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HIPAA Privacy:
HOW IT AFFECTS
          YOU !!!

By: Brittany Koenig   1
Goals of Training
•   To increase your knowledge & understanding of what protected health
    information (PHI) is in this facility, and what threats may exist to its privacy and
    its security
•   To enhance your awareness of your role in helping this facility follow HIPAA rules
•   To provide information about to whom you can go with questions about privacy,
    and about security
•   To inform you about your reporting responsibilities when HIPAA violations occur
•   To alert you to the possible penalties for violation of HIPAA law for both you and
    this facility
•   To protect the confidentiality of our consumer's Protected Health Information
    (PHI) in support of one of our values -- dignity, self-worth and individual
    rights. It's the right thing to do!
•   To Understand that this same law also protects you as a consumer of health care.


                                                                                      2
What is HIPAA?

• Portability: Protects and guarantees health
  insurance coverage when an employee changes job

• Accountability: Protects health data integrity,
  confidentiality and availability

• Reduces Fraud and Abuse

• Makes fraud prosecution easier
  (Medicare/Medicaid)

• Reduces Paperwork

                                                    3
WHY COMPLY WITH HIPAA ?
• Avoid denied and or delayed reimbursements
   – DHHS agencies process claims bringing in more than $
     550 million in receipts annually.
   – Annual Medicaid disbursements totaling more than
     $4.6 billion.
• May risk Accreditation. (e.g. Joint Commission on
  Accreditation on HealthCare Organizations:
• Public relations and business risk issues
• Benefit from long term healthcare cost reductions
• Impose severe penalties for non-compliance
                                                            4
DEFINITION: PRIVACY
Privacy is the right of an individual to keep
    his/her individual health information
             from being disclosed.




                                                5
HIPAA Enforcement Continued

• These penalties apply to oral, paper
  and electronic Protected Health
  Information (PHI).




                                         6
QUESTIONS?



• If you are ever in doubt, always ask your
  Supervisor or their designee!
• Remember, that person is your first line
  of response to privacy questions.

                                          7
Conclusion
HIPAA - A Health Care Paradigm
    • Affects clearinghouses, patients.
    • Requires changes to business processes and
         applications, staffing plans, facilities and
         Information systems applications
    • Provides patients with rights
    • Shifts power in provider/consumer
    relationships
    • Introduces new legal liabilities
    • Conveys severe civil and criminal penalties
         payers, providers, employers, medical
         manufacturers, Pharmaceutical companies,
         employees

                                                        8
Conclusion Continued…

HIPAA - is not going away
• Healthcare industry wants standardization
• Consumers want health information to be protected
• HIPAA is not an option
• HIPAA is doing business in the “New Millennium”
• Implementation cost is short term
• Operational benefit is long term




                                                      9
References



US Department of Health and Human Services
         - www.aspe.os.shhs.gov
Center for Medicare and Medical Aid Services
         - www.cms/gov
Workgroup for Electronic Data Interchange (WEDI)
         - www.wedi.org
Washington Publishing Company
         - www.wpc-edi.com



                                                   10

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Mha690 brittany koenig week 1 assignment2

  • 1. HIPAA Privacy: HOW IT AFFECTS YOU !!! By: Brittany Koenig 1
  • 2. Goals of Training • To increase your knowledge & understanding of what protected health information (PHI) is in this facility, and what threats may exist to its privacy and its security • To enhance your awareness of your role in helping this facility follow HIPAA rules • To provide information about to whom you can go with questions about privacy, and about security • To inform you about your reporting responsibilities when HIPAA violations occur • To alert you to the possible penalties for violation of HIPAA law for both you and this facility • To protect the confidentiality of our consumer's Protected Health Information (PHI) in support of one of our values -- dignity, self-worth and individual rights. It's the right thing to do! • To Understand that this same law also protects you as a consumer of health care. 2
  • 3. What is HIPAA? • Portability: Protects and guarantees health insurance coverage when an employee changes job • Accountability: Protects health data integrity, confidentiality and availability • Reduces Fraud and Abuse • Makes fraud prosecution easier (Medicare/Medicaid) • Reduces Paperwork 3
  • 4. WHY COMPLY WITH HIPAA ? • Avoid denied and or delayed reimbursements – DHHS agencies process claims bringing in more than $ 550 million in receipts annually. – Annual Medicaid disbursements totaling more than $4.6 billion. • May risk Accreditation. (e.g. Joint Commission on Accreditation on HealthCare Organizations: • Public relations and business risk issues • Benefit from long term healthcare cost reductions • Impose severe penalties for non-compliance 4
  • 5. DEFINITION: PRIVACY Privacy is the right of an individual to keep his/her individual health information from being disclosed. 5
  • 6. HIPAA Enforcement Continued • These penalties apply to oral, paper and electronic Protected Health Information (PHI). 6
  • 7. QUESTIONS? • If you are ever in doubt, always ask your Supervisor or their designee! • Remember, that person is your first line of response to privacy questions. 7
  • 8. Conclusion HIPAA - A Health Care Paradigm • Affects clearinghouses, patients. • Requires changes to business processes and applications, staffing plans, facilities and Information systems applications • Provides patients with rights • Shifts power in provider/consumer relationships • Introduces new legal liabilities • Conveys severe civil and criminal penalties payers, providers, employers, medical manufacturers, Pharmaceutical companies, employees 8
  • 9. Conclusion Continued… HIPAA - is not going away • Healthcare industry wants standardization • Consumers want health information to be protected • HIPAA is not an option • HIPAA is doing business in the “New Millennium” • Implementation cost is short term • Operational benefit is long term 9
  • 10. References US Department of Health and Human Services - www.aspe.os.shhs.gov Center for Medicare and Medical Aid Services - www.cms/gov Workgroup for Electronic Data Interchange (WEDI) - www.wedi.org Washington Publishing Company - www.wpc-edi.com 10