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Presented by Capture Billing and Consulting, Inc. Katie Jennings, RN and Michelle Ivanchukov, CPC, CCS-P www.CaptureBillin...
02/25/12 Health Insurance Portability and Accountability Act (HIPAA)
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HIPAA Legislative Act HIPAA Public Law 104-191 is com...
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification These rules are enforce...
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Covered Entities
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HIPAA Standards for Privacy of Individually Identifia...
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Protected Health Information (PHI)
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Use and Disclosure Limitations
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Permitted Use and Disclosure
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Notice of Policy Practices Covered Entities must prov...
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Administrative Requirements
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) De-identification
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) <ul><li>Violations occurring on or after 2/18/2009 : ...
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Criminal Prosecution
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HHS Case Examples
02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HIPAA Violations Found on the web… <ul><li>Nurses Fir...
<ul><li>Department of Health and Human Services: </li></ul><ul><li>http://www.hhs.gov/ocr/privacy/hipaa/understanding/inde...
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HIPAA Compliance

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Transcript of "HIPAA Compliance"

  1. 1. Presented by Capture Billing and Consulting, Inc. Katie Jennings, RN and Michelle Ivanchukov, CPC, CCS-P www.CaptureBilling.com 703.327.1800
  2. 2. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA)
  3. 3. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HIPAA Legislative Act HIPAA Public Law 104-191 is composed of the following: https://www.highmark.com/hmk2/about/hipaa/hipaaMain.shtml
  4. 4. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification
  5. 5. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification These rules are enforced by the Office for Civil Rights (OCR) of the HHS
  6. 6. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Covered Entities
  7. 7. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HIPAA Standards for Privacy of Individually Identifiable Health Information (Privacy Rule)
  8. 8. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Protected Health Information (PHI)
  9. 9. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Use and Disclosure Limitations
  10. 10. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Permitted Use and Disclosure
  11. 11. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Notice of Policy Practices Covered Entities must provide a notice of its Privacy Practices to include:
  12. 12. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Administrative Requirements
  13. 13. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) De-identification
  14. 14. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) <ul><li>Violations occurring on or after 2/18/2009 : </li></ul><ul><ul><li>Penalty Amount $100 to $50,000 or more per violation </li></ul></ul><ul><ul><li>Calendar Year Cap of $1,500,000 </li></ul></ul><ul><ul><li>Penalties may not be imposed in certain circumstances </li></ul></ul><ul><ul><ul><li>Failure to comply was not due to willful neglect and was corrected during a 30-day period after entity knew or should have known failure to comply occurred </li></ul></ul></ul><ul><ul><ul><li>Department of Justice has imposed a criminal penalty for failure to comply </li></ul></ul></ul>Enforcement and Compliance
  15. 15. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) Criminal Prosecution
  16. 16. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HHS Case Examples
  17. 17. 02/25/12 Health Insurance Portability and Accountability Act (HIPAA) HIPAA Violations Found on the web… <ul><li>Nurses Fired Over Cell Phone Photos Of Patient </li></ul><ul><ul><li>Case Referred To FBI For Possible HIPAA Violations </li></ul></ul>Team 4 Uncovers HIPAA Records Violations <ul><li>Cignet fined $4M for HIPAA violation </li></ul><ul><ul><li>Cignet Health of Prince George’s County has been fined a total of $4.3 million for alleged violations of the Health Insurance Portability and Accountability Act of 1996. The Department of Health and Human Services Office of Civil Rights alleges Cignet violated 41 patients’ rights in 2008 and 2009 by not providing them access to their medical records in a reasonable amount of time. </li></ul></ul>Two to plead guilty to fraud, HIPAA violations UCLA Medical Center agrees to settle HIPAA violation charges for $865K Local psychiatrist faces federal charges in HIPAA case
  18. 18. <ul><li>Department of Health and Human Services: </li></ul><ul><li>http://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html </li></ul><ul><li>Department of Medical Assistance Services: </li></ul><ul><li>h ttp://www.dmas.virginia.gov/hpa-hipaa_faqs.htm </li></ul><ul><li>Highmark Blue Cross Blue Shield: </li></ul><ul><li>https://www.highmark.com/hmk2/about/hipaa/hipaaMain.shtml </li></ul><ul><li>Department of Labor: </li></ul><ul><li>http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html </li></ul>02/25/12 References
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