HIPAA (1).pdf - Jaspreet Kaur HIPAA Summary The Health...

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Unformatted text preview: Jaspreet Kaur HIPAA Summary The Health Insurance Portability and Accountability Act (HIPAA) was introduced in 1996. It is a standard established to improve efficiency in the healthcare industry. HIPAA is a comprehensive regulation incorporating the requirements of several legislative acts, including the Public Health Service Act, Employee Retirement Income Security Act, and more recently, the Health Information Technology for Economic and Clinical Health (HITECH) Act. It was primarily established to address the issue of health insurance coverage for individuals with no jobs. Prior to HIPAA, individuals would end up without healthcare coverage, and therefore unable to access crucial medical treatment when unemployed. However, the purpose of establishing HIPAA was to allow individuals to access healthcare coverage even if they were out of work. The second most important part of the healthcare legislation and the purpose of HIPAA is that it is an industry-wide standard implemented to protect Patient Health Information (PHI) data. With this standard in place, it requires healthcare organizations to implement controls to secure patient data to prevent healthcare fraud.HIPAA allows health providers to perform better medical record-keeping, although it restricts them to share and process information in certain circumstances.It makes sure healthcare compliance is practiced, although it has hefty penalties for non-complying entities that commit willful or unintentional neglect. The second most important part of the healthcare legislation and the purpose of HIPAA is that it is an industry-wide standard implemented to protect Patient Health Information (PHI) data.There are many, and on top of any medical information, the ones listed below are also considered PHI:Name, whether it’s the full name, last name, or initials, Geographical identifiers more specific than a state, Dates, other than years, related to the person, Phone number, Fax number,Email address, Social Security number, Medical record number, Health insurance beneficiary number, Account number, Certificate or license number, Vehicle identifiers, such as the make and model, Device identifiers and serial numbers, URLs, IP address numbers, Biometric identifiers such as fingerprint, retinal, and voiceprints, Full face photographic images, Any unique identifying number, characteristic, or code given to the patient (except the code assigned to code the data). The most common violations are just the basics like: Not having policies and procedures, Not providing employees training, Not performing a risk assessment, Not having a compliance program at all. We call the entities that must follow the HIPAA regulations covered entities. Covered entities include:Health Plans, including health insurance companies, HMOs, company health plans, and certain government programs that pay for health care, such as Medicare and Medicaid. Most Health Care Providers—those that conduct certain business electronically, such as electronically billing your health insurance—including most doctors, clinics, hospitals, psychologists, chiropractors, nursing homes, pharmacies, and dentists. Health Care Clearinghouses—entities that process nonstandard health information they receive from another entity into a standard (i.e., standard electronic format or data content), or vice versa. ...
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