HIPAA Compliance Case Study

. HIPAA privacy rules are complicated and extensive, and set forth guidelines to be followed by health care providers and other covered entities such as insurance carriers and by consumers. HIPAA is very specific in its requirements regarding the release of information, but is not as specific when it comes to the manner in which training and policies are developed and delivered within the health care industry. This paper will discuss how HIPAA affects a patient's access to their medical records, how and under what circumstances personal health information can be released to other entities for purposes

The Health Insurance Portability and Accountability Act (HIPAA) was established in 1996. This Act was put into place in order to improve the efficiency and effectiveness of the health care system. The HIPAA law includes a Privacy

The main goal of HIPAA is to protect unauthorized access and misuse of confidential health information. It allows for the safe storage of any health facts used, collected, transmitted or maintained by any health organization. It states that all health information about a particular client is completely confidential, regardless of what the format is and whether it is transmitted, maintained or collected. Protected information is that health information that already identifies the patient or could be used in order to identify the patient; it also relates to any of the patient’s past, present or future health conditions, any treatment the patient receives and any payment the patient makes toward their care.

Under the HIPAA compliance audit program if a healthcare organization has attested and is later audited and found not to be compliant with HIPAA, the organization could face penalties including giving back the meaningful use incentive money. (Goedert, 2013) provided the following ways to ensure compliance: conduct mock audits, make sure all data within the organization is encrypted, computer access is logged, network security gaps have been filled, policies and regulations have been updated and expanded, and most importantly that all staff complete annual HIPAA training courses with emphasis on privacy and security.

All healthcare providers, health organizations, and government health plans that use, store, maintain, or transmit patient health care information are required to comply with the privacy regulations of the HIPAA

In 1996, the HIPPA act was passed. Health Insurance Portability and Accountability Act (HIPAA), which was directed to improve the areas in the health field. For instance, lowering the number of errors and mistreatment, for individuals to have the access to transfer health coverage according to their present situation, and most importantly it monitors security and confidentiality information to ensure its being controlled in an accurate manner. This act gives congress ability to govern financial matter such as, federal level funding processes pertaining to different health documentation. Providing quality care while protecting patient’s information is a priority controlled under HIPAA, which accepts collaboration with all state and federal

Before the enactment of HIPAA, there were no federal regulations relating to health care. According to Solove (2013), Congress passed laws relating to privacy of driver license, cable television, school, phone, and video rental records, but none relating to health

Thesis: Three things that every patient should new about HIPAA; what is HIPAA, Privacy regulations, and sanctions of violations

What the HIPAA law states. Health Insurance Portability and Accountability Act (HIPAA) is a law that was enacted in 1996 establishing safeguards and rules to protect patients demographics and medical records. These rules limit the circumstances of how health records are used or obtained without the patient's authorization. HIPAA has set national standards that require these safeguards to maintain the attainability of health records and keeping them classified. This rule applies to any institutional and noninstitutional providers and only a written authorization by the patient will allow any use of their health records be disclosed.

Enacted in 1966, HIPAA introduced guidelines governing privacy and security of all protected health information (PHI) and protected health information created electronically. While some HIPAA rules have been enforced rigorously than others, the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH) has detailed significantly more rigid requirements.

Currently there are three categories of covered entities which are required to comply with HIPAA, health plans, most health care providers, and health care clearinghouses. With that being said, many organizations that have personal health information are considered non-covered entities and therefore, are not required to comply with HIPAA. Some examples or non-covered entities are, life insurers, employers, worker’s compensation carriers, most schools and school districts, law enforcement agencies, and many state agencies like child protective service agencies. In addition, most medical research companies are not required to comply with HIPAA, yet have access to personal health information.

The hospital accounting department will also be off limits except only for those personnel that are authorized. Extra vigilance must be place on all medical record rooms, since the hospital still has paper medical records. All medical staff will receive training so that they understand the importance of HIPAA. This policy will guarantee that we have controls in place in regards to accessing patient information and staff access is monitored.

Ten years ago after much challenges and questionable skepticism, the HIPAA policy became effective and has been shaping healthcare one regulatory policy at a time. The evolution of the HIPAA privacy act helped establish the HIPAA Security Rule which was published in 2003 and became effective in 2005, and then eventually led to the HIPAA Enforcement Rules and the Breach Notification Rule. With it joint fortification of the 2009 HITECH Act and HIPAA’s modifications to regulations, it was released in January 2013 to the industry (American Health Information Management Association, 2013).

An important part of HIPAA is the minimum use standard, which mandates that healthcare providers use and disclose patient information in ways that are minimally necessary to accomplish the task. For example, a billing clerk does not need access to a patient?s entire medical history to bill for a service rendered, says Hole-Curry. Therefore, you may want to divide patient files into sections, having an office policy that clearly states who may access each section. Consider converting to pocket-style classification folders,

HIPAA was put in place to help set standards on protecting a patients personal health information, therefore HIPAA does affect a patient’s access to medical records. A patient can review or obtain a copy of their records by submitting, to the physician (covered entity), a request for such in writing or a medical release form. In which case the covered entity can release a “designated record set” of certain personal