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Concltion about hipaa
One-page summary (400 to 500 words) on the Health Insurance Portability and Accountability Act
Concltion about hipaa
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In August of 1996, Congress passed The Health Insurance Portability and Accountability Act (HIPAA). HIPAA accomplished numerous goals to protect the citizens of our country. A few of their goals were: The ability to transfer your health insurance after loosing or changing your job. Requiring protection and confidential handling (and destruction) of Protected Health Information (PHI). Requires providers to adhere to industry-wide standards regarding electric billing and other processes. Reduces health care fraud and abuse While HIPAA in its entirety is very important to the healthcare industry, the privacy and impact it had upon the citizens is the most important part. There are numerous interesting facts about the aspects of confidentiality …show more content…
Physically stolen information can result from records being recovered after they were improperly disposed of or the medical chart being taken when the backs of the medical staff are turned. These are both pretty scary scenarios to consider as the outcome has numerous negative effects upon the patients life. Unauthorized disclosure of patient information is the second most common form of violation, with a total of 20%. This means the health care staff is letting the patient’s information be seen and used, either knowingly or unknowingly, by somebody other than the professionals and the patient themselves. These numbers are both astronomical as well as preventable. The US Department of Health and Human Services Office for Civil Rights states that “between April 2003 and January 2013 they received 91,000 complaints of HIPAA violations, in which 22,000 led to enforcement actions of varying kinds (from settlements to fines) and 521 led to referrals to the US Dept of Justice (criminal actions).” Prosecution rates may continue to rise, however, it is now our responsibility, as medical staff, to prevent the information from being release in the first place as well as to keep our patients information
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.
Why is important for the HIPAA and the Bill of Right work in the healthcare system.
According to the report provided by the consultant, the employees at this facility were not taking precautions in safeguarding the patient’s health information. Therefore, the employees at this facility were in violation of the Health Insurance Portability and Accountability Act (HIPPA). It is important for employees to understand the form of technology being used and the precautions they must take to safeguard patient information.
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.
– Health plans; – Health care clearinghouses;. – Health care providers who transmit health information in electronic form for certain standard transactions. Even though HIPAA was signed into law over seven years ago, its effects are mostly being felt now. This is because of its schedule of compliance. * 10/16/2002 - Transactions and code sets * 4/14/2003 – Privacy Rule * 4/14/2003 – Business Associates * 4/20/2005 – Security Rule This delay stems from a provision in the original act stating that if Congress did not specify certain regulations by the end of 1999, the Department of Health and Human Services (HHS) had to do it.
“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)
Health Insurance Portability and Accountability Act or HIPAA is a statute endorsed by the U.S. Congress in 1996. It offers protections for many American workers which improves portability and continuity of health insurance coverage. The seven titles of the final law are Title I - Health care Access , Portability, Title II - Preventing Health Care Fraud and Abuse; administrative simplification; Medical Liability Reform; Title III – Tax-related Health Provisions; Title IV – Application and Enforcement of Group Health Plan Requirements; Title V – Revenue Offsets; Title XI – General Provisions, Peer Review, Administrative Simplification; Title XXVII – Assuring Portability, Availability and Renewability of Health Insurance Coverage. (Krager & Krager, 2008)
The Health Insurance Portability and Accountability Act, most commonly known by its initials HIPAA, was enacted by Congress then signed by President Bill Clinton on August 21, 1996. This act was put into place in order to regulate the privacy of patient health information, and as an effort to lower the cost of health care, shape the many pieces of our complicated healthcare system. This act also protects individuals from losing their health insurance if they lose their employment or choose to switch employers. . Before HIPAA there was no standard or consistency for the enforcement of the privacy for patients and the rules and regulations varied by state and organizations. HIPAA virtually affects everybody within the healthcare field including but not limited to patients, providers, payers and intermediaries. Although there are many parts of the HIPAA act, for the purposes of this paper we are going to focus on the two main sections and the four objectives of HIPAA, a which are to improve the portability (the capability of transferring from one employee to another) of health insurance, combat fraud, abuse, and waste in health insurance, to promote the expanded use of medical savings accounts, and to simplify the administration of health insurance.
In 2010, President Obama signed into law the Affordable Care Act in order to bring reform to the current healthcare system. The law was designed to provide healthcare coverage for people that did not have access to healthcare, improve the quality of the types of healthcare provided, and contain costs (HHS, 2014). Some of the features of the law are:
The amount of money that is spent on healthcare is a quite a bit of money but about 10% of all the money is a result of some sort of medical fraud or abuse. This is about 120 billion dollars. With HIPAA (Health Insurance Portability and Accountability Act) medical fraud and abuse can be tracked easier. HIPAA was enacted in august of 1996; this was to help improve the portability and continuity of the health insurance.
When confidential patient information is disclosed without consent it is a violation of the HIPAA Title II Security Rule. This rule was enacted in response to private information being leaked to the news and emails containing privileged information were read by unauthorized people. Identity theft is a real concern so patient privacy should be taken seriously. This is a rule can easily be broken without the offender feeling any malice towards the victim for example gossip and curiosity. Gossip in a medical office can have devastating effects on a health care facility’s reputation. Employees engaging in idle chatter to pass the time can inadvertently be overheard by patients or family members. Simply not using the patient’s name may not be enough if the person overhearing the conversation sees the resemblance. Professional behavior should be exercised at all times and juvenile behavior such as spreading gossip, has no place in a business that relies on its credibility. This rule will impact the way patient medical records are handled because we know the seriousness of it. Hospitals that don’t enforce HIPAA rules will have negative repercussions. The patient can have irreversible damage done to their view on the medical field and that hospital if their information is not treated with care. They may even feel so violated that they bring litigation against the hospital.
Some of the things that HIPAA does for a patient are it gives patients more control over their health information. It sets boundaries on the use and release of health records. It establishes appropriate guidelines that health care providers and others must do to protect the privacy of the patients’ health information. It holds violators accountable, in court that can be imposed if they violate patients’ privacy rights by HIPAA. Overall HIPAA makes it to where the health information can’t b...
In conclusion, technology has changed the world, as we knew it. Positive and negative come with change. The goal of the ACA, HIPPA, and EHRs is achieve positive patient outcomes, while protecting the integrity, trust and confidentiality, and decreasing health care cost. Privacy is a fundamental right of a patient, and nurses are expected to maintain confidentiality (Burkhardt & Nathaniel, 2014). A breach in confidentiality will result in lack of trust between nurse and patients. As a nurse, it is my responsibility to ensure my patients privacy, and to provide nursing care that is patient centered, not technology centered.
The health insurance portability and accountability act (HIPAA) a federal law enacted in 1996, is the back bone for a structurally sound health care system. The health insurance portability and accountability act not only ensures the proper protocols for the management of client records are being followed, but also allows for health care consumers to maintain affordable health care coverage and addresses fraud within the health systems. The health insurance portability and accountability act was put into place to help improve the quality of care for patients within the vast health care networks; as well try to simplify procedures for all health systems as new organizational aspects begin to integrate themselves into day-to-day practices. There are multiple parts to HIPAA that address a distinctive aspect of the health reform, it is divided into five different titles:
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