HIPAA

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

Health Insurance Portability and Accountability Act of 1996 is United States legislation that provides data privacy and security provisions for safeguarding medical information. It was subsequently revised in 2009 as a Hitech Act & again in 2013 with Omnibus Rule.

HIPAA&’s objective was to reform the healthcare industry by reducing costs, simplifying administrative processes and burdens, and improving the privacy and security of Protected Health Information (PHI).

HIPAA Compliance Certification

What are the benefits of HIPAA Compliance certification?

  • Privacy of Health Data 
  • Security of Health Data 
  • Notification of Data Breaches 
  • Business opportunities through compliance 
  • Control on copies of medical data 
  • Increases personal privacy in healthcare information and decision-making
  • Has created a brand-new industry to support medical professionals
  • Prevents any form of discrimination in the medical sector
  • Assigns role-based security of PHI
  • Requires the organization to have a data backup plan in place & share a copy on request
  • Protection against malicious software & reduces the risk of hacking PHI
  • Physical security is a key area enforced for medical providers 
  • Reduction in the number of medical record errors
  • Streamlining of processes through iterations and system audits

Who needs to comply with HIPAA checklist?

Any organization or individual who works in or with the healthcare industry or who has access to Protected Health Information (PHI) of US individuals – broadly classified as Covered Entities, Business Associates & Sub-Contractors.

This includes:

  • Healthcare Providers – Hospitals, health clinics, nursing homes, doctors, dentists, pharmacies, chiropractors, and psychologists
  • Employer Group Health Plans – HMOs, health insurance providers, company health plans, government programs that pay for health care such as Medicaid and Medicare, and veterans’ health programs
  • Health Insurance Companies
  • Healthcare Clearing Houses – Healthcare clearing houses include entities that process non-standard health information for a healthcare organization and transforms this data into a different format
  • Business Associates (anyone who works with any of the 4 above)

What are the requirements of HIPAA compliance certification?

  • Privacy & Security of PHI, e-PHI & organizational information with regards to data processing
  • HIPAA Risk Analysis & Management 
  • Administrative, Physical & Technical Safeguards
  • HIPAA Policy, Procedure & Documentation requirements 
  • Training & Awareness for the use of PHI 
  • Review of process, policy, document & updates on state law

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