Final Project Two Milestone Two.docx - 1 HIPAA Policy Final...

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1 HIPAA Policy Final Project Two Milestone Two: HIPAA Policy Introduction and Evaluation Priyaliben Patel IHP 501: Global Health and Diversity Southern New Hampshire University
2 HIPAA Policy Introduction The Health Insurance Portability and Accountability Act of 1996 known as HIPAA is a federal regulation that offers privacy and security to protect medical health information. In recent years, this legislation has proven to be eminence due to data breaches as result of cyberattacks as well as ransomware assaults on healthcare organizations (Codington-Lacerte, 2019). For this project, I interviewed Barbara Washington who is the Senior Practice Manager of the Department of Ophthalmology, Orthopedic, and Gastroenterology at a pediatric hospital about the significance of HIPAA in the healthcare industry. Policy The HIPAA was signed by President Bill Clinton into law on August 21, 1996. The HIPAA consists of five titles: Title One, the law protects individual’s health insurance coverage if they become unemployed in addition to prohibits insurance companies in denying coverage to an individual who has pre-existing health conditions. Title Two is directed by the Department of Health and Human Services (HHS) to establish and implement policies to secure electronic transactions of health data by introducing compliance regulations. The compliance requirements include having the NPI (National Provider Identifier) number for each healthcare providers and health plans, following standard protocols in submitting and managing the medical claims, and following the HIPAA’s Rules such as Privacy Rule (for protecting health information (PHI)), Security Rule (for protecting electronic health information (ePHI)), and Enforcement Rule (oversees violation investigations).
3 HIPAA Policy Title Three sets regulations for tax-related medical care. Title Four sets guidelines on insurance companies about medical conditions and coverages. Title Five sets rules on company owned life coverages (insurance) policies and how to handle individuals who lost their U.S nationalization ( Edemekong & Haydel, 2019). The purpose of the HIPAA was to establish confidentiality structures within the United States’ healthcare industry with an objective of maintaining and protecting the privacy of individual’s health records. In addition, the focus was to provide insurance coverage to employees and reduce costs by going paperless by doing electronical transactions both financially and clinically, therefore, decreasing the administrative responsibilities/burdens for maintaining daily operations ( Edemekong & Haydel, 2019). The stakeholders of this law are all individuals who are employed at healthcare organizations, from lower to upper managements, patients and their families/friends, students (medical and nursing), insurance companies, all partners of the healthcare facility who assist in running daily operations such as companies like Cerner who is handling electronic medical records and billing according to Barbara during an interview (B. Washington, personal communication, June 10, 2019).

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