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Since the dawn of time, the biggest concern of all organisms was simple: survival. It has gotten easier since then, with millions of hospitals across the world for people to use. However, people have not always been able to use those safely. Whether it was a monetary or privacy concern, people worried until the Health Insurance Portability and Accountability Act. Commonly shortened to HIPAA, it has helped millions in numerous ways (Harmen 1). HIPAA helps members of the workforce and their families by keeping their health information safe and by helping them to easily get and keep affordable coverage. HIPAA protects health information to help with the decline of health care fraud and abuse. Health information under HIPAA is completely confidential (Government of California Department of Health Care Services 1). If the information if classified as “individually identifiable health information,” it is protected under HIPAA. As the name implies, this information is information that easily gives away the identity of information’s owner. This includes any info of of a person’s physical or mental condition at any point in time or their health care provisions. In addition, the payment for said services is classified as “individually identifiable health information.” There are currently two ways for “individually identifiable health information,” to be classified as “de-identified,” again implying that there is no reference to the owner of said information. Those two ways are as follows: “... 1. a formal determination [is made] by a qualified statistician…” or “...2. the removal of specified identifiers of the individual and the individual’s relatives, household members, and employers is required, and is adequate only if the covered ent... ... middle of paper ... ...lume102005/No2May05/tpc27_216018.html> United States Department of Health and Human Services. “Summary of the HIPAA Privacy Rule.” Washington D.C.: U.S. Department of Health and Human Services. 14 Nov 2013. Web. 19 Nov 2013. United States Department of Labor and Employee Benefits Security Administration. Your Health Plan and HIPAA… Making the Law Work For You. U.S. Department of Labor and Employee Benefits Security Administration. 2006. Web. 11 Jan 2014. hipaa&lr=&as_brr=1&ei=a2bYSsTqL4GwyATnpIC6Dg#v=onepage&q&f=true> United States Department of Labor. “Your Health Plan and HIPAA… Making the Law Work For You.” Washington D.C.: United States Department of Labor. 10 Oct 2013. Web. 9 Dec 2013.
The knowledge about the HIPAA Privacy and Security rules; its coverage and benefits; its development and updates will help an individual to understand the law to effectively manage and protect his or her own personal health record. The advent of computer technology and the HIPAA terms that were associated with information system will be discussed. Some of the experiences with HIPAA will shared to give a better picture and understanding of the law.
The flip side of the signing a confidentiality document under HIPAA policy healthcare officials many times has been frustrated because bounds they can’t cross. Many times family or friends who aren’t authorizes obtains valuable medical information are coming all hours of the day to ask for critical medical reason, the nurses, physicians and others officials bid my law not to get out information on the telephone, or in personal if the individual or individuals name aren’t on the privacy document. Having a ...
– Health plans; – Health care clearinghouses;. – Health care providers who transmit health information in electronic form for certain standard transactions. Even though HIPAA was signed into law over seven years ago, its effects are mostly being felt now. This is because of its schedule of compliance. * 10/16/2002 - Transactions and code sets * 4/14/2003 – Privacy Rule * 4/14/2003 – Business Associates * 4/20/2005 – Security Rule This delay stems from a provision in the original act stating that if Congress did not specify certain regulations by the end of 1999, the Department of Health and Human Services (HHS) had to do it.
N.p. 17 Mar. 2014. The 'Standard' of the 'Standard'. Web. The Web. The Web. 8 Mar. 2014.
The 'Standard' of the 'Standard'. Web. The Web. The Web. 13 Nov. 2010.
Health Insurance Portability and Accountability Act or HIPAA is a statute endorsed by the U.S. Congress in 1996. It offers protections for many American workers which improves portability and continuity of health insurance coverage. The seven titles of the final law are Title I - Health care Access , Portability, Title II - Preventing Health Care Fraud and Abuse; administrative simplification; Medical Liability Reform; Title III – Tax-related Health Provisions; Title IV – Application and Enforcement of Group Health Plan Requirements; Title V – Revenue Offsets; Title XI – General Provisions, Peer Review, Administrative Simplification; Title XXVII – Assuring Portability, Availability and Renewability of Health Insurance Coverage. (Krager & Krager, 2008)
The Health Insurance Portability and Accountability Act, most commonly known by its initials HIPAA, was enacted by Congress then signed by President Bill Clinton on August 21, 1996. This act was put into place in order to regulate the privacy of patient health information, and as an effort to lower the cost of health care, shape the many pieces of our complicated healthcare system. This act also protects individuals from losing their health insurance if they lose their employment or choose to switch employers. . Before HIPAA there was no standard or consistency for the enforcement of the privacy for patients and the rules and regulations varied by state and organizations. HIPAA virtually affects everybody within the healthcare field including but not limited to patients, providers, payers and intermediaries. Although there are many parts of the HIPAA act, for the purposes of this paper we are going to focus on the two main sections and the four objectives of HIPAA, a which are to improve the portability (the capability of transferring from one employee to another) of health insurance, combat fraud, abuse, and waste in health insurance, to promote the expanded use of medical savings accounts, and to simplify the administration of health insurance.
N.p., 1 Apr. 2014. The 'Standard' of the 'Standard'. Web. The Web. The Web.
HIPAA and fraud & abuse tie together in the way HIPAA protects the use the PHI in the billing and coding of claim form. No matter if the patient sells their information, HIPAA is there to help protect against fraud and abuse. One way HIPAA helps prevent fraud and abuse is in the case of preforming an audit. Although the government is the top payer in the US. Payers are the ones who do the audit of the offices. They make sure that what is on the claim matches what is on the patient’s record. This is how fraud and abuse can be stopped from continuing on.
The United States (U.S.) has a health care system that is much different than any other health care system in the world (Nies & McEwen, 2015). It is frequently recognized as one with most recent technological inventions, but at the same time is often criticized for being overly expensive (Nies & McEwen, 2015). In 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) (U. S. Department of Health & Human Services, n.d.) This plan was implemented in an attempt to make preventative care more affordable and accessible for all uninsured Americans (U.S. Department of Health & Human Services, n.d.). Under the law, the new Patient’s Bill of Rights gives consumers the power to be in charge of their health care choices. (U.S. Department of Health & Human Services, n.d.).
Some of the things that HIPAA does for a patient are it gives patients more control over their health information. It sets boundaries on the use and release of health records. It establishes appropriate guidelines that health care providers and others must do to protect the privacy of the patients’ health information. It holds violators accountable, in court that can be imposed if they violate patients’ privacy rights by HIPAA. Overall HIPAA makes it to where the health information can’t b...
14 May 2013. Web. The Web. The Web. 24 Feb. 2015.
20 July 2007. Web. The Web. The Web. 15 Dec. 2013.
Health care policies are plans that intended to determine or influence decisions or actions that will help to achieve specific health care goals. Most of these policies are actions taken by the government to improve the American health care system. The purpose of this essay is to describe the process of how a topic eventually becomes a policy and tie to how the Affordable Health Care Act (ACA) policy process. This essay will include the formulation stage, legislative stage, and implementation stage of a complete policy process.
The Health Insurance Portability and Accountability Act (HIPAA), Patient Safety and Quality Improvement Act (PSQIA), Confidential Information and Statistical Efficiency Act (CIPSEA), and the Freedom of Information Act all provide legal protection under many laws. It also involves ethical protection. The patient must be able to completely trust the healthcare provider by having confidence that their information is kept safe and not disclosed without their consent. Disclosing any information to the public could be humiliating for them. Patient information that is protected includes all medical and personal information related to their medical records, medical treatments, payment records, date of birth, gender, and