HIPAA Privacy Rule Summary

The Privacy Rule enacted by the Department of Health and Human Services apply to all HIPAA covered entities such as health plans, health clearinghouses, insurance companies, business associates, and to any healthcare provider who transmits health information in electronic form. (Summary of the HIPPA Security Rule, 2015) Health Plans which are typically group plans that provide and/or pay for the cost of medical services are covered entities that must comply with privacy regulations. Exceptions for Health Plans may include group health plans that contain less than 50 participants and certain types of government funded programs. (Summary of the HIPPA Security Rule, 2015)

The Health Insurance Portability and Accountability Act (HIPAA) is a set of national standards created for the protection of health information; it is also known as a “Privacy Rule”. This rule was employed in 1996 by the US Department of Health and Human Services (DHHS) to address the use and disclosure of an individual’s health information as well as the standards for the individual’s privacy rights to understand and control the manner in which their information is used.

HIPAA privacy law set rules and regulations within healthcare. Many of the processes were changed. Now there are security standards in place that protect the confidentiality and privacy of the patient health record. Patients have more rights and privacy protection to access their own PHI. The HIPAA Privacy Rule contains provisions relating to the prevention of medical malpractice, fraud, and abuse.

In conclusion, as long as information that is provided without the individual’s consent has been de-identified, and can help that particular individual, or help others with research, it is a good thing that information can be provided to those who request the PHI. The HIPPA law makes sure that no personal, private information can be disclosed without the patients consent. And any other information is not provided without first obtaining the individual’s consent.

The impact of HIPAA with adhering to rules pertaining to confidentiality and release PHI (protected health information) HIPAA rules give you new rights to know about and to control how your health information gets used. Y our healthcare provider and your insurance company have to explain how they'll use and disclose health information. You can ask for copies of all this information, and make appropriate changes to it. If someone wants to share your health information, you have to give your formal consent. You have the right to complain to HHS (health and human services) about violations of HIPAA rules. Health information is to be used only for health purposes. In HIPAA under the Standards for Privacy of Individually Identifiable Health Information

The HIPPA privacy rule act protects individual’s medical records, and other personal health information. A patient’s privacy records can pertain to; identity, health care, medical records, and demographic profile. HIPPA rules requires, safeguarding a patients privacy of personal health information, it also sets limits on what can be used or disclosed with others without a patients authorization.

HIPAA, signed into law in 1996, addresses various healthcare issues including insurance coverages, tax-related provisions and group health insurance requirements. HIPPA includes the Privacy Rule which establishes national standards to safeguard patient’s protected healthcare information (“PHI”) including medical records and gives patients access to their health information. These standards apply to health plans, health care clearinghouses and providers who manage healthcare transactions electronically including pharmacists and pharmacy staff.

In 2003, a federal law that provided privacy and security protection was imposed upon all healthcare organizations including hospitals, physician practices, health insurance companies, Medicare, Medicaid, employers, and labs, as well as other providers. With passage of this law all patients now have a right to their PHI -Protected Health Information- under HIPAA which includes the right to receive a notice of privacy practices, to copy and view information in their medical record, request amendments, receive an accounting of disclosures, request communication about medical matters, restrict the use and disclosure of their medical record, and to file a complaint about violations of privacy (Modifications to the HIPAA, 2013).

HIPAA is the Health insurance Portability and Accountability Act. It became law in 1996. The original intent was to help employees change jobs and keep their health insurance by making their coverage portable. Later, on April 14, 2003 lawmakers broadened the law to include the Privacy Rule. Protected Health Information(PHI) is a HIPAA term, it includes all medical information of an individual. All patients health information is protected no matter what form it is in. PHI can be controlled in many forms such as backup disk or tapes, insurance statements, lab reports, prescription forms, patient form, email, etc. Five steps to comply with the Privacy Rule are:

All forms of communication related to the patient's information are protected. Those forms of communication may include any information that is transmitted by computer or other electronic means, telephone, fax, written documentation, audio recordings (such as telephone voice messages) or other oral communication. This protection extends to health billing information as well. All healthcare providers and insurance providers are bound to this privacy act. (Secretary H. O. 2017)

What is HIPAA Compliance? HIPAA stands for Health Insurance Portability and Accountability Act. This act was created in 1996 by congress and signed by president Bill Clinton. It inspires systematization of medical data. HIPAA contains two rules which are privacy and security. HIPAA Security Rule conducts collections,transmittal, IT systems,and storage of electronic patient records. While HIPAA privacy rule controls paper records, HIPAA keeps medical information confidential and protects patient’s information from being put on social media or given to unknown people. Every medical company has devised it’s own standard for interpreting the HIPAA regulations.

3.) Under HIPAA, covered entities (healthcare providers, health plans and healthcare clearinghouse) must comply with the privacy rules. A covered entity may develop its own privacy rules that would accommodate its own needs of protected health information (PHI) management but it most comply with the HIPAA guidelines. It is the responsibility of the entity to put in place a privacy official to oversee the policies, procedures and be on hand and available to be contacted in reference to the privacy rule. A patient should be given a privacy notice act at his/her health facility stating how their (PHI) is being used and to whom it will be shared. The covered entity should include in the notice their duty to assure the patients privacy as well as how and whom to contact if there is a complaint or they feel that their rights have been violated. As of 2009 the Office of Civil Rights (OCR) handles complaints that are made on privacy policies, procedure and practices of HIPAA covered entities.

They know their health care will not be public information for anyone to see and if it is there will be consequences. Violations of HIPPA are punishable by law on state and federal levels, depending on the violation. An example is, if the individual did not know that he/she violated HIPAA, the punishment can be a minimum of $100 per violation, with an annual maximum of $25,000 for repeat violations. Maximum would be $50,000 per violation, with an annual maximum of $1.5 million. A more severe violation such as a HIPAA violation is due to willful neglect and is not corrected, minimum of $50,000 per violation, with an annual maximum of $1.5 million and a maximum of $50,000 per violation, with an annual maximum of $1.5

The principles that allow covered entities such as government agencies to release protected health information only with the patient’s consent is that PHI will be released in compliance with the regulations governing reporting requirements. There are times where the government can release protected health information, the HIPAA Privacy Rule provides that protected

The privacy rule applies to personal health information in any form, electronic or paper, which includes the entire medical record. Individuals have full access to their information, can limit who can gain access to his or her records, can request changes to their medical record if there’s any reason they suspect that the information isn't accurate. In addition, the private information shared is kept to the minimal amount needed. Also, the patients have the privilege to decide whether or not to release their protected health information or PHI for purposes unrelated to any treatments or payment issues, such as research project. (Krager & Krager, 2008) HIPAA implemented specific code sets for diagnosis and procedures to be used in all transactions. Covered entities must adhere to the content and format requirements of each standard. (Center for Medicare and Medicaid Services, n.d)The security rule supplements the privacy rule; it deals specifically with electronic PHI or ePHI. It applies to covered entities that transmit health information in electronically. The Security Rule requires covered entities to keep appropriate