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Or paymentforprovisionofhealthcare hipaadefinitions

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Unformatted text preview: th information means any information, whether oral or recorded in any form or medium, that: 1) Is created or received by a health care provider…, and; 2) Relates to past, present, or future physical or mental health or condition of an individual…or provision of health care..or payment for provision of health care. HIPAA definitions HIPAA definitions • “Covered entity” ­ organization responsible for HIPAA compliance. • Protected Health Information (PHI) ­ information generated in the course of providing healthcare that can be uniquely linked to them • Information “use” = use within organization • Information “disclosure” = release outside of organization Overview of effects of HIPAA Privacy Rule • Gives individuals the right to: – A written notice of information practices from health plans and providers – Inspect and copy their Protected Health Info – Obtain a record of disclosures – Request amendments to their medical records – Have reasonable requests for confidential communications accommodated – Request restrictions on uses and disclosures – Complain about violations to the covered entity and to HHS Overview of effects of HIPAA Privacy Rule • Requires covered entities to: – Make a good faith effort to get signed acknowledgement of information practices related to Protected Health Information (PHI) used in treatment, payment and operations (TPO) – Obtain authorization for special additional uses of PHI – Designate a privacy official – Develop policies and procedures (including receiving complaints) – Provide privacy training to their workforce – Develop a system of sanctions for employees who violate the entity’s policies – Meet documentation requirements – Implement appropriate administrative, technical, & physical safeguards to protect privacy The ‘spirit’of HIPAA The ‘spirit’of HIPAA • P...
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