How Hippa violations affect the medical billing process

How Hippa violations affect the medical billing process -...

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Running head: HOW HIPAA VIOLATIONS AFFECT THE MEDICAL BILLING 1 How HIPAA Violations Affect the Medical Billing Process Tabitha Neufind HCR 220 November 14, 2010 Felecia Pettit-Wallace
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HOW HIPPA VIOLATIONS AFFECT THE MEDICAL BILLING 2 How HIPAA Violations Affect the Medical Billing Process The Health Information Portability and Accountability Act (HIPAA) of 1996 was responsible for protecting workers and their families from the loss of health insurance in the case of loosing their job or a change in jobs, but as well as developing national standards for the transmission of electronic health care information, along with providing national identifiers for providers, health insurance plans and employers. The standards that were established by HIPAA helps to ensure that a patient's health information is protected. HIPAA created a “security rule that was published February 20, 2003, and it adopts standards and safeguards to protect health information that is collected, maintained, used, or transmitted electronically” (Green & Bowie, 2005, p. 268). Confidentiality is important to every patient no matter if the patient has a ear infection to HIV/AIDS . This paper will look at legal, social, and ethical ramifications of improper information disclosure as well as how HIPAA affects the medical billing process. HIPAA affects the medical billing process by making sure that patients protected health information (PHI) is kept confidential. In a patients file there should be a notice that the patient has read and signed that informs the patient how their PHI will be used. This authorization allows the provider to use confidential health information to bill health insurance to receive reimbursement for services provided to the patient by a provider. Without this authorization on file a provider is not able to release or disclose any of the patient information in regards to the diagnosis and treatment that the patient has received therefore not receiving payment. The information that a provider compiles on the patient such as progress notes, lab results, x-rays and other clinical notes are legal documents that belong to the provider. The information contained in these documents belongs to the patient and providers cannot withhold
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HOW HIPPA VIOLATIONS AFFECT THE MEDICAL BILLING 3 the information from the patient if they would like to review it unless it would be detrimental to the patient’s health.
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This note was uploaded on 11/27/2010 for the course HCR 220 HCR 220 taught by Professor Shatondrasurulere during the Fall '09 term at University of Phoenix.

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How Hippa violations affect the medical billing process -...

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