Overview of HIPAA Regulations

Health Insurance Portability & Accountability Act

Federal privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals, and other health care providers.

April 14, 2003

<p>Access to their medical records and more control over how their personal health information is used and disclosed.</p> Signup and view all the answers

<p>Limiting administrative costs of health care, privacy issues, and preventing fraud and abuse.</p> Signup and view all the answers

<p>Privacy and confidentiality rules.</p> Signup and view all the answers

<p>To protect the patient.</p> Signup and view all the answers

<p>Department of Health and Human Services (HHS).</p> Signup and view all the answers

<p>It's a uniform federal floor of privacy protections for consumers across the country.</p> Signup and view all the answers

<p>State laws providing additional protections to consumers.</p> Signup and view all the answers

<p>It reduces health care fraud, guarantees security and privacy of healthcare information, and enforces standards for electronic data interchange.</p> Signup and view all the answers

<p>Portability, Standardization, Administration Simplification, Accountability, Privacy Protection.</p> Signup and view all the answers

<p>Continuity of coverage access; denial of coverage based on pre-existing conditions.</p> Signup and view all the answers

<p>Of billing format and language.</p> Signup and view all the answers

<p>Same computer language industry-wide.</p> Signup and view all the answers

<p>Ensures entities are accountable for maintaining patient privacy.</p> Signup and view all the answers

<p>Oral, written, electronic information management.</p> Signup and view all the answers

<p>Uniform billing process, use of electronic transmittals, continuity in patient care, employment opportunities for HIPAA officers, violation of confidentiality is now a federal crime.</p> Signup and view all the answers

<p>Patient's expectations of privacy and confidentiality are important to providing quality care.</p> Signup and view all the answers

<p>Protects the privacy and security of individually identifiable health information and establishes the 6 patient rights of health information.</p> Signup and view all the answers

<p>Receive notice of privacy policies, access to health information on file, limit uses and disclosures of medical information, make amendments to the medical record, revoke authorizations, and have an accounting of information disclosures for up to 6 years.</p> Signup and view all the answers

<p>Electronic Data Interchange, Security, Privacy.</p> Signup and view all the answers

<p>Direct care providers</p> Signup and view all the answers

<p>Information that patients provide to their providers with the expectation that only people who are caring for them will see it.</p> Signup and view all the answers

<p>Physical and mental health, provision of health care to patients, payment for healthcare.</p> Signup and view all the answers

<p>To determine what services patients are to receive and to bill them or their insurance companies.</p> Signup and view all the answers

<p>Selling information for databases, advertising.</p> Signup and view all the answers

<p>From the patient.</p> Signup and view all the answers

<p>Must be in writing and the patient voluntarily agrees.</p> Signup and view all the answers

<p>Patients have the right to revoke at any time.</p> Signup and view all the answers

<p>Information about an organ donor, about a deceased patient, for fundraising with limited demographic information.</p> Signup and view all the answers

<p>When public responsibility requires disclosure.</p> Signup and view all the answers

<p>When a crime has been committed, in cases of abuse, for STDs or TB, for organ donation, or in death situations.</p> Signup and view all the answers

<p>Technology advancements necessitate protections for patient information.</p> Signup and view all the answers

<p>Information can be disclosed to other healthcare providers if it is for treatment, but only the minimal amount of PHI is shared.</p> Signup and view all the answers

<p>Patient's consent for release.</p> Signup and view all the answers

<p>Limit use of faxes for sensitive information, verify numbers &amp; availability of receiver.</p> Signup and view all the answers

<p>How much information are you planning to use or disclose? How important is this information? What is the likelihood of further disclosures?</p> Signup and view all the answers

<p>If someone asks for information about a patient's case, ask why it is needed and disclose only the minimum amount necessary.</p> Signup and view all the answers

<p>Establish clear policies and practices, maintain training, obtain authorizations.</p> Signup and view all the answers

<p>Must have a written privacy procedure and educate their staff on confidentiality.</p> Signup and view all the answers

<p>The right to inspect and copy the PHI that their facility keeps about them.</p> Signup and view all the answers

<p>Specific forms such as General Records Release, Authorization for Use or Disclosure of PHI.</p> Signup and view all the answers

<p>When the HCP believes it is not in the patient's best interest or may endanger safety.</p> Signup and view all the answers

<p>Psychiatric situations, genetic treatment, HIV/AIDS.</p> Signup and view all the answers

<p>Inadvertent, civil, criminal.</p> Signup and view all the answers

<p>None; standards in place and safeguards present, but still happened.</p> Signup and view all the answers

<p>A nurse takes a copy of lab results home with her.</p> Signup and view all the answers

<p>$100 per violation up to $25,000 per year for each violation.</p> Signup and view all the answers

<p>Practice signing in with 'Reason for Visit' column.</p> Signup and view all the answers

<p>$250,000 in fines and up to 10 years jail time.</p> Signup and view all the answers

<p>Publishing or allowing the publishing of health status or care details of a patient.</p> Signup and view all the answers

<p>Policy updates every 2 years, password changes, implementing valid training programs.</p> Signup and view all the answers

<p>Direct them to the information desk, compliance officer, or medical records department.</p> Signup and view all the answers

<p>Any personally identifiable information is now confidential; patients allowed access to copies of their medical records; HCP must provide written statements on the use of personal information.</p> Signup and view all the answers

<p>Protected Health Information.</p> Signup and view all the answers