HIPAA OVERVIEW We will be reviewing the Healthcare
HIPAA OVERVIEW We will be reviewing the Healthcare Insurance and Portability and Accountability Act (HIPAA)
What is HIPAA The Healthcare Insurance and Portability and Accountability Act (HIPAA) Federal legislation that was originally enacted in 1996 to make it easier for people to move from one health insurance plan to another
Balances concerns over the need to access health information with the patient's desire for privacy Prevents misuse and abuse of confidential medical information HIPAA continued
Who is affected by HIPAA Employees who handle, use or know individuals' Protected Health Information (PHI) Healthcare Providers (health depts. , hospitals, doctors' offices, any agency that transmits PHI electronically
Health plans that provide or pay the cost of medical care (e. g. Medicare, Medicaid, Insurance companies) Business Associates – Performs services "on your behalf" HIPAA also applies to you as a consumer of healthcare. Who is affected by HIPAA (continued)
What is Protected Health Information (PHI) PHI is all individually identifiable health information including demographic information, physical or mental health or other information that identifies the individual. PHI is information on treatment and care that is transmitted or maintained in any form or medium: electronic, paper, oral, etc.
Examples of where PHI can be found: Medical records and billing records Insurance/Benefit enrollment and payment Claims adjudication Case or medical management
Welcome to Our Office Practice! Some reminders about Patient Confidentiality and Trust
Welcome to Our Office, Our Patients! We are proud to have you join our office, our patients. You are entering our world of patients and their very personal problems. Be respectful. medical
We want to be a part of your education We want to help you achieve your objectives in this clinical experience in our office. But even more, we want to help you evolve in your goals of becoming excellent physician. an
We welcome you… To the joy and responsibility… …of caring for our patients and their families. One responsibility is to abide by HIPAA rules that guide patient confidentiality.
H. I. P. P. A. = The Federal Health Insurance Portability & Accountability Act of 1996/2003 HIPAA rules were invented to… Balance between improving the flow of information While protecting the privacy of patients. The patient has the right to… Request access to health info. to amend their health info. restrictions to information sharing accountability of disclosures.
HIPAA rules require us to…. Treat all things we learn about patients as confidential - We can’t tell anyone else Provide more control to patients over their personal health information Punish those who misuse patient information by imposing criminal & civil penalties
HIPAA rules say…. You can’t talk about patients outside of the office with anyone Clinicians should only access the medical information that is needed for their job/clinical experience. We need patients to give permission before we can give information to others on their behalf. Keep medical records in a secure -both paper & electronic. place
If you are using electronic medical records…. You should have a unique password-don’t share with others Do not access information on yourself, your family, your friends, staff or any other person. You have a duty to report any breach in confidentiality to your supervising doctor. Ø Remember most computer systems can track all access records. to Ø Inappropriate access is punishable by federal and state law.
Let’s suppose … You were very excited to see a patient’s new walking progress and you take the elevator to lunch with the nurse… …You are not allowed to talk about it in the elevator around others.
We welcome you … Together we can do more…. . . to care for our patients & their families. At the Orientation you will be asked to sign a HIPAA confidentiality form.
Thank you…. Welcome to our practice!
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