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HIPAA Regulations

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(September 30, 2013) - The Department of Health and Human Services (HHS) published amended rules applicable to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 in January 2013. As explained by the Secretary of HHS, healthcare has experienced significant changes since HIPAA was enacted in 1996. The implementation of electronic medical records is just one of those changes. The new HIPAA regulations are designed to provide patients with better privacy protection, and additional rights not included in the original HIPAA rules. The new rules became effective on Sept. 23, 2013.

The HIPAA regulation changes include new patient rights. Patients now have a right to request electronic copies of their records if their health care …show more content…

Consequently, the new HIPAA regulations also include significantly increased requirements for business associates and the subcontractors of those business associates. A subcontractor is any entity that does not have a direct contractual relationship with a covered entity, but still receives, maintains, transmits or creates protected health information as part of their work for a business associate of a covered entity. Under the new regulations, subcontractors are included in the definition of "business associate" and also subject to the same criminal and civil sanctions applicable to covered entities and business associates for violations of HIPAA.

The new HIPAA regulations also require each covered entity to take action to cure a breach or end a HIPAA violation by its business associate if the covered entity knows of a pattern or practice of its business associate that violates HIPAA. Covered entities will need to take a more active role in monitoring the activities of their business associates to cure breaches and end HIPAA …show more content…

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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HIPAA has changed Healthcare Information in so many ways when it comes down to EDI. The system is designed to simplify electronic transactions and codes sets. The simplification of HIPAA was designed to show a consistency and operational improvements within the payer and the provider. In order to transfer healthcare information, it has to comply with the standards of HIPAA for that transaction.

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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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In order to ensure their protection HIPAA has instituted the Privacy and Security Rules that pertain to the safeguard of the Administrative, Physical, and Technical aspect to a patients EHRs. This insures that your provider puts into place measurements that guard against any unauthorized use of a patients PHI. Administrative Safeguards: HIPAA requires providers to have policies and procedures that are in place that protect the patients security, privacy and confidentiality. The administrative safeguards required under the HIPAA Security Rule include: • Identifying

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Introduction The HIPPA compliance program for Your Health Clinic: Family Practitioner is designed to ensure that our healthcare organization and our business associates handle protected health information (PHI) securely and under the Health Insurance Portability and Accountability Act (HIPAA) regulations. Its purpose is to safeguard the confidentiality, integrity, and availability of PHI while promoting the privacy rights of patients. The HIPAA compliance program aims to protect the privacy and security of patient information, mitigate the risk of unauthorized access or disclosure, and maintain the trust and confidence of patients and stakeholders in the healthcare organization (U.S. Department of Human and Health Services, 2021). We maintain

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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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A person who is under the belief that the Privacy Rule is being broken can file a complaint with the Department of Health and Human Services Office for Civil Rights (OCR). However, unfortuanlety, the OCR has a long queue and many complaints don’t go answered. .the agency has gotten over 23,000 complaints related to medical-privacy rules, but it has not yet taken any enforcement actions towards said hospitals, doctors, insurers or anyone else for rule violations. A PR rep for the agency says it has closed around 3 quarters of the complaints, typically because it found no infrgiment or after it provided informal navigation of the rules to the parties involved. However, in July of 2011, UCLA agreed to pay $865,500 in a settlement regarding

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HIPAA also aims to decrease health care spending by lowering fraud and corruption which involves President Clinton’s 1993 health program’s projected criminal and civil punishments against doctors and other clinicians. Being a federal health fraud act, HIPAA tightened punishments, increased financial allocations dedicated to fraud prevention, and prompted an exceptional amount of authority movements. Furthermore, for health programs of the federal government, HIPAA used the warning of the worst punishments to turn billing arguments into a criminal offense and restrain reduction of cost thereafter, rather than enhancing the advance payment requests auditing process. Also, HIPAA was enacted with the assurance that it would decrease the employee’s

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These laws directly govern payers or regulate the employers that contract with payers to administer their benefits plan and the health care providers that provide services to the organization. The federal requirements affect almost all aspects of managed care and payer operations including standards for how insurance coverage must be provided to individuals and employers, provisions affecting health benefits and group health plans, tax preferences for individual and group health coverage, and protections for health information. Many of the consumer protections already passed at the state level are now being debated at the federal level. Congress has shown its willingness to intervene in the area of quality health care by passing the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

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