How Hipaa Violations Affect the Medical Billing Process

US Congress created the Hipaa bill in 1996 because of public concern of how their private information was being used. It is the Health Insurance Portability and Accountability Act, which Congress created to protect confidentiality, privacy and security of patient information. It was also for health care documents to be passed electronically. Hipaa is a privacy rule, which gives patients control over their health information. Patients have to give permission any healthcare provider can disclose any information placed in the individual’s medical records. It helps limit protected health information (PHI) to minimize the chance of inappropriate disclosure. It establishes national-level standards that healthcare providers must comply with and strictly investigates compliance related issues while holding violators to civil or criminal penalties if they violate the privacy of a person’s PHI. Hipaa also has boundaries for using and disclosing health records by covered entities; a healthcare provider, health plan, and healthcare clearinghouse. It also supports the cause of disclosing PHI without a person’s consent for individual healthcare needs, public benefit and national interests. The portability part of Hipaa guarantees patients health insurance to employees after losing a job, making sure health insurance providers can’t discriminate against people because of health status or pre-existing condition, and keeps their files safe while being sent electronically. The Privacy

Many healthcare professionals and organizations have not been following the regulations set forth by HIPAA. Whenever violations of HIPAA’s privacy or security laws occur the organizations responsible must be held accountable resulting in a fine or penalty. Penalties provide incentive for organizations to guarantee patient privacy and security. Recently, certain people have failed to follow through with the laws and restrictions and were forced to accept the penalty. This paper will provide three real examples of such HIPAA violations as well as solutions or ways each violation could have been prevented.

They know their health care will not be public information for anyone to see and if it is there will be consequences. Violations of HIPPA are punishable by law on state and federal levels, depending on the violation. An example is, if the individual did not know that he/she violated HIPAA, the punishment can be a minimum of $100 per violation, with an annual maximum of $25,000 for repeat violations. Maximum would be $50,000 per violation, with an annual maximum of $1.5 million. A more severe violation such as a HIPAA violation is due to willful neglect and is not corrected, minimum of $50,000 per violation, with an annual maximum of $1.5 million and a maximum of $50,000 per violation, with an annual maximum of $1.5

The AIDS epidemic began in the early to mid-1980’s and since it’s recognition in America it has become a very heated and debated topic among health professionals, the gay community, and most of all for the ones that are carrying the virus. The real debate is not over the virus itself but, rather about the infected individuals and whether or not they should be made morally obligated to tell their sexual partners if they are in fact infected. Both sides of the argument make very valid points. From one standpoint you have the gay community that believe in “safer sex ethic”, which keeps their partners in the dark about their overall health status and feel they are not morally obligated to tell their

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

The law that prohibits unauthorized access of patients charts is HIPAA. HIPPA is the Health Insurance Portability and Accountability Act of 1996. HIPPAS number 1 priority is to keep patients Health Medical Records protected and confidential.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a brilliant set of laws put into place to protect patients’ privacy rights. These laws are extremely tedious, covering every single aspect of privacy rights, what is considered a breach of privacy, and what happens to the individual who commits this breach. When looking at the legal consequences given to those who break HIPAA laws, they are no slap on the wrists. HIPAA violations can lead to fines in the millions and even jail time for so much as a peak at a patient’s private documents. Talk about cruel and unusual punishment.

Huping Zhou, a former cardiothoracic surgeon from China, whom recently moved to Los Angeles and became employed at UCLA School of Medicine as a researcher, was sentenced to federal prison for HIPAA violations. This made him the first person in the United States to receive a prison sentence for HIPAA violations. His employer informed Zhoe that they were starting the process of terminating his employment .Zhou accessed the medical records of his former colleagues that night. During the following three weeks he accessed the records of celebrities, and high-profile patients 323 times. He claimed that he was unaware that it was illegal to view these records. No evidence was found that Zhou misused the information he obtained, nor did he sell the information. He received a four month jail sentence and a 2,000 dollar fine (Dimick, 2010).

The Health Insurance Portability and Accountability Act also known as HIPAA was first signed into law on the federal level in 1996. Since it was signed into law it has had a huge effect on patient’s privacy, healthcare workers and even insurance company’s. “HIPAA is intended to improve efficiency throughout health care and requires that health care providers adhere to standardized national privacy and confidentiality protections.” (OMA p .236). It’s an invaluable tool that has created a standard of compliance across the healthcare field.

Let’s analyze about financial impact of HIPAA violations in healthcare companies and find out how to prevent security breaches. Patients and healthcare facilitators both need to be informed on how to help these companies be protected and be prevented from identity theft. Also, there will be emphasis on what the penalties are in result to violation of HIPAA

Even though hipaa violations are an important standard in preventing many individuals from causing several breaches of information from getting out, it is important to work on a strategies within several health care organizations that will work with the privacy rules regarding violation laws. “Jill Granger & Laura Cataldo (2013) reports When working in the healthcare setting, it is important to consult with the guidelines established by one's institution and to participate in any training programs to insure that the appropriate steps are being taken to maintain privacy. There are also a variety of additional resources available from the federal government and professional organizations to assist in the training process that may be especially

HIPAA, signed into law in 1996, addresses various healthcare issues including insurance coverages, tax-related provisions and group health insurance requirements. HIPPA includes the Privacy Rule which establishes national standards to safeguard patient’s protected healthcare information (“PHI”) including medical records and gives patients access to their health information. These standards apply to health plans, health care clearinghouses and providers who manage healthcare transactions electronically including pharmacists and pharmacy staff.

Although HIPAA (Health insurance portability and accountability) is a standard for health care providers nationwide, there are rare instances in which HIPAA is violated. There are a number of ways HIPAA can be violated. HIPPA’s Privacy Rule applies only to covered entities – health plans, health care clearinghouses, and certain health care providers. The rule requires covered entities to obtain satisfactory assurance, in writing, form its business associate that the associate will appropriately safeguard the protected health information. Before delving into examples of HIPAA violations, let’s review HIPAA Regulations and laws.

Medical treatments require a great deal of paperwork. Before patients are allowed to go through treatments, a clinic must process their insurances, medical records, and surgery details. As a result, a lot of private information is gathered within the hospitals. With so much private information, it is essential for healthcare facilities to efficiently organize their paperwork. An unorganized recording system can prove disastrous to a hospital. Leaving patients’ paperwork publicly unattended and misplacing a file are both considered negligent. Misplacing patients’ information can potentially lead to information theft and invasion of privacy. An efficient way of storing information can be valuable in preventing HIPAA

Individuals that believe that their privacy or someone else’s privacy was violated in regards to the HIPAA law can file a complaint. According the Department of Health and Human Services, the complaints will be handled by the Office of Civil Rights. According to the HHS website, a complaint can be filed in writing, either electronically or on paper by mail, fax, or email. The name of the organization and the act believed violated the privacy requirement needs to be include in the complaint (US Department of HHS). The complaint must be filed within 180 days of the believed act, and HIPAA law prohibits retaliation from an organization because someone filed a complaint. As outlined by the HHS website enforcement is made after a complaint was