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    Hipaa Hipaa Presentation Transcript

    • HIPAA
      A Patient’s Business is not Everybody’s Business
      Tracy Stibick, BA
      MHA 390: Capstone
      Dr. David Cole
      October 6, 2011
    • KEY WORDS
      Covered Entities: a health care plan, provider or clearinghouse.
      PHI – Personal Health Information
      EHR – Electronic Health Record
      EDI – Electronic Data Interchange
      EOB – Explanation of Benefits
    • PURPOSE of TRAINING
      To stress the importance of HIPPA Regulations
      To comply with HIPAA Regulations
    • WHAT IS HIPAA?
      HIPAA stands for the Health Insurance Portability and Accountability Act of 1996
      Also known as The Privacy Rule
      HIPAA regulates how “Covered Entities” can use and/or disseminate patient information
      Two rules under HIPAA:
      Security Rule – sets standards for the security of EHRs
      Patient Safety Rule – protects identifiable patient information from being used to analyze events and improve patient safety
    • HIPAA BACKGROUND
      Increase of EDI caused concerns regarding portability and transferability of patient information
      Concerns also grew for those with pre-existing conditions and the ability to be covered by health insurance
    • WHY IS IT IMPORTANT
      EDI - Increases efficiency, effectiveness and cost savings thus, protection from identity theft was necessary
      Ethically, it is the right thing to do
      A Patient’s business is not everybody’s business
    • WHO HAS TO FOLLOW THE LAW & WHAT INFORMATON NEEDS PROTECTION?
      Everyone needs to comply with HIPAA regulations
      PHIs need to be secure, such as
      Name, address, phone number, date of birth, age, and/or email address
      Medical information such as diagnosis, lab tests and results, prescriptions
      Billing history such as claims, referrals, and EOBs
    • HOW DOES HIPAA AFFECT ME AND MY JOB
      One can only look, use, give or talk about a person’s PHI if it is required to perform your job.
      Ask yourself this question: Does my job require me to do this?
      HIPAA will affect you if you deal directly with patients or have access to their PHI as part of your job.
    • PENALTIES FOR NON-COMPLIANCE
      Can result in civil and criminal penalties
      Unknowingly can result in a minimum penalty of $100 fine per violation with an annual maximum of $25,000 for repeat violation or a maximum penalty of $50,000 per violation with an annual maximum of $1.5 Million for repeat violations
      Violations due to willful neglect can result in a minimum of a $1000 fine per violation with an annual Maximum of $100,000 for repeat violations and a maximum penalty of $50,000 per violation with an annual maximum of $1.5 Million for repeat violations
    • PENALTIES FOR NON-COMPLIANCE
      Willful neglect but with corrective actions taken can result in a minimum of a $10,000 fine per violation with an annual Maximum of $250,000 for repeat violations and a maximum penalty of $50,000 per violation with an annual maximum of $1.5 Million for repeat violations
      Willful neglect without corrective actions can result in a minimum of a $50,000 fine per violation with an annual Maximum of $1.5 Million for repeat violations and a maximum penalty of $50,000 per violation with an annual maximum of $1.5 Million for repeat violations
    • PENALTIES FOR NON-COMPLIANCE
      Covered Entities and individual who willfully violate HIPAA can be imprisoned from 1 to 5 years.
    • CONTACT INFORMATION
      Your Supervisor
      Your HR Department
      A Privacy Officer
      Additional information can be found on the US Department of Health and Human Services website
      http://www.hhs.gov/ocr/privacy/
    • CERTIFICATION OF COMPLETION
      On this ______ day of October, ______________________ has successfully completed HIPAA training for the period October 6, 2011 through to October 5, 2012.
      Tracy Stibick,BA