Compliance
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was passed by United National Congress and signed by the then president Bill Clinton on August 21, 1996. The main objective of this act was to amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage and to simplify the administration of health insurance.
Also, to combat waste, fraud and abuse in health insurance and health care delivery. It even includes promoting the use of medical savings accounts and improving access to long-term care services and coverage and simplifying the administration of health insurance.
HIPAA has two titles. Title I protects health insurance coverage for workers and their families when they change or lose their jobs. Title II, known as the Administrative Simplification provisions make it mandatory for providers, health insurance plans and employees to establish the national standards for electronic healthcare transactions and maintain national identifiers or credentials. AS also addresses the security and privacy of health data.There are subsections of the law related to administrative simplification and confidentiality of protected health information that has far-reaching effects for Providers, Payers, Managed Care Organizations, their business associates, and any entity storing, processing, and transmitting healthcare information.
Employees are trained and educated about criticality of health data
Information exchange within the organization is monitored and tracked
Workstations are secured with password to avoid unauthorized access
All the calls are recorded and constantly monitored to assure compliance
Use of hard drive, USB and data travelers is strictly prohibited
Auditing and Quality team monitors the premises laced with security cameras
Some Privacy Myths and Facts:
Myth : One doctor’s office cannot send medical records of a patient to another physician’s office without that patient’s consent.
Fact : No approval is necessary for the transfer a patient’s medical records from one to another doctor’s office for treatment purposes like in the case of referrals.
Myth : A hospital or provider is prohibited from sharing information with the patient’s family without the patient’s express consent.
Fact : Under the Privacy Rule, a health care provider may disclose the medical information to “a family member, other relatives, or a close friend of the individual. Or he may contact any other person identified by the individual,” directly relevant to such person’s involvement with the patient’s care or payment related to the patient’s care.
Myth : A patient’s family member can no longer pick up prescriptions for the patient.
Fact : Under the Regulation, a family member or other individual may act on the patient’s behalf “to pick up filled prescriptions, medical supplies, X-rays, or other similar forms of protected health information.”
Myth : Patients will sue health care providers for not complying with the HIPAA Privacy Regulation.
Fact : The HIPAA Privacy Regulation does not give people the right to sue.
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