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HIPAA Essay

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Recommended: Dentify the HIPAA issues that apply to this case study

ISSUE The Health Insurance Portability and Accountability Act (HIPAA) has continued to evolve. The latest rules concerning the patients rights to control protected health information (PHI) is problematic for the health system, may place the organization at risk, and compromise patient care. BACKGROUND HIPAA now requires protected health information be made immediately available to the patient upon request. This information must be provided to the patient within 30 days. The information may be in paper form, electronic, or both. This information may be sent upon request to another care provider or any individual. In addition the patient may request the information be electronically transmitted to a “health” application. Patients have had the right to review and request correction of errors under HIPAA. Patients may now request portions of their …show more content…

Providing patients with a personal copy of their medical records places the patient in the security role. Asking the system to provide copies to a person or persons unknown is more complex. Asking the organization to electronically transmit information to an unknown site may require the organization on to verify the recipient can handle PHI. The risk of transmission error is significant. The patient may request only portions be sent. This edit may be resource intensive. The most concerning issue is the ability of the patient to restrict access to the medical record. These restrictions may interfere with safe medical care. The heath care provider may have their decision making compromised by the non-disclosure. If the patient requires a surrogate decision maker, limiting medical information may preclude the ability to make an informed decision. Limiting information from a health plan may limit a patient’s ability to receive care management or other services that may improve their heath. Limiting heath information may place the patient or others at risk.

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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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The purpose of the HIPAA transactions and code set standards is to simplify the processes and decrease the costs associated with payment for health care services. The transactions and code set standards apply to patient-identifiable health information transmitted electronically. Physician practices will continue to be able to submit paper claims. When the regulations take effect in October 2002, standard formats and code sets will take the place of any payer-specific or location-specific formats or requirements. ICD-9-CM Volume 1 and 2: Diagnosis Coding - ICD-9-CM is used to code and classify morbidity data from the inpatient and outpatient records, physician offices, and most National Center for Health Statistics (NCHS) surveys.

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HIPAA is the acronym for the Health Insurance Portability and Accountability Act that was passed by Congress in 1996. the portion of HIPAA addressing the ability to retain health coverage is actually overseen by the California Department of Insurance and the California Department of Managed Health Care. The initial two titles of HIPPA are: Title I secures medical coverage scope for laborers and their families when they change or lose their employments. Second Title II known as the Administrative Simplification arrangements, requires the foundation of national measures for electronic human services exchanges and national identifiers for suppliers, medical coverage arrangements, and managers. HIPAA 's underlying object was to guarantee and enhance the coherence of medical coverage scope for laborers evolving employments.

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Every organization is at risk for breach, but the difference between entities will be reflected in how they implement policies, procedures and corrective actions. For example, changes to the HIPAA rules regarding the accounting of health information disclosures expected this year have the potential to dramatically expand HIM and release of information (ROI) responsibilities and pose operational challenges. Every step within the release of information should be addressed through training, with these particular areas: front desk personnel, document identification and the pre-shipment validation. Finally, just prior to submission to the requester, release of information staff should always validate that only the uniquely authorized information has been included an that the information imported into the release of information process for disclosure belongs exclusively to that patient. If this is the case, the the release of information staff must implement and perform quality control measures to validate that another patient's information was not inadvertently imaged or indexed to the original patient's

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