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HIPAA Compliance Summary

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The first article was a summary of the HIPAA Privacy Rule. In the article, there was an introduction on what HIPAA meant and its importance. First off, HIPAA stands for the Health Insurance Portability and Accountability Act of 1996 and it is a disclosure of patient information so that it is protected from unknown individuals and to assure that health providers abide by the privacy rule. Some key facts about HIPAA were, who was covered, what information is protected, and administrative requirements. Noncompliance and criminal penalties were some of the critical issues found in the article. Who is covered by the privacy rule? The privacy rule applies to health care plans, health care providers, and clearinghouses (U.S. Department of Health …show more content…

These consequences apply to individuals who are responsible for protecting patient information but he or she voluntarily exposes the information for personal gain. If that was to happen then there are criminal penalties such as fines and even jail time. The second article was on HIPAA DDE Requirements. Here is a brief summary of key factors and critical issues from the article. The article gave a description of what direct data entry (DDE) was and how DDE is the process of keying in data directly to providers from a health plan’s computer (Nachimson, 2002). The article stated that business associates can offer DDE as an option to health plans and also DDE can be customized as well. Since DDE is an option, health plans can offer DDE to certain providers but DDE system must meet the requirements of HIPAA because of the information that is transmitted via electronic. However, some critical issues involved were sending as a transaction which is not DDE and health care plans are not to offer incentives to use the DDE system. Also, electronic data interchange (EDI) could not replace DDE because it is an option to providers but EDI has to used (Nachimsom,

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732 Words | 3 Pages

St. David’s South Austin Medical Center (the “Hospital”) has received a letter from John Craven, an attorney representing former Hospital patient Ramona Reeves. Mr. Craven states that the Hospital’s entering into a Settlement Agreement with GEICO Insurance Company after the Hospital’s receipt of Ms. Reeves’ “HIPPA (sic) Revocation/Cancellation of Prior Authorization” constituted a wrongful disclosure of her individually identifiable health information (“PHI”). You have asked us to evaluate whether the provision of billing information and/or entering into the settlement agreement with GEICO violated HIPAA. The answer is no.

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The electronic transactions that are covered by the rules are: Claims, Payment, Claim Status, Eligibility, Referral Certification and Coordination of Benefits. HIPAA may refer to code sets as medical codes or nonmedical codes. Typically maintained by professional organizations or other organizations.

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When examining the case of the State of California against Dr Zhou, we can clearly conclude that the HIPAA law of which was convicted of violated is not just words written on paper to buy patients' confidence, it is meaningful law set in place to protect patient privacy and any ones violating this law, regardless of your position in the health care field can be persecuted punished for violating the law, even in the absence damages evidence resulting from the violation of the law. The purpose of this post is to discuss the case of the State of California against the physician, Dr Huping Zhou, in this post I will review the HIPAA law, penalties for violation of the law and why I felt that Doctor Zhou was very fortunate for his punishments four

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449 Words | 2 Pages

The federal Health Insurance Portability and Accountability Act also known as HIPAA has set a national standard for the handling of electronically stored medical records. Medical confidentiality protects conversations between a patient and his or her doctor from being used against the patient in court. It is a part of the rules of evidence in many common law jurisdictions. The penalties for violating HIPPA are based on the level of negligence and can range from $100 to $50,000 per violation or per record, with a maximum of $1.5 million per year. Violations can also carry criminal charges that can result in jail time.

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71 Words | 1 Pages

As it relates to HIPAA, incentives for individuals are being able to access his or her information in a timely manner by participating in the EHR incentive program. The programs operate together by making certain information available quicker to patients. On the other hand, DDE does not offer incentives because it is an option but DDE does work hand in hand with EHR because DDE is data transferred directly to providers.

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214 Words | 1 Pages

You are correct Vaschar, the HIPAA privacy rule does play a big part in the role of keeping patient information secure. In the instance when a patients information is given to a fellow medical provider for continuity of care to establish a consult appointment is not an issue, but should that patients medical records need to be released between the medical provider and the other provider of care a medical records release authorization should be signed by either the patient or the patients representative. In the case where a medical provider wishes to distribute a product for another company it can do so without any HIPAA violation just as long as it does not pass on any patient demographic or patient care information to the company. If

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1795 Words | 8 Pages

The walls in the office of healthcare providers are made sound proof by the Health Insurance Portability and Accountability Act (HIPPA). Sound proof meaning that each patient’s healthcare information can only be shared between the provider and the patient; their information is required to remain confidential by law. In 1996, HIPPA was passed by congress; the act included regulations that would help to protect patient privacy and health information (Petersen, 2001). After reading the novel, “The Immortal Life of Henrietta Lacks” by Rebecca Skloot one may be appalled and think that what occurs in the novel is a complete violation of HIPPA. But, the time frame needs to be taken into consideration.

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Hospital Employee received 18 months in jail for HIPAA Violations On February 24, 2015, 30 years old Joshua Hippler, was found guilty for convicting HIPPA Violation and has been sentenced to serve 18 months in jail. Hippler was a former employee at East Texas hospital where he was alleged to have accessed to Protected Health Information. But instead he was intentionally selling patient’s information for his own personal gain. Hippler was indicted by a federal grand jury on Mar. 26, 2014 and the case was heard by United States Magistrate Judge John D. Love on August 28, 2014.

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211 Words | 1 Pages

The Health Insurance Portability and Accountability Act, or HIPAA, was passed by the U.S. Congress and signed by President Bill Clinton in the year 1996. As a broad Congressional attempt at healthcare reform HIPAA was first introduced into Congress as the Kennedy-Kassebaum Bill named after two of its leading sponsors. The law has several different purposes that mainly focus on the protection of the healthcare provider and their patient depending on the circumstances and situations that may typically occur in a medical environment. The act itself was passed with two main objectives.

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As a result of HIPPA Privacy Rules the processes of the healthcare has changed. The HIPPA Privacy Rule may now supersede state laws. At first the Privacy Rule was only a federal floor or minimum of privacy requirements so it does not preempt or supersede, stricter state statues or other federal statues. The word stricter refers to state and federal statues that provide individuals with greater privacy protection and gives individuals greater rights with the respect to their personal health information.

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1076 Words | 5 Pages

Nurses and doctors take the oath to protect the privacy and the confidentiality of patients. Patients and their medical conditions should not be discussed with anyone who is not treating the patient. Electronic health records are held to the same standards as nurses in that information is to be kept between, and shared only with the immediate care team. HIPAA violations are not taken lightly nor are the violation fines cheap. Depending on the violation, a hospital can be fined from $100 to $50,000 per violation (National Nurse 2011 p 23).

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575 Words | 3 Pages

Now there are four categories of violations based upon the level of culpability involved in the breach. There are corresponding penalties for each category of violation with significantly increased minimum penalties. The maximum penalty amount of $1.5 million annually. As we have discussed in previous posts, the actual cost of violating HIPAA includes numerous other costs in addition to the penalty imposed by HHS. Those other costs include investigation costs, notice to patients, and the purchase identity protection coverage for the affected

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51 Words | 1 Pages

The goals of HIPAA are to ensure medical coverage scope for workers and their families when they change or lose their employments and to secure wellbeing information trustworthiness, classification, and accessibility. The objectives are also to enhance our health care framework by making it more proficient, less difficult, and less

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1406 Words | 6 Pages

There will be patients that dislike the EHR and prefer the old fashion paper system as they believe that to be a safest way to store information. Ethical and social implications of Electronic Health records are not limited to, hacking, provider ’s neglect of loosing laptops with patient confidential information, leaving other patient records up while a different patient is in the room. Insufficient training for staff as many staff may not be properly trained in implementing HIPPA which compromises patient’s privacy. Over worked staff may input wrong information in the EHR such as inaccurate spelling and recording of patients’ name and current medication history.

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234 Words | 1 Pages

Unfortunately HIPAA violations happen every year in our country. In fact, a situation happened in a New York-Presbyterian Hospital and Columbia University Medical Center on May 7th 2010. The HIPAA violation happened after the electronic health records of 6,800 patients ended up on Google for the world to see. The United States Department of Health and Human Services (HHS) who are responsible for HIPAA enforcement laws deeply investigated this case. It was discovered that a Columbia University physician who developed applications for New York-Presbyterian Hospital and Columbia University, attempted to deactivate a personally owned computer server on the network containing electronic protected health information (ePHI).

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