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* Enables patients to find out how their information may be used and what disclosures of their information have been made. * Strikes a balance when public responsibility requires disclosure of some forms of data – for example, to protect public health. * Holds violators accountable with civil and criminal penalties that can be imposed if they violate patients’ privacy rights, and * Establishes appropriate safeguards that health care providers and other must achieve to protect the privacy of health information. * Sets boundaries on the use and release of health records. * Gives patients more control over their health information. The Privacy Rule creates national standards to protect individuals’ medical records and other personal health information. If it can possibly be used to identify an individual, the element is considered protected.
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Examples are names, addresses, geographic codes smaller than state, all date (except year) elements related to the individual, telephone numbers, fax numbers, e-mail addresses, license numbers, etc. Broadly defined, PHI is any patient information, including demographic information, that ties the identity of the individual to their health record. With a couple of exceptions, protected health information (PHI) includes all individually identifiable health information that is transmitted or maintained in any form or medium. However, if covered entities share information with Business Associates, they must establish contracts that protect the information as it changes hands. These are referred to as Business Associates and they are not specifically regulated by HIPAA, unless they are themselves a covered entity as defined in the regulations.
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Health care providers that transmit claims electronically, health plans, and health care clearinghouses.Īre external organizations or agencies with which patient data is shared covered under the HIPAA regulations? Who is covered by the HIPAA Privacy and Security Rules? * Responding to state requests for exception determinations. * Responding to questions regarding the rules and providing interpretation and guidance
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Security is defined as the ability to control access and protect information from accidental or intentional disclosures to unauthorized persons and from alteration, destruction, or loss. Privacy is accomplished typically through policy and procedure. Privacy is defined as controlling who is authorized to access patient information and under what circumstances patient information may be accessed, used, and/or disclosed to third parties. What is the difference between privacy and security of patient information? * Privacy of patient identifiable information. * Security of electronic health information and electronic signatures, and * Standardization of electronic formats for transmission of nine transactions including claims, electronic remittance advice, eligibility, authorization, pharmacy, enrollment, coordination of benefits, attachments and first notice of claims, and HIPAA portability provisions limit the ability of group health plans to exclude coverage of pre-existing conditions and prohibits the exclusion of individuals from coverage based on health status.Īs a part of the legislation, Congress incorporated a section called Administrative Simplification. Portability refers to the section that provides for the waiver of pre-existing conditions when persons who are covered under a group policy with their current employer move to a new employer. HIPAA is an acronym for the Health Insurance Portability and Accountability Act of 1996.