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State the overview of HIPAA Privacy Rules
A major goal of the Privacy Rule is to assure that individuals’ health information is properly protected
while allowing the flow of health information needed to provide and promote high quality health care
and to protect the public's health and wellbeing. The Rule strikes a balance that permits important uses
of information, while protecting the privacy of people who seek care and healing.
Given that the health care marketplace is diverse, as well as designed to be flexible and comprehensive
to cover the variety of uses and disclosures that need to be addressed.Every health care provider,
regardless of size, who electronically transmits health information in connection with certain
transactions, is a covered entity. These transactions include claims, benefit eligibility inquiries, referral
authorization requests, or other transactions for which HHS has established standards under the HIPAA
Transactions Rule.However using electronic technology, such as email, does not mean a health care
provider is a covered entity; the transmission must be in connection with a standard transaction. The
Privacy Rule covers a health care provider whether it electronically transmits these transactions directly
or uses a billing service or other third party to do so on its behalf.The Privacy Rule protects all
individually identifiable health information, held or transmitted by a covered entity or its business
associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this
information "protected health information (PHI).“Individually identifiable health information” is
information, including demographic data that relates to: the individual’s past, present or future physical
or mental health or condition, the provision of health care to the individual. Individually identifiable
health information includes many common identifiers (e.g., name, address, birth date, Social Security
Number). The Privacy Rule excludes from protected health information employment records that a
covered entity maintains in its capacity as an employer and education and certain other records subject
to, or defined in, the Family Educational Rights and Privacy Act, 20 U.S.C. §1232g.
Steering committee:
Who would you include on the steering committee that is responsible for ongoing HIPAA privacy
compliance?
We will include Mark Totten, CCO chief compliance officer at Peachtree. HIPAA Privacy Officers, Security
officer ,(HIPAA program officer, Impact Analysis such as Legal Finance, Claim,HR,HIM Professionals in IT
because their roles key player in the implementation strategy.Private Team, EDI team, Security Team.
Establishing a corporate compliance program and an effective compliance programs in terms of HIPAA
request a snapshot of the organization’s current compliance with the regulations that will serve as a
blueprint for the development of the organization’s HIPAA program. The compliance program provides
the perfect infrastructure within which to create a fully functional and compliant HIPAA privacy and
security program
Compliance with HIPAA Privacy is crucial to maintain the accreditation of the hospital, we need to
ensure that Elements of a Corporate Compliance most should including; Program Policies and
Procedures, Assignment of Oversight, Lines of Communication, Enforcement and Discipline, Auditing
and Monitoring, Response and Corrective Action. While the HIPAA Security Requirements:
Administrative Procedures, Assigned Security & Privacy Responsibility Training and Education, Report
Procedures; Event Reporting, Sanctions, Internal Audit, Response procedure testing and Revision. Finally
HIPAA Privacy Requirements: Documentation of Policies and Procedures, Designated Privacy Official,
Complaint Processing, Sanctions, Accounting for Disclosures, Duty to Mitigate.A major purpose of the
Privacy Rule is to define and limit the circumstances in which an individual’s protected heath
information may be used or disclosed by covered entities. Three basic areas that HIT professionals must
be concerned with include: A covered entity may not use or disclose protected health information,
except either: (1) as the Privacy Rule permits or requires; or (2) as the individual who is the subject of
the information (or the individual’s personal representative) authorizes in writing.
HIPAA education:
What type of ongoing education activities would you provide for the workforce of this organization to
facilitate compliance with the HIPAA Privacy Rule? How would you implement these activities?
Education concerning the vulnerabilities and methods for ensuring protection of health information for
the workforce of this organization to facilitate compliance with the HIPAA Privacy Rule, we must
including: Security Awareness Training, including password maintenance, incident reporting, viruses,
malicious software; access requirements; termination of access for individuals who no longer have a
need for such access. Although not specifically required, address: contingency planning, physical
security; and records processing. Periodic Security Reminders-provide information regarding security
concerns on an ongoing basis. However recognizes that the training methods might also include: Virus
Protection-training relative to user awareness of the potential harm that can be caused by a virus, how
to prevent the introduction of a virus to a computer system, and what to do if a virus is detected."
Monitoring Log-In Success or Failures and, How to Report Discrepancies -identification of log-in/access
issues and anomalies and the reporting of same Password Management-confidentiality of passwords;
and the rules to be followed in creating and changing PINs, passwords, and other private access codes.
Business associates:
How would you ensure that you have identified all of the organization’s current business associates and
developed business associate agreements with them?
The HIPAA privacy regulations require that covered entities have written agreements in place before
disclosing protected health information (PHI) to business associates A business associate is an entity that
on your behalf, performs or assists in the performance of: (1) any of the following, if it involves use or
disclosure of PHI: Claims processing or administration; Data analysis; Processing or administration;
Utilization review; Quality assurance; Billing; Benefit management; Practice management; or
Reprising; or (2) any other function regulated by HIPAA. Additionally, any entity that provides any of the
following services involving the disclosure of PHI by you, is a business associate: Legal; Actuarial;
Accounting; Consulting; Data aggregation; Management; Administrative; Accreditation; or Financial.
HIPAA compliance:
What process would you use to update these policies and procedures? How frequently would you
update them? How would you ensure that they continue to be valid and HIPAA compliant?
Awareness Training that includes based on job responsibilities, customized education programs that
focus on issues regarding use of health information and responsibilities regarding confidentiality and
security."Periodic Security Reminders must be provided to employees, agents, and contractors.However
the frequencies requirement that training occur every three years has been dropped from the final rule.
Because Retraining is only required in the case of material changes to the privacy policies and
procedures of the covered entity. There are no express training frequency requirementshowever; that
Periodic Security Reminders must be issued and the HHS contemplates that training will occur during
employee orientation and during staff meeting.
In order to ensure that they continue to be valid and HIPAA compliant we must toCovered entities
document that the required training has been provided for signed training certifications has been
regulations required documented, formal practices for security training.

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You decide state the overview of hipaa privacy rules

  • 1. State the overview of HIPAA Privacy Rules A major goal of the Privacy Rule is to assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and wellbeing. The Rule strikes a balance that permits important uses of information, while protecting the privacy of people who seek care and healing. Given that the health care marketplace is diverse, as well as designed to be flexible and comprehensive to cover the variety of uses and disclosures that need to be addressed.Every health care provider, regardless of size, who electronically transmits health information in connection with certain transactions, is a covered entity. These transactions include claims, benefit eligibility inquiries, referral authorization requests, or other transactions for which HHS has established standards under the HIPAA Transactions Rule.However using electronic technology, such as email, does not mean a health care provider is a covered entity; the transmission must be in connection with a standard transaction. The Privacy Rule covers a health care provider whether it electronically transmits these transactions directly or uses a billing service or other third party to do so on its behalf.The Privacy Rule protects all individually identifiable health information, held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this information "protected health information (PHI).“Individually identifiable health information” is information, including demographic data that relates to: the individual’s past, present or future physical or mental health or condition, the provision of health care to the individual. Individually identifiable health information includes many common identifiers (e.g., name, address, birth date, Social Security Number). The Privacy Rule excludes from protected health information employment records that a covered entity maintains in its capacity as an employer and education and certain other records subject to, or defined in, the Family Educational Rights and Privacy Act, 20 U.S.C. §1232g. Steering committee: Who would you include on the steering committee that is responsible for ongoing HIPAA privacy compliance? We will include Mark Totten, CCO chief compliance officer at Peachtree. HIPAA Privacy Officers, Security officer ,(HIPAA program officer, Impact Analysis such as Legal Finance, Claim,HR,HIM Professionals in IT because their roles key player in the implementation strategy.Private Team, EDI team, Security Team. Establishing a corporate compliance program and an effective compliance programs in terms of HIPAA request a snapshot of the organization’s current compliance with the regulations that will serve as a blueprint for the development of the organization’s HIPAA program. The compliance program provides the perfect infrastructure within which to create a fully functional and compliant HIPAA privacy and security program Compliance with HIPAA Privacy is crucial to maintain the accreditation of the hospital, we need to ensure that Elements of a Corporate Compliance most should including; Program Policies and Procedures, Assignment of Oversight, Lines of Communication, Enforcement and Discipline, Auditing
  • 2. and Monitoring, Response and Corrective Action. While the HIPAA Security Requirements: Administrative Procedures, Assigned Security & Privacy Responsibility Training and Education, Report Procedures; Event Reporting, Sanctions, Internal Audit, Response procedure testing and Revision. Finally HIPAA Privacy Requirements: Documentation of Policies and Procedures, Designated Privacy Official, Complaint Processing, Sanctions, Accounting for Disclosures, Duty to Mitigate.A major purpose of the Privacy Rule is to define and limit the circumstances in which an individual’s protected heath information may be used or disclosed by covered entities. Three basic areas that HIT professionals must be concerned with include: A covered entity may not use or disclose protected health information, except either: (1) as the Privacy Rule permits or requires; or (2) as the individual who is the subject of the information (or the individual’s personal representative) authorizes in writing. HIPAA education: What type of ongoing education activities would you provide for the workforce of this organization to facilitate compliance with the HIPAA Privacy Rule? How would you implement these activities? Education concerning the vulnerabilities and methods for ensuring protection of health information for the workforce of this organization to facilitate compliance with the HIPAA Privacy Rule, we must including: Security Awareness Training, including password maintenance, incident reporting, viruses, malicious software; access requirements; termination of access for individuals who no longer have a need for such access. Although not specifically required, address: contingency planning, physical security; and records processing. Periodic Security Reminders-provide information regarding security concerns on an ongoing basis. However recognizes that the training methods might also include: Virus Protection-training relative to user awareness of the potential harm that can be caused by a virus, how to prevent the introduction of a virus to a computer system, and what to do if a virus is detected." Monitoring Log-In Success or Failures and, How to Report Discrepancies -identification of log-in/access issues and anomalies and the reporting of same Password Management-confidentiality of passwords; and the rules to be followed in creating and changing PINs, passwords, and other private access codes. Business associates: How would you ensure that you have identified all of the organization’s current business associates and developed business associate agreements with them? The HIPAA privacy regulations require that covered entities have written agreements in place before disclosing protected health information (PHI) to business associates A business associate is an entity that on your behalf, performs or assists in the performance of: (1) any of the following, if it involves use or disclosure of PHI: Claims processing or administration; Data analysis; Processing or administration; Utilization review; Quality assurance; Billing; Benefit management; Practice management; or Reprising; or (2) any other function regulated by HIPAA. Additionally, any entity that provides any of the following services involving the disclosure of PHI by you, is a business associate: Legal; Actuarial; Accounting; Consulting; Data aggregation; Management; Administrative; Accreditation; or Financial. HIPAA compliance:
  • 3. What process would you use to update these policies and procedures? How frequently would you update them? How would you ensure that they continue to be valid and HIPAA compliant? Awareness Training that includes based on job responsibilities, customized education programs that focus on issues regarding use of health information and responsibilities regarding confidentiality and security."Periodic Security Reminders must be provided to employees, agents, and contractors.However the frequencies requirement that training occur every three years has been dropped from the final rule. Because Retraining is only required in the case of material changes to the privacy policies and procedures of the covered entity. There are no express training frequency requirementshowever; that Periodic Security Reminders must be issued and the HHS contemplates that training will occur during employee orientation and during staff meeting. In order to ensure that they continue to be valid and HIPAA compliant we must toCovered entities document that the required training has been provided for signed training certifications has been regulations required documented, formal practices for security training.