HIPAA BASICS
What does HIPAA stand for?
Health Insurance Portability and Accountability Act
who must comply with HIPAA?
YOU!
what is PHI?
Personal Health Information
What are the 5 rules of HIPAA?
1.Privacy Rule
2. Security Rule
3. Transaction Rule
4. Identifiers Rule
5. Enforcement Rule
When was HIPAA passed?
1996
Who is a covered entity?
individual, organization, or agency that transmits any information in an electronic form in connection with a transaction for which HHS has adopted a standard
What does PHI cover?
1. Name
2. DOB
3. SSN
4. Address
5. Phone Number
What is the goal of the security rule?
Protect the privacy of individual’s health information while allowing covered entities to adopt new technologies to improve the quality and efficiency of patient care
Who enacted HIPAA?
US Congress under the Department of Health and Human Services
what does a business associate do under HIPAA?
claims processing data analysis, quality assurance, patient safety activities, billing, benefit management, practice management; or legal, actuarial, accounting, consulting, management, administrative, or financial services
True or False: PHI protects photos and prescriptions
TRUE
PHI protects ALL past, present and future documents
What is willful neglect?
The conscious, intentional failure or reckless indifference to the obligations to comply with HIPAA
Who implements and enforces HIPAA?
The Office for Civil Rights
How do you classify under HIPAA for coverage?
Covered Entity
True or False: Business associates are required to notify a covered entity of a breach of unsecured PHI.
TRUE
How long must a CE maintain documentation?
6 years
What does Portability mean in regard to HIPAA?
ensures that people can keep their health insurance
Name two examples of covered entities and business associates
doctors, BCBA's, psychologists
organization/agency
True or False: PHI can be in oral form
TRUE
What is the Ohio Retention Rate for documentation?
5 years