Preview

HIPAA

Good Essays
Open Document
Open Document
688 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
HIPAA
Health Insurance Portability and Accountability Act The Health Insurance Portability and Accountability Act of 1996 (HIPAA), was implemented by the Congress in order to improve access to health insurance, to promote standardization and efficiency in the healthcare industry, and to offer nationally standardized protections for individual health information
The HIPAA Privacy Rule
The HIPAA Privacy Rule was created so that the patients’ health information is protected and released only with the patients’ authorization. The protected health information is information which identifies a patient, or can be used to identify a patient, and relates to (1) a person’s past, present or future health condition, (2) the provision of healthcare, or (3) the payment for the provision of healthcare. Protected information can include things such as names, addresses, birthdates, SSN, and the records from a patient’s visit to a doctor .
Who Does HIPAA Effect?
The Department of Health and Human Services can only enforce HIPAA-related penalties against "covered entities" as they are defined by the regulations. The regulations define covered entities as healthcare providers, health plans and healthcare clearinghouses who engage in any number of electronic transactions. A healthcare provider under HIPAA is a person or company that furnishes, bills or is paid for health care. A number of employers have also found that they are covered entities under HIPAA because of their activities running a group health plan for their employees. Finally, there are many companies or individuals that provide services to covered entities that require the use of protected health information. These companies or individuals are called business associates. While they are not liable for penalties under HIPAA, they will find that many business contracts will have to be renegotiated and business practices changed to reflect the privacy requirements .
The HIPAA regulations apply to covered entities and

You May Also Find These Documents Helpful

  • Satisfactory Essays

    1. How does HIPPA serve to protect patient rights? A patient’s health information can be shared with doctors and hospitals for treatment and care. The information can also be shared with family members who the patient has given permission to access the patient’s records. HIPPA’s guidelines make clear exactly what information about patients is protected. Called PHI, this information includes anything that would identify a patient, from name, Social Security numbers and addresses to broader identifiers like race, age and home state. Information about the person’s health care needs or medical history is also considered PHI.…

    • 388 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The Health Information Technology for Economic and Clinical Health Act (HITECH) is a part of as part of the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA contains specific incentives that are designed to speed up the adoption of electronic health record systems. According to Rouse ( 2014), “HITECH stipulated that, beginning in 2011, healthcare providers would be offered financial incentives for demonstrating "meaningful use" of EHRs until 2015, after which time penalties may be levied for failing to demonstrate such use. ”HITECH and HIPAA, are different and they have unrelated laws, but they do meet in some laws that shares the same goals. For instance, HITECH has Notification of data Breach rules and requirements for unauthorized…

    • 247 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    The receptionist or other clerical worker will either call, or receive a call from a “patient” or other authorized individual. During this communication, the associate must be careful to observe HIPAA rules related to “protected health information.” when “schedule, canceling, or rescheduling” encounters. When gathering benefit “information,” the representative must be diligent to accurately enter data into the “patient’s” file. Discerning insurance cards, policies, and all applicable guidelines of each plan are applicable to the “front and back” office. Abiding by the payer’s regulations, and the coordination of benefits,” associates will input this data into the patient management program (PMP). During these procedures, insurance specialists will be cautious to correlate the correct information with the correct patient. The “front or back office” will then confirm coverage with designated plans, along with all essentials, such as if a “referral or preauthorization” is a requisite. Prior to consulting with the physician, patients will need to be alerted about their rights, in coordination with HIPAA privacy standards, as well as those of the provider. During that time, if the patient owes any monies for coinsurance, or copayments, this will be submitted to the “front office.” While checking out patients, insurance specialists will transfer the descriptions of “diagnoses and procedures” from the “physician’s report” into appropriate “codes” for ‘claim” generation. This facet is most crucial, because of the HIPAA specifications regarding the transfer of PHI “by covered entities” (Valerius et al., p.…

    • 1235 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    HIPAA allows patients’ health information to be disclosed under some circumstances, such as 1) to meet law requirements; 2) for reporting of abuse, neglect, and domestic violence; 3) for monitoring of healthcare operations; 4) to be presented as evidence in legal proceedings; 5) for assistance with police investigation; 6) for medical examinations and funerals; 7) for organ donation; 8) for research; 9) to avoid a significant threat to health or safety; 10) for workers’ compensation payments; 11) to execute government…

    • 81 Words
    • 1 Page
    Powerful Essays
  • Good Essays

    Administrators at the University of Colorado found a way to comply HIPAA to protect the integrity of electronic patient records. In addition to meeting the Privacy requirement of HIPAA, they needed a system to deal with their staff of medical professionals who move from computer to computer throughout their shifts. To be better equipped to achieve compliance, the hospital chose to use technology via a…

    • 783 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Hsm310 Hipaa Assignment

    • 893 Words
    • 4 Pages

    | HIPAA Rules(1)Privacy Rules: According to the U.S Department of Health and Human Services (HHS), the HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. It’s important because the Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. This rule impacts the staff by: Not sharing the information with others who have no need to know, including co-workers, family members or friends, minimizing opportunities for patient information to be overheard by others, never sharing passwords, disposing of information containing PHI properly such as shredding paper files(2)Security Rules: The HIPAA Security Rule establishes national standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity. The Security Rule is important because it requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. It impacts the organization by forcing the healthcare industry to adopt uniform electronic transaction standards for…

    • 893 Words
    • 4 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The Health Insurance Portability Accountability Act (HIPAA) administers the HIPPA Privacy and Security Rules for individual’s protection of their health information. Many doctors and health care providers recognize and accept all requirements under the Security and Privacy Rules. EHR permits health care providers and doctor’s to use data efficiently in their care and to develop the superiority and effectiveness for the betterment of the patient.…

    • 391 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    In 1996, Health Insurance Portability and Accountability Act (HIPAA) was signed into legislation. HIPAA provides patients with access to their medical records and gives patients more control over the handling and distribution of their personal health information (PHI). HIPAA regulations are extremely important in ensuring the privacy of PHI and helps reduce any fraudulent activity. By fully following HIPAA regulations, healthcare compliant facilities are more likely to save money by avoiding lawsuits and fines. Facilities covered by HIPAA are required to implement safeguards (both physical and technical) to protect the confidentiality and integrity of the patient’s health information.…

    • 260 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Over the years since the inception of HIPAA, it is hard not to notice the influence it brought on to the patients, the healthcare industry, the health information management and technology, and other entities in securing the confidentiality, security, and privacy of PHI. In addition, the HITECH Act and its HIPAA modification released in January 2013 greatly invigorated the HIPAA of 1996 (Solove, 2013). Definitely, the most important health care changes over the past couple of decades is the growing interest in health information privacy and security (Solove, 2013).…

    • 90 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Hippa Regulations

    • 339 Words
    • 2 Pages

    HIPPA (Health Insurance Portability and Accountability Act), was passed in 1996. HIPPA has five purposes: 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; and to simplify the administration of health insurance and for other purposes. HIPPA accomplish these purposes by including a series of “administrative simplification” (AS) provisions that required the DHHS (Department of Health and Human Services) to adopt national standards for electronic health care transactions. The provisions called for an establishment of standards related to EDI (electronic data interchange) of specific administrative and financial transactions, while still protecting the security and privacy of transmitted information. AS, also, includes standards for transactions and code sets, unique identifies, security and electronic signature, and privacy and confidentiality (Healthcare Informatics: An Interdisciplinary Approach (2002)).…

    • 339 Words
    • 2 Pages
    Good Essays
  • Good Essays

    HIPAA Audit Report

    • 877 Words
    • 4 Pages

    For this reason, OCR isn't the only one paying attention to how well you're protecting PHI. Your patients are making decisions about where to go for health care based on your performance in these areas as well, so it's in your best interest to work on improving your HIPAA compliance procedures on every level.…

    • 877 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The Pros And Cons Of HIPAA

    • 1757 Words
    • 8 Pages

    HIPAA, or the Health Insurance Portability and Accountability Act, was created in order to help those people who are in between jobs maintain the ability to have good healthcare. The act also helped keep health information secure and private while also handling personal information with impudence. HIPAA was first introduced in the late 90s and during the early 2000s it was finally fully enacted. The act ensured a person did not have to pay an exorbeiant fee to keep their care if they needed to change insurance carriers upon no longer being employed at one company or switching to another. Before the act came to fruition, people who left their jobs experienced hardships in getting health insurance these hardships included paying ridcolusly…

    • 1757 Words
    • 8 Pages
    Good Essays
  • Satisfactory Essays

    What Is HIPAA?

    • 61 Words
    • 1 Page

    The acronym HIPAA represent Health Insurance Portability and Accountability Act. HIPAA law intended to protect an individuals’ private information, medical records and other health information provided to health plans, and other care providers. HIPAA consist of five sections: Titles I, III, IV, and V. The titles address employee insurance regulation, promote the use of medical accounts, and set standards for…

    • 61 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Finally, How does the physician benefit from HIPAA? There are several ways. First physicians are able to save valuable time and money by the use of up to date medical recording and billing technologies which are allowed for in HIPAA under the administrative simplification provisions. These provisions set rules and standards for how medical records can be handled, shared and disposed of electronically, just as it sets standards for paper records. Physicians can also feel safeguarded from lawsuits as long as they have followed the standards for handling patient information set forth by HIPAA.…

    • 377 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hipaa

    • 501 Words
    • 3 Pages

    HIPAA came into place “to improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique health identifiers, and security.” (U.S. Department of Health & Human Services) Then after getting all the policy and procedures into place it became effective in February of 2003. The HIPAA policies help to protect all parties in the medical field including the patients and physicians.…

    • 501 Words
    • 3 Pages
    Satisfactory Essays