards for the covered entitles to ensure that confidentiality and integrity of any electronic health information. The HIPAA rule is only applies to covered entities. If a person, agency, or organization can meet what is considered a covered entity, they must observe with the Rules' requirements to protect the privacy and security of health information and must provide individuals with certain rights with respect to their health information. If an entity is not a covered entity, it does not have to comply with the Privacy Rule or the Security Rule (U.S. Department of Health & Human Services, 2011). An entity would be classified into three categories. A health care provider is considered an entity if they transmit patient information in electronic form that is connected with a transaction. A physician, clinic, dentist, psychologist, chiropractor, pharmacy, hospitals, and a nursing home would be considered a health care provider. Another category would be a health plan. Health insurance companies, HMOs, private Company health plans which include those that are self-insured, and government programs such as Medicare, Medicaid, and the military and veterans’ health care programs...
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...with the privacy of medical information. Patient’s information was accessible to employers in some cases, and also to people issuing loans to these individuals. Patients reveal intimate details in confidence to their health care providers, which were normally stored in locked file cabinets, and on shelves in medical records department, now records are stored in data files and may be seen by hundreds of strangers in health service, insurance companies and any organization affiliated with health service. HIPPA Privacy Rule made it possible for all patients to see, copy and request to amend their own medical records. It provides federal protection for patient’s health information. With the Privacy Rule patients must be notify about who their medical information is disclosed to. Patients can also find out who access their medical records for the prior six years. Under the HIPPA Privacy Rule only minimum information should be disclosed to accomplish the intended purpose and a complaint can be filed if there is a violation of privacy. The Privacy Rule only applies to health plans, health care clearinghouses, and to any health care provider who transmits health information in electronic form in connection with transactions for which the Secretary of Health and Human Services has adopted standards under HIPAA. The Health Insurance Portability and Accountability Act of 1996, was enacted on August 21, 1996. Sections 261 through 264 of HIPAA require the Secretary of Health and Human...
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...Confidentiality and HIPAA HCIS/ 245 May 2, 2014 Patient Confidentiality and HIPAA HIPAA is the abbreviation for the federal Health Insurance Portability and Accountability Act of 1996. The goal of the law set in place by HIPAA is to allow people to maintain health insurance, provide protection of health care information through confidentiality and security, and to help control administrative cost in the health industry [ (John J. Dreyzehner) ]. There are many different title sections to HIPAA. These sections are Title I- Health Insurance Reform, Title II- HIPAA Administrative Simplification, Title III- HIPAA Tax Related Health Provisions, Title IV- Application and Enforcement of Group Health Plan Requirements, and Title V- Revenue Offsets [ (HIPPA Title Information, 2013) ]. National standards have been established by the HIPAA Privacy Rule, it protects patient medical records and health information (The Privacy Rule). These standards apply to health plans, health care clearinghouses, and providers that use electronic information systems to conduct health care transactions (The Privacy Rule). Appropriate safeguards are demanded by the Privacy Rule. These safeguards protect the privacy of health information that may be personal, and it sets limits and conditions on the use and disclosures of information without the consent of the patient (The Privacy Rule). Patients also have rights over their health information provided under the Privacy Rule. Patients have the...
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...Dowdell The impact of HIPAA on the delivery of human services! I have been a medical assistant for 15 years and HIPAA is a regulation/law that I have had to read over and over again. HIPAA stands for Health Insurance Portability and Accountability Act, this act was passed in 1996 two year after that I became a medical assistant. HIPAA requires the United States health and human services to issue rules protecting the privacy of medical information. This information can be found on the Health and Human Service website. www.hhs.gov The HIPAA privacy rules were issued by the HHS to cover a number of types of companies and can affect human service organizations as health care providers, business associates or employers. The purpose of the rational of this act is to prevent any human service organization covered by the rule from sharing personal medical information without removing all details that could be used to identify the person . For example, a doctor's office that put a patient's name and medical history up on its website would be in violation of the rule or if a nurse is having a conversation with a co- worker about a patient and she shares all the patients personal information. The companies covered include any organization or person that shares medical information electronically for purposes such as authorizing benefits or medical referrals. This can include health insurance plans, health care providers, such as doctors and dentists, and companies...
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...Health Insurance Portability and Accountability Act “HIPAA” Cheryl Pierce Murray State University HCA405 November 19, 2014 When you walk into a doctor’s office or other medical facility, you have the assumption and expectation that things discussed between you and your healthcare provider will remain confidential. You might even sign papers that contain information about how you wish for your information to be disclosed. What you might not know is that this is a result of a large and broad federal law that hasn’t always been present. In the past, patients were unable to have a clear understanding of what can and cannot be discussed after consultation with medical professionals. This led to withholding important information, which could hinder their treatment and recovery. Medical records were not always kept confidential prior to HIPAA being enacted and enforced, and with the rules now in place, patients now have an understanding that their health information will remain private. American society places a high value on individual rights, personal choice, and a private sphere protected from intrusion. Medical records can include some of the most intimate details about a person’s life. They document a patient’s physical and mental health, and can include information on social behaviors, personal relationships, and financial status (Gostin and Hodge, 2002). The shift of medical records from paper to electronic formats has increased the potential for individuals to access...
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...THE HEALTH INSURACE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) Abstract This paper will explain what HIPAA is, a brief history and background of it; why it is so important, what are the rules, who is protected, who needs to follow the rules and who does not, who can see the patent information, and what kind of right the patent has. In general, this paper will cover and the importance of HIPAA, and the impacts that have on consumers and providers. This paper examines Mark A. Rothstein (2013) The Federal Register published the Department of Health and Human Services (HHS) omnibus amendments to the Health Insurance Portability Act (HIPAA) Privacy, security, Enforcement, and Breach Notification Keywords: HIPAA privacy and security of health care records. THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) Understanding HIPAA What is HIPAA? Department of health defined HIPAA as the federal Health insurance portability and accountability act. The objective is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the health care industry control administrative cost. HIPAA is written in 1996, enacted in April 14, 2001 and mandated in April 15, 2003. HIPAA is composed of two main rules; The HIPAA privacy rule and The HIPAA security rule. The HIPAA privacy rule provides for the privacy of individual’s personally identifiable health...
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...HCA 542A Mod 11:2011 8wk-online Final Paper October 10, 2011 HIPPA This paper will begin with a brief background and history on the Health Insurance Portability and Accountability Act (HIPAA). Following the background will be details about issues that are address within the Health Insurance Portability and Accountability Act. The purpose of this paper is to provide a foundation with providing some information about HIPAA. Background The Health Insurance Portability and Accountability Act (HIPAA) was enacted by Congress in 1996 in response to several issues facing health care coverage, privacy, security and fraud in the United States (ALL THINGS MEDICAL BILLING, 2011, para. 2). Before HIPAA, rules and regulations varied by state, there was no real consistency. Also, there was confusion as to which regulations were applicable and to whom. Did the rules apply in the states where the organization was doing business or where the organization was based? There was also no uniformity between state and federal requirements (ALL THINGS MEDICAL BILLING, 2011, para. 3). With regard to privacy, there were numerous uncoordinated federal acts which addressed privacy in some form. Prior to HIPAA, there was no standard authority for enforcement of fraud and abuse that applied to state and federal health care programs (ALL THINGS MEDICAL BILLING, 2011, para. 4). Congress recognized the increased use of electronic technology, the potential for...
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...the practices that have become common in the delivery of care” (Schmidt, 2005). The focus of this paper is intended to educate the importance of HIPAA in the healthcare system. Background HIPAA is the acronym for Health Insurance Portability and Accountability Act. It was originally known as the Kennedy-Kassebaum Bill (HIPAA, 2012). The law was passed in 1996. The main rules of HIPAA are Privacy, Transaction and Code Sets, Security, and Identifiers (HIPAA-Background, 2006). Even though the law was originally passed in 1996, it was revised many times over the years, in which it...
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...Privacy Rules 3 critical areas of HIPAA for a training session of your staff Privacy Rules The U.S. Department of Health and Human Services (“HHS”) issued the Privacy Rule to implement the requirement of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). 1 The Privacy Rule standards address the use and disclosure of individuals’ health information—called “protected health information” by organizations subject to the Privacy Rule — called “covered entities,” as well as standards for individuals' privacy rights to understand and control how their health information is used. A major goal of the Privacy Rule is to assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being. Who is Covered by the Privacy Rule The Privacy Rule, as well as all the Administrative Simplification rules, apply to health plans, health care clearinghouses, and to any health care provider who transmits health information in electronic form in connection with transactions for which the Secretary of HHS has adopted standards under HIPAA Health Plans. Individual and group plans that provide or pay the cost of medical care are covered entities.4 Health plans include health, dental, vision, and prescription drug insurers, health maintenance organizations (“HMOs”), Medicare, Medicaid, Medicare+Choice and Medicare supplement...
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...Health Insurance Portability and Accountability Act Compliance Guide US Department of Health and Human Services Information Security Program Health Insurance Portability and Accountability Act (HIPAA) Compliance Guide September 14, 2005 Page i Health Insurance Portability and Accountability Act Compliance Guide US Department of Health and Human Services Table of Contents Table of Contents .......................................................................................... i Preface.........................................................................................................iii Document Change History ............................................................................iv 1. Introduction ....................................................................................... 1 1.1 1.2 1.3 1.4 2. 2.1 Purpose ........................................................................................... 1 Background...................................................................................... 1 Scope.............................................................................................. 2 Document Organization ..................................................................... 4 HIPAA Administrative Simplification Requirements ........................... 5 General Overview ............................................................................. 5 2.1.1 HIPAA Administrative Simplification Goals and Objectives ............. 5...
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...A Critical Regulatory Issue in Health Care A Critical Regulatory Issue in Health Care Congress grants agencies the ability to create regulations to promote and carry out public policy (Fremgen, 2012). A critical health care regulatory issue in today’s world is The Privacy and Security Rule. The Privacy Rule, 45 CFR (Code of Federal Regulations) Part 160 and Subparts A and E of Part 164 govern the privacy of individually identifiable health information and the security of electronic individually identifiable health information. CFR 45 Part 160 is otherwise known as the Health Insurance Portability and Accountability Act (HIPAA) (U.S. Department of Health and Human Services, 2012). HIPAA enacted in 1996, outlines the conditions protected health information (PHI) may be used or released by covered entities or individuals. The Office for Civil Rights (OCR) of the Department of Health and Human Services (HHS) enforces the HIPAA Privacy Rule. The Privacy Rule, modified in 2002 and 2003, set standards for protecting the integrity and confidentiality of PHIs covered entities must follow. Medical organizations and their employees have a legal and ethical responsibility to protect patients’ medical privacy at all times. Health care facilities and employees who fail to implement effective privacy rules and regulations are subject to fines, accreditation problems, and possible suits from affected individuals. Facilities and government agencies are liable to HHS for fines but also the...
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...Health Insurance Portability and Accountability Act 1 Health Insurance Portability and Accountability Act Health Insurance Portability and Accountability Act of 1996 Other short title(s) Long title Kassebaum-Kennedy Act, Kennedy-Kassebaum Act An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes. HIPAA Colloquial acronym(s) Enacted by the 104th United States Congress Citations Public Law Stat. Pub.L. 104–191 110 Stat. 1936 [1] [2] Legislative history [3] • • • • • • • • • Introduced in the House as H.R. 3103 [4] by Bill Archer (D-TX) on March 18, 1996 [5] Committee consideration by: House Ways and Means Passed the House on March 28, 1996 (267–151 Passed the Senate on April 23, 1996 (100-0 [6] ) [7] ) [8] ) and by the Senate on , in lieu of S. 1028 Reported by the joint conference committee on July 31, 1996; agreed to by the House on August 1, 1996 (421–2 [9] August 2, 1996 (98–0 ) Signed into law by President Bill Clinton on August 21, 1996 e v t [10] The Health Insurance Portability and Accountability Act of 1996 (HIPAA; Pub.L. 104–191 [1], 110 Stat. 1936 [2] , enacted...
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