What is HIPAA?

By: Hannah Copening

What is HIPAA?

A Federal act that sets guidelines for electronic data sent for medical transactions, to expose fraud and abuse and to protect and secure private health information

HIPAA is a law that

-Protects people's information

-Ensures health insurance coverage for workers and their families

-Uncover fraud and abuse

-Create standards for transmission of health care

What does HIPAA stand for?

HIPAA stands for Health Insurance portability and accountability Act of 1996

Three agencies that govern HIPAA

Two Provisions Of HIPAA

Health Insurance Reform- Title 1

-Provides continuous insurance coverage when workers lose their jobs

-Limits the use of preexisting conditions

-Prohibits discrimination for poor past health

-Guarantees certain employers and individuals the right to purchase new health care when they lose their job

-Allows renewal of coverage regardless of condition

Administrative Simplification- Title 2

-Focuses on the health care practice and is intended to make it cheaper

-Standardizes the exchange of health care data, increases use and efficiency of computer to computer transactions

-Ensures Privacy

-Standardizes transmissions of administrative and financial information

-Reduces the effort that goes into processing paper claims

HIPAA Privacy Rules

-Protected Health Information (PHI) Regulates the use and disclosure of patient's health information

-Right to notice of privacy practices (NPP) Patients are entitled to receive a written notice of their provider the first visit, must be written in "plain language" (If needed it will be released to the CDC if there is abuse or information used for law purposes)

-Right to access PHI A patient has the right to access their information if it is not, psychotherapy notes, information for a legal case, or information exempted from disclosure under CLIA

-HIPAA security rule, regulation outlining minimum safeguards

HIPAA Safeguards

Administrative- Verifying the identity of an individual picking up records

Technical- Username/Passwords that are changed often

Physical- A secure and fireproof filing cabinet in a locked room