COMD 300 HIPPA
Health Care Providers
Any provider of medical or other health Services that bills or is paid for healthcare in the normal course of business. Health care includes preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, and counseling, services, assessment, or procedure with respect to the physical or mental condition, or functional status of an individual.
Health Care Clearinghouse
Businesses that process or facilitate the processing of health information received form other businesses. It includes groups such as physician and hospital billing services.
What does HIPPA stand for?
HIPAA is the federal Health Insurance Portability and Accountability Act of 1996.
WHAT ARE A PATIENT'S RIGHTS UNDER HIPAA'S PRIVACY STANDARDS?
HIPAA stipulates the following patient's right under its privacy rule: • Patients have a right to receive a notice of the privacy practices of any health care provider health clearing house, or health plan. • Patients have a right to see their PHI and get a copy. • Patients have a right to request that changes be made to correct errors in their records or to add information that ha been omitted. • Patients have a right to see a list of some of the disclosures that have been made of their PHI. • Patients have a right to request that you give special treatment to their PHI. • Patients have a right to request confidential communications. • Patients have a right to complain.
Who must comply with HIPPA?
Healthcare Providers Healthcare Clearinghouse Health Plans
Health Plans
Individuals or group plans that provide or pay the cost of medical care and includes both Medicare and Medicaid programs.
What is the primary goal of HIPPA?
The primary goal of the law is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the healthcare industry control administrative costs.
What is Portability?
This section allows individuals to carry their health insurance from one job to another so that they do not have a lapse in coverage. It also restricts health plans from requiring pre-existing conditions on individuals who switch from one health plan to another.
What is administrative simplification?
This section is the establishment of a set of standards for receiving, transmitting and maintaining healthcare information and ensuring the privacy and security of individual identifiable information.
What are the TWO main sections of HIPPA?
Title I dealing with Portability and Title II that focuses on Administrative Simplification.
What Can a Patient Do if He Feels His HIPAA Rights Have Been Violated?
A patient has the right to submit a complaint if he believes that the health provider has: • Improperly used or disclosed their PHI • Concerns about their HIPAA Privacy policies • Concerns about the provider's compliance of its privacy policies. The patient may file the complaint with either of the following: • The provider's Chief Privacy Officer • The US Department of Health and Human Services, Office of Civil Rights, www.hhs.gov/ocr/hipaa
What are good examples of protected information as defined by HIPPA?
HIPAA defines information as protected health information if it contains the following information about the patient, the patient's household members, or the patient's employers: • Names • Dates relating to a patient , i.e. birthdates, dates of medical treatment, admission and discharge dates, and dates of death • Telephone numbers, addresses (including city, county, or zip code) fax numbers and other contact information • Social Security numbers • Medical records numbers • Photographs • Finger and voice prints • Any other unique identifying number
What health information is protected by HIPPA? What is it called??
HIPAA protects an individual's health information and his/her demographic information. This is called "protected health information" or "PHI". Information meets the definition of PHI if, even without the patient's name, if you look at certain information and you can tell who the person is then it is PHI. The PHI can relate to past, present or future physical or mental health of the individual. PHI describes a disease, diagnosis, procedure, prognosis, or condition of the individual and can exist in any medium - files, voice mail, email, fax, or verbal communications.
HIPPA Privacy
HIPAA provides for the protection of individually identifiable health information that is transmitted or maintained in any form or medium. The privacy rules affect maintain personal health information.
HIPPA electronic data requirements are meant to?
The HIPAA electronic data requirements are meant to encourage the health care industry to move the handing and transmission of patient information from manual to electronic systems in order to improve security, lower costs, and lower the error rate. However, the main focus on this page is the Privacy provisions of HIPAA.
