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Hipaa

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Hipaa

  1. 1. HIPAA<br />A Patient’s Business is not Everybody’s Business<br />Tracy Stibick, BA<br />MHA 390: Capstone<br />Dr. David Cole<br />October 6, 2011<br />
  2. 2. KEY WORDS<br />Covered Entities: a health care plan, provider or clearinghouse.<br />PHI – Personal Health Information<br />EHR – Electronic Health Record<br />EDI – Electronic Data Interchange<br />EOB – Explanation of Benefits<br />
  3. 3. PURPOSE of TRAINING<br />To stress the importance of HIPPA Regulations<br />To comply with HIPAA Regulations<br />
  4. 4. WHAT IS HIPAA?<br />HIPAA stands for the Health Insurance Portability and Accountability Act of 1996<br />Also known as The Privacy Rule<br />HIPAA regulates how “Covered Entities” can use and/or disseminate patient information <br />Two rules under HIPAA:<br />Security Rule – sets standards for the security of EHRs<br />Patient Safety Rule – protects identifiable patient information from being used to analyze events and improve patient safety<br />
  5. 5. HIPAA BACKGROUND<br />Increase of EDI caused concerns regarding portability and transferability of patient information<br />Concerns also grew for those with pre-existing conditions and the ability to be covered by health insurance <br />
  6. 6. WHY IS IT IMPORTANT<br />EDI - Increases efficiency, effectiveness and cost savings thus, protection from identity theft was necessary<br />Ethically, it is the right thing to do<br />A Patient’s business is not everybody’s business<br />
  7. 7. WHO HAS TO FOLLOW THE LAW & WHAT INFORMATON NEEDS PROTECTION?<br />Everyone needs to comply with HIPAA regulations <br />PHIs need to be secure, such as<br />Name, address, phone number, date of birth, age, and/or email address<br />Medical information such as diagnosis, lab tests and results, prescriptions<br />Billing history such as claims, referrals, and EOBs<br />
  8. 8. HOW DOES HIPAA AFFECT ME AND MY JOB<br />One can only look, use, give or talk about a person’s PHI if it is required to perform your job.<br />Ask yourself this question: Does my job require me to do this? <br />HIPAA will affect you if you deal directly with patients or have access to their PHI as part of your job.<br />
  9. 9. PENALTIES FOR NON-COMPLIANCE<br />Can result in civil and criminal penalties <br />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<br />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<br />
  10. 10. PENALTIES FOR NON-COMPLIANCE<br />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<br />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<br />
  11. 11. PENALTIES FOR NON-COMPLIANCE<br />Covered Entities and individual who willfully violate HIPAA can be imprisoned from 1 to 5 years.<br />
  12. 12. CONTACT INFORMATION<br />Your Supervisor<br />Your HR Department<br />A Privacy Officer<br />Additional information can be found on the US Department of Health and Human Services website<br /> http://www.hhs.gov/ocr/privacy/<br />
  13. 13. CERTIFICATION OF COMPLETION<br />On this ______ day of October, ______________________ has successfully completed HIPAA training for the period October 6, 2011 through to October 5, 2012.<br /> Tracy Stibick,BA<br />

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