There are many frequently asked questions about HIPAA and many people are not well educated on HIPAA. Here are some questions that many people ask and need to have knowledge about on HIPAA. What does the HIPAA Privacy Rule do? Who must comply with HIPAA privacy standards? What is the Patient Safety Rule? What does HIPAA stand for? When can someone submit a complaint if their privacy rights have been violated? I will answer these questions for you to help gain the knowledge you should know about HIPAA. What does the HIPAA Privacy Rule do? Well, it creates national standards to protect individual’s medical records and other personal health information. The Privacy Rule sets boundaries on the use and release of health records. The Privacy Rule …show more content…
As required by congress in HIPAA, the Privacy Rule covers health plans, health care clearinghouses, and health care providers who conduct certain financial and administrative transactions electronically. For example, Hospitals, nursing homes, family health centers, and Medicaid and Medicare providers. These are called covered entities, they are bound by the privacy standards even if they contract with others to perform some of their essential functions. What is the Patient Safety Rule? It is the patient safety and quality improvement final rule. This rule establishes a framework by which hospitals, doctors, and other healthcare providers may voluntarily report information. The information must be reported to Patient Safety Organization (PSO) on a privileged and confidential basis. What does HIPAA stand for? HIPAA stands for Health Insurance Portability and Accountability Act. It is a US law designed to provide privacy standards to protect patients medical records and other health information provided to health plans, doctors, hospitals, and other healthcare providers. If HIPAA is violated, it can result in civil and criminal penalties. The penalties for noncompliance are based on the level of negligence and can range from $100 to $50.000 per violation with a maximum of $1.5 million per year for violations of an identical
The knowledge about the HIPAA Privacy and Security rules; its coverage and benefits; its development and updates will help an individual to understand the law to effectively manage and protect his or her own personal health record. The advent of computer technology and the HIPAA terms that were associated with information system will be discussed. Some of the experiences with HIPAA will shared to give a better picture and understanding of the law.
Since the formed President Bill Clinton signed HIPAA policy in to law, it has been a driving for the healthcare facilities though out the United State. This law has been shaping the healthcare facilities better conditions. HIPAA policy has causes the healthcare facilities to have document in place when a patient is admitted to the hospital seeing physician at clinic or all confidentiality document must be sign up on a admitted. When these documents signed, the patient and the others person who authorized to view any of the documents, for example: Medical records of the patient medication, diseases, tests results, etc.
Overall these sources proved to provide a great deal of information to this nurse. All sources pertained to HIPAA standards and regulations. This nurse sought out an article from when HIPAA was first passed to evaluate the timeline prospectively. While addressing the implications of patient privacy, these articles relate many current situations nurses and physicians encounter daily. These resources also discussed possible violations and methods to prevent by using an informaticist and information technology.
It was passed partly because of the failure of congress to pass comprehensive health insurance legislation earlier in the decade. The general goals of HIPAA are to: * Increase number of employees who have health insurance; * Reduce health care fraud and abuse; * Introduce/implement administrative simplifications in order to augment effectiveness of health care in the US; * Protect the health information of individuals against access without consent or authorization; * Give patients more rights over their private data; * Set better boundaries for the use of medical information; * Hold people accountable for misuse; * Encourage administrative simplification (in the form of digitalization of information) to help reduce costs. HIPAA affects covered entities which are defined as: – Health plans; – Health care clearinghouses; – Health care providers who transmit health information in electronic form for certain standard transactions. Even though HIPAA was singed into law over seven years ago, its effects are mostly being felt now.
. HIPAA privacy rules are complicated and extensive, and set forth guidelines to be followed by health care providers and other covered entities such as insurance carriers and by consumers. HIPAA is very specific in its requirements regarding the release of information, but is not as specific when it comes to the manner in which training and policies are developed and delivered within the health care industry. This paper will discuss how HIPAA affects a patient's access to their medical records, how and under what circumstances personal health information can be released to other entities for purposes not related to health care, the requirements regarding written privacy policies for covered entities, the training requirements for medical office employees and the consequences for not following the policy.
“The Health Insurance Portability and Accountability Act (HIPAA) of 1996 made it illegal to gain access to personal medical information for any reasons other than health care delivery, operations, and reimbursements” (Shi & Singh, 2008, p. 166). “HIPAA legislation mandated strict controls on the transfer of personally identifiable health data between two entities, provisions for disclosure of protected information, and criminal penalties for violation” (Clayton 2001). “HIPAA also has privacy requirements that govern disclosure of patient protected health information (PHI) placed in the medical record by physicians, nurses, and other health care providers” (Buck, 2011). Always remember conversations about a patient’s health care or treatment is a violation of HIPAA. “All PHI is included in the privacy requirements for example: the patient’s past, present or future physical or mental health or condition; the provision of health care to the individual, or the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual” (Buck, 2011). Other identifiable health information would be the patient’s name, address, birth date and Social Security Number (Keomouangchanh, 2011). (Word count 197)
Krager, D., & Krager, C. H. (2008). HIPAA for Health Care Professionals. Clifton Park, NY: Delmar.
Title I of the HIPAA act refers to mostly the group health plans and the restrictions they can place upon the policy holder. In layman’s terms, HIPAA makes sure through Title I, that a third party cannot deny you coverage due to the loss or change in employment. On top of the basic clause, a group plan cannot deny coverage based on your health status, which includes medical history, genetic information, or disabilities. Ti...
HIPAA and fraud & abuse tie together in the way HIPAA protects the use the PHI in the billing and coding of claim form. No matter if the patient sells their information, HIPAA is there to help protect against fraud and abuse. One way HIPAA helps prevent fraud and abuse is in the case of preforming an audit. Although the government is the top payer in the US. Payers are the ones who do the audit of the offices. They make sure that what is on the claim matches what is on the patient’s record. This is how fraud and abuse can be stopped from continuing on.
The Health Insurance Portability and Accountability Act passed and were signed into law on August 21, 1996. It affects the medical facility and its day to day operations; in many different ways. HIPAA sets higher standard of operation for healthcare workers and the facilities. "HIPAA was instituted to "improve the portability and continuity of health insurance coverage; to combat waste, fraud, and abuse in health insurance and healthcare delivery; to promote the use of medical savings accounts, to improve access to long term care services and coverage; to simplify the administration of health insurance; and to serve other purposes" (Kinn’s, 2011).
HIPAA is the federal Health Insurance Portability and Accountability Act of 1996. 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 ad help the healthcare industry control administrative costs. HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. HIPAA was first introduced in 1996. It was made a law by the United States Congress and signed by President Bill Clinton. The HIPAA Privacy Rule protects an individual’s medical records and other personal health information.
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
If you are in the healthcare industry, you have probably heard some rumblings about the Health Insurance Portability and Accountability Act of 1996, coolly referred to as HIPAA. The word is your medical practice will have to be HIPAA compliant by April 2003, but you're not exactly sure what this act mandates or how to accomplish it. In very basic terms, HIPAA has two primary components to which hospitals, health plans, healthcare "clearinghouses," and healthcare providers must conform: 1) Administrative simplification, which calls for use of the same computer language industry-wide; 2) Privacy protection, which requires healthcare providers to take reasonable measures to protect patients' written, oral, and electronic information. Congress passed HIPAA in an effort "to protect the privacy and security of individually identifiable health information. "1 Additionally, lawmakers "sought to reduce the administrative costs and burden associated with healthcare by standardizing data and facilitating transmission of many administrative and financial transactions." 1 HIPAA consultants say the new regulations should save the healthcare industry money in the long run, provide improved security of patient information, and allow patients to have better access to their own healthcare information.
The Health Insurance Portability and Accountability Act (HIPAA), Patient Safety and Quality Improvement Act (PSQIA), Confidential Information and Statistical Efficiency Act (CIPSEA), and the Freedom of Information Act all provide legal protection under many laws. It also involves ethical protection. The patient must be able to completely trust the healthcare provider by having confidence that their information is kept safe and not disclosed without their consent. Disclosing any information to the public could be humiliating for them. Patient information that is protected includes all medical and personal information related to their medical records, medical treatments, payment records, date of birth, gender, and