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HIPAA Compliance

by HIPAA on October 12, 2014


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The Health Insurance Portability and Accountability Act (HIPAA) is a comprehensive Act that encompasses a lot of aspects related to healthcare such as ensuring that patient's personal information stays safe and private even though many entities handle it. In order to safeguard such information, the Act lays down several HIPAA compliance regulations that should be followed. It also has a strict compliance policy, which ensures that the covered entities follow the regulations.

HIPAA Compliance

HIPAA Compliance
Since the Health Insurance Portability and Accountability Act is extremely comprehensive, HIPAA compliance is a great concern for health insurance companies, medical providers, collection agencies and some private employers. Organizations that provide healthcare services usually come up with specific procedures and policies that are designed to enforce HIPAA rules in order to prevent violations. Hospitals and healthcare workers must demonstrate that they comply with HIPAA compliance regulations by ensuring that they keep patient information private.

They may do this by limiting the way staff members access medical files, limiting information about patients and respecting the requests of patients about how they should be contacted by phone or email. Medical professionals and organizations should also offer patients their medical records when they request them. They must also make sure that any third party collection or billing services are only provided with minimal medical information about the condition of a patient.

Businesses that provide health insurance coverage and have more than fifty employees are also required to comply with HIPAA regulations. They should designate an employee to act as a privacy official who will oversee the development and enforcement of HIPAA compliance regulations. Only HIPAA compliant employees should be allowed to access health insurance files.

One significant protection that HIPAA offers to healthcare consumers is that insurance coverage should be portable. Insurers face restrictions when it comes to enforcing exclusions for pre-existing conditions. For instance, many insurance policies have a clause written in them stating that new policy holders cannot receive coverage for medical conditions if they had received treatment for them within the 6-month period before they purchased the new policy. However, HIPAA compliance regulations stipulate that if the gap between group policies of the previous and new employers of a person is less than 63 days, the new policy should provide coverage for pre-exiting conditions.

The Act also offers protection against exclusions for pre-existing conditions for infants and adopted children as long as they obtain health insurance coverage within thirty days of their adoption or birth. In order to comply with HIPAA regulations, organizations need to provide their staff with hands on training that will help them understand various HIPAA compliance requirements. The training will also allow them to be aware of the actions that constitute HIPAA violation. In addition, the employees will be better equipped to notice any deviation to HIPAA regulations and know how to rectify a situation that may cause violations of HIPAA compliance.

HIPAA Compliance

Another thing that healthcare service providers can do to ensure that they comply with HIPAA regulations is to use HIPAA compliance specific software. They can customize this software for use and provide tools to ensure that their employees comply with all the regulations. They should also update the software regularly to ensure that the employees always have access to the latest information. Healthcare service providers should also have proof of compliance to HIPAA compliance regulations. This includes documents from their vendors, associates and sub-contractors.

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{ 8 comments… read them below or add one }

odita October 4, 2012 at 7:12 am

If you have not applied for any unemployment, that sounds like a scam or fraud to me..never fill out any personal information unless you have a number to call of place a claim in with unemployement..

renke November 18, 2012 at 1:45 am

collection agencies will begin to call you. after that, they CAN take you to court. why don't you just pay the bills?

kov November 28, 2012 at 10:06 am

The crime would be burglary, theft, tampering with records unlawful use of a computer and most likely extortion and or or criminal coercion. The fact that medical records are protected by HIPPA has no related criminal penalties.

Good find on the Federal Statues on HIPPA statute. except it is still not "criminal" read the link "established a tiered civil penalty structure for HIPAA violations" civil penalties are not crimes.

davin January 7, 2013 at 9:38 am

Amie Miriello Brand new is the song and singer

berg beety January 15, 2013 at 7:46 am

Yes they are health care professionals. Any person in that field who is required to get certified or licensed is considered a professional.

kande seux January 26, 2013 at 11:51 pm

That's the correct way to say it, if your talking about more than ONE healthcare service of course.

brund February 13, 2013 at 2:32 pm

HIPAA, as you know covers protected health information. Asking how a person is, without divulging any protected health information is NOT a HIPAA violation in any shape form or fashion.

Professionally, you could have found a much better way to find out how she was doing than facebook.

The employer did not violate your rights anymore than you violated HIPAA.

gengaten koellivas March 7, 2013 at 5:07 am

Although I don't really think it's an issue of "great concern", I don't think there is anything wrong with males working in a preschool setting. I have worked with several male teachers who did an excellent job with the children. I think the primary reason there are not more males working in this field is the low pay range. Males are typically viewed as the primary wage earner in their household, and wages for preschool teachers are notoriously low. This makes it difficult for males to consider working in early childhood education as a career. I don't think the lack of males in this field will ever change unless people begin to view early childhood education as a valid necessity and therefore those who work in this field worthy of a living wage comparable to at least what educators in higher age ranges make. In recent years this has begun to change somewhat. I encourage all young people who are interested in this field to plan on completing a minimum of a bachelors degree in order to be qualified for the higher paying positions in the better programs. They will never be rich working in early childhood living but with [...]

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