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HIPAA (Health Insurance portability and accountability Act)

Posted by Anuja Pawar Blogs | Coding Best Practices Dec 14, 2012
Basic rules to be followed for HIPAA compilances.

HIPAA:-Health Insurance portability and Accountability Act

HIPPA compliances protects the privacy of patient's information for electronic and physical security of patient health information (PHI)

Security Rule applies to the following covered entities:

  • Covered Healthcare Providers— Any provider of medical services who transmits any health information in electronic form
  • Health Plans— Any individual or group plan that pays the cost of medical care (e.g., a health insurance issuer and the Medicare programs).
  • Healthcare Clearinghouses— A public or private entity that processes another entity's healthcare transactions from a standard format to a nonstandard format, or vice versa.
  • Medicare Prescription Drug Card Sponsors – A nongovernmental entity that offers an endorsed discount drug program under the Medicare Modernization Act.

What Information Must Be Protected

  • All the information related to a patient's past, present or future physical and/or mental health or condition
  • Information in any form: written, spoken, or electronic.
  • If information includes at least one of the following mentioned personal identifiers in association with health information:
    • Name, Postal address, all elements of dates except year, Telephone number,
    • Fax number, Email address, URL address, IP address, Social security number,
    • Account numbers, License numbers, Medical record number, Health plan beneficiary,
    • Device identifiers and their serial numbers, Vehicle identifiers and serial number,
    • Biometric identifiers, (finger and voice prints), Full face photos and other comparable images, any other unique identifying number, code, or characteristic

PHI can be disclosed to:

The NOPP (Notice of Privacy Practices) allows PHI to be used and disclosed for purposes of TPO Treatment (T), Payment (P), and Operations (O)

What can be done to guarantee compliance?

The diagram below shows a simple flow that can help one to achieve compliance's easily. If we follow all the safeguards mentioned below, we can easily achieve all HIPAA compliance's.

HIPAA.jpg

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