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Health Insurance Portability & Accountability Act
4 PROVISIONS
TRANSACTIONS & CODES
Administrative Physical Technical
PRIVACY RULE SECURITY RULE IDENTIFIERS
(04)(03)(02)(01)
Basic Principle. 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.
Business associate contracts
164.308(b)(1) R1
Evaluation
164.308(a)(8) R
Security awareness and training
164.308(a)(5) A4
Workforce security
164.308(a)(3) A3
Assigned security responsibility
164.308(a)(2) R
Contingency plan
164.308(a)(7) R3/A2
Security management process
164.308(a)(1) R4
Information access management
164.308(a)(4) R1/A2
Security incident procedures
164.308(a)(6) R1
Transmission security
164.312(e)(1) A2
Person entity authentication
164.312(d) R
Access control
164.312(a)(1) R2/A2
Workstation security
164.310(c)(1) R
Workstation use
164.310(b)(1) R
Integrity
164.312(c)(1) A1
Facility access controls
164.310(a)(1) A4
Device and media controls
164.310(d)(1) R2/A2
Audit controls
164.312(b) R
Personal information such as
SSN, name, address, medical
record number, device.
Biometric information, internet
IP, email address, photo,
medical insurance ect
HIPAA requires every provider who does
business electronically to use the same
health care transactions, code sets, and
identifiers. HIPAA has identified TEN
standard transactions for Electronic Data
Interchange (EDI)
Authored by; Jason P. Rusch - CISSP, CISM, CISA | www.infosec-rusch.com | jason@infosec-rusch.com
3 STANDARD GROUPS
18 Standards
12 Required - 6 Addressable
36 Implementation
Specifications
14 Required / 22 Addressable

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HIPAA Topology

  • 1. Health Insurance Portability & Accountability Act 4 PROVISIONS TRANSACTIONS & CODES Administrative Physical Technical PRIVACY RULE SECURITY RULE IDENTIFIERS (04)(03)(02)(01) Basic Principle. 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. Business associate contracts 164.308(b)(1) R1 Evaluation 164.308(a)(8) R Security awareness and training 164.308(a)(5) A4 Workforce security 164.308(a)(3) A3 Assigned security responsibility 164.308(a)(2) R Contingency plan 164.308(a)(7) R3/A2 Security management process 164.308(a)(1) R4 Information access management 164.308(a)(4) R1/A2 Security incident procedures 164.308(a)(6) R1 Transmission security 164.312(e)(1) A2 Person entity authentication 164.312(d) R Access control 164.312(a)(1) R2/A2 Workstation security 164.310(c)(1) R Workstation use 164.310(b)(1) R Integrity 164.312(c)(1) A1 Facility access controls 164.310(a)(1) A4 Device and media controls 164.310(d)(1) R2/A2 Audit controls 164.312(b) R Personal information such as SSN, name, address, medical record number, device. Biometric information, internet IP, email address, photo, medical insurance ect HIPAA requires every provider who does business electronically to use the same health care transactions, code sets, and identifiers. HIPAA has identified TEN standard transactions for Electronic Data Interchange (EDI) Authored by; Jason P. Rusch - CISSP, CISM, CISA | www.infosec-rusch.com | jason@infosec-rusch.com 3 STANDARD GROUPS 18 Standards 12 Required - 6 Addressable 36 Implementation Specifications 14 Required / 22 Addressable