PHI Legal Case Study

When confidential patient information is disclosed without consent it is a violation of the HIPAA Title II Security Rule. This rule was enacted in response to private information being leaked to the news and emails containing privileged information were read by unauthorized people. Identity theft is a real concern so patient privacy should be taken seriously. This is a rule can easily be broken without the

First is the privacy rule, which is meant to guard the confidentiality of all protected health information. This is defined as any information that includes the patient’s name or other identifiers, such as a birth date or medical record number. Protected health information can be data that is written, spoken, or in electronic form. The privacy rule came about because many healthcare workers have been far too willing to talk casually about their patients without thinking how this violates their confidentiality, The Final Rule modifies the Privacy Rule to extend direct liability for disclosures of PHI by business associates. However, the rule does not subject

Explanation: According to both HIPAA and ARRA regulations, healthcare organizations compels to allow all reasonable efforts to limit the disclosure of information to the minimum necessary data to accomplish the purpose of the request (McWay, 2010). Based on the information provided, the request for PHI fails to specify the date of validity of the release of PHI. According to the HIPAA privacy rule, a request for the release of PHI is invalid if the request meets the following specifications (1) expiration date not specified that is related to purpose of disclosure, or the date on the request for information has elapse, (2) If the authorization request have been revoked, (3) failure to clearly state the intended purpose of release of information, (4) failure to provide signature and date of authorizing the disclosure of information ( or failure to provide specification of the representative’s authority to act on behalf of the patients), and (5) failure to specify the entity disclosing and the recipient entity (Department of Health & Human Services, 2004). There

According to HIPAA “the disclosure of PHI is prohibited, except when the patient has signed a release of information form that authorizes PHI to be released or disclosed to a specific party (Sheahan)”. With the release of information there are different rules that need to be followed in order to protect the patient’s privacy. With mental health information in a patient’s medical record, it makes the release of information more difficult and there are different rules that need to be followed in order to protect the patient’s privacy.

In conclusion, as long as information that is provided without the individual’s consent has been de-identified, and can help that particular individual, or help others with research, it is a good thing that information can be provided to those who request the PHI. The HIPPA law makes sure that no personal, private information can be disclosed without the patients consent. And any other information is not provided without first obtaining the individual’s consent.

This rule applies to medical care providers, business associates and entities that utilize this information in treatment or payment for services. Saving information covers standard personal identifying information and this also covers treatments, whether previous, current or future treatments planned. Accessing PHI pertains to only the personnel with a need to utilize this information for either scheduling or treatment are allowed access to this information. Sharing of information is utilized when there is a need for payment or possibly a referral for additional

The privacy rule applies to personal health information in any form, electronic or paper, which includes the entire medical record. Individuals have full access to their information, can limit who can gain access to his or her records, can request changes to their medical record if there’s any reason they suspect that the information isn't accurate. In addition, the private information shared is kept to the minimal amount needed. Also, the patients have the privilege to decide whether or not to release their protected health information or PHI for purposes unrelated to any treatments or payment issues, such as research project. (Krager & Krager, 2008) HIPAA implemented specific code sets for diagnosis and procedures to be used in all transactions. Covered entities must adhere to the content and format requirements of each standard. (Center for Medicare and Medicaid Services, n.d)The security rule supplements the privacy rule; it deals specifically with electronic PHI or ePHI. It applies to covered entities that transmit health information in electronically. The Security Rule requires covered entities to keep appropriate

The HIPAA Rules require that when a HIPAA covered entity a provider, a plan, a clearinghouse or a business associate of a covered entity uses or discloses PHI, or when it requests PHI from another covered entity or business associate, the covered entity or business associate must make "reasonable efforts to limit PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request." (Duane Morris LLP , 2013) Under the HIPAA Rules, covered entities and business associates are required to identify which workforce members need access to what kind of PHI to carry out their job functions. In addition under the HIPAA Rules, covered entities and business associates are required to establish protocols that define the minimum necessary amount of PHI for routine uses, disclosures and requests, and how to apply the minimum necessary standard with respect to non-routine uses, disclosures and requests. Minimum necessary violations should be investigated and, if appropriate, reported according to the new breach notification rules. Business associates may be directly liable for minimum necessary standard violations. Covered entities may be liable for business associates' minimum necessary standard violations.

Section 264 of the HIPAA Privacy Rule, the PHI relates to all patients (PHI) in any format EMR; electronic, written, verbal, or image. This rule applies to all three types of covered entities and business associates: health plans, clearinghouses and vendors.

Any patient that is seen by a physician within the United States is to be protected by the “Health Insurance Portability and Accountability Act” or HIPAA, which was passed into law in 1996 (Jani, 2009). All health care facilities dealing with any protected health information (PHI) are to ensure that all physical/electronic processes are safeguarded from any third party entity or unauthorized personnel according to HIPAA. All health care data to include any medical insurance

Protected health information (PHI) is information in a medical record or set of medical data that can be used to identify an individual and was created during the normal healthcare process (1). Medical identity theft is the use of PHI to obtain medical care, drugs, or submit claims to insurance in another person’s name (2). To help prevent medical identity theft, the Health Insurance Portability & Accountability Act (HIPAA) was passed in 1996 with the purpose of directing how patient is used and can be made available. HIPAA is typically divided into 2 rules: the privacy rule and the security rule. The Privacy rule establishes the standards to protect individual healthcare data and applies to health plans, clearinghouses, and healthcare providers that conduct certain electronic healthcare

3.) Under HIPAA, covered entities (healthcare providers, health plans and healthcare clearinghouse) must comply with the privacy rules. A covered entity may develop its own privacy rules that would accommodate its own needs of protected health information (PHI) management but it most comply with the HIPAA guidelines. It is the responsibility of the entity to put in place a privacy official to oversee the policies, procedures and be on hand and available to be contacted in reference to the privacy rule. A patient should be given a privacy notice act at his/her health facility stating how their (PHI) is being used and to whom it will be shared. The covered entity should include in the notice their duty to assure the patients privacy as well as how and whom to contact if there is a complaint or they feel that their rights have been violated. As of 2009 the Office of Civil Rights (OCR) handles complaints that are made on privacy policies, procedure and practices of HIPAA covered entities.

Finally, we would like to address Mr. Craven’s assertion that the Hospital used Ms. Reeves’ PHI for “commercial advantage.” The penalties for wrongful disclosure of PHI significantly increase if the offense is committed with the intent to sell or use PHI for that purpose. While HIPAA does prohibit the “sale of PHI” for commercial advantage, it expressly excepts the disclosure of PHI for treatment and payment purposes from the “sale of PHI.” As we discuss in this memorandum, the Hospital did not sell, wrongfully disclose Ms. Reeves’ PHI, or otherwise violate HIPAA.

The principles that allow covered entities such as government agencies to release protected health information only with the patient’s consent is that PHI will be released in compliance with the regulations governing reporting requirements. There are times where the government can release protected health information, the HIPAA Privacy Rule provides that protected

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