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Health Insurance Portability and
   Accountability Act of 1996
 Mandatory HIPAA Training
    All new and existing employees are required to go
     through HIPAA training and successful pass the course
    HIPAA required Health & Human Services to establish
     new guidelines, key principles, and national standards for
     the handling of electronic healthcare transactions,
     applicable to everyone working within the US healthcare
     system.
Covered Entities
 Doctors


 Nurses


 Pharmacists


 Hospitals
Covered entities Con’t
 Clinics
 Nursing homes
 Private physician organizations
 Private health Insurance companies
 Medicare & Medicaid
Patient Rights
 Patients have the right to review the content of
  stored records as well as request a copy of medical
  records
 Patients have the right to request correction and
  have notes appended to these records if any errors
  are found
 Patients have the right to file a complaint with
  healthcare provider organization at higher level
Privacy Rule Principles

 Consumer control
 The setting of boundaries
 Accountability
 Public responsibility
 Security
Health on the Net (HON)

 e-Health Code of Ethics was put in place to address
  concerns surrounding the reliability of electronic
  health information, privacy, and confidentiality
Penalty for Non-compliance
 For knowingly obtaining and disclosure of identifiable
  information – up to $50,000 as well as 1 year
  imprisonment
 False pretenses - $100,000 fine and up to 5 years in
  prison
 With intent to sell - $250,000 and imprisonment for
  up to 10 years.
questions
References
American Medical Association (2012) HIPAA Violations and
      Enforcement http://www.ama-
      assn.org/ama/pub/physician-resources/solutions-
      managing-your-practice/coding-billing-
      insurance/hipaahealth-insurance-portability-
      accountability-act/hipaa-violations-enforcement.page
Wolper, L.F. (2011). Health care administration: Managing
      organized delivery systems (5th ed.). Boston: Jones and
      Bartlett

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Week 1 discussion 2 capstone

  • 1. Health Insurance Portability and Accountability Act of 1996  Mandatory HIPAA Training  All new and existing employees are required to go through HIPAA training and successful pass the course  HIPAA required Health & Human Services to establish new guidelines, key principles, and national standards for the handling of electronic healthcare transactions, applicable to everyone working within the US healthcare system.
  • 2. Covered Entities  Doctors  Nurses  Pharmacists  Hospitals
  • 3. Covered entities Con’t  Clinics  Nursing homes  Private physician organizations  Private health Insurance companies  Medicare & Medicaid
  • 4. Patient Rights  Patients have the right to review the content of stored records as well as request a copy of medical records  Patients have the right to request correction and have notes appended to these records if any errors are found  Patients have the right to file a complaint with healthcare provider organization at higher level
  • 5. Privacy Rule Principles  Consumer control  The setting of boundaries  Accountability  Public responsibility  Security
  • 6. Health on the Net (HON)  e-Health Code of Ethics was put in place to address concerns surrounding the reliability of electronic health information, privacy, and confidentiality
  • 7. Penalty for Non-compliance  For knowingly obtaining and disclosure of identifiable information – up to $50,000 as well as 1 year imprisonment  False pretenses - $100,000 fine and up to 5 years in prison  With intent to sell - $250,000 and imprisonment for up to 10 years.
  • 9. References American Medical Association (2012) HIPAA Violations and Enforcement http://www.ama- assn.org/ama/pub/physician-resources/solutions- managing-your-practice/coding-billing- insurance/hipaahealth-insurance-portability- accountability-act/hipaa-violations-enforcement.page Wolper, L.F. (2011). Health care administration: Managing organized delivery systems (5th ed.). Boston: Jones and Bartlett