1. HIPAA A Sea of Confusion, A Wave of the future and A High Tide of Confidentiality

2. Learning Objectives 1. Define HIPAA 1. Define HIPAA 2. State who is affected by HIPAA 2. State who is affected by HIPAA 3. Describe the changes for all health care professionals 3. Describe the changes for all health care professionals 4. Identify the components of protected health information. 4. Identify the components of protected health information.

3. Learning Objectives 5. Discuss how HIPAA affects when a health care professional may disclose protected health information. 5. Discuss how HIPAA affects when a health care professional may disclose protected health information. 6. State the penalties for wrongful disclosure of protected health information. 6. State the penalties for wrongful disclosure of protected health information. 7. Discuss patient rights as they relate to HIPAA. 7. Discuss patient rights as they relate to HIPAA.

4. What is it? HIPAA, the Health Insurance Portability and Accountability Act of 1996 exerts its effects on the Health Care Industry with provisions that encompass privacy, security and electronic transactions, standards for maintaining and transmitting protected health information. HIPAA, the Health Insurance Portability and Accountability Act of 1996 exerts its effects on the Health Care Industry with provisions that encompass privacy, security and electronic transactions, standards for maintaining and transmitting protected health information.

5. Why do I need to know about HIPAA? To learn how to provide for the secure handling of protected health information in order to maintain compliance with the regulations To learn how to provide for the secure handling of protected health information in order to maintain compliance with the regulations

6. HIPAA Administrative Simplification Electronic Transaction and Code Sets Standards Requirements Electronic Transaction and Code Sets Standards Requirements Privacy requirements Privacy requirements Security requirements Security requirements National Identifier requirements National Identifier requirements

7. Who is affected by HIPAA Health care providers Health care providers Health Plans Health Plans Clearinghouses Clearinghouses

8. What is Protected Health Information? Any information that can identify a patient Any information that can identify a patient Confidential health information and demographics Confidential health information and demographics

9. When can protected health information be disclosed? necessary to accomplish intended purpose necessary to accomplish intended purpose Privacy rule applies to all information Privacy rule applies to all information Routine disclosures of protected health information need policies that identify eligible receivers of the information and the circumstances Routine disclosures of protected health information need policies that identify eligible receivers of the information and the circumstances

10. What happens if HIPAA required changes are not made? Anyone who fails to comply with regulations and make the required changes faces serious consequences Anyone who fails to comply with regulations and make the required changes faces serious consequences

11. What happens if individually identifiable health information is wrongfully disclosed? Monetary fines from $50,000 to $250,000 depending on the scope and severity of the violation and prison sentences of 1 to 10 years Monetary fines from $50,000 to $250,000 depending on the scope and severity of the violation and prison sentences of 1 to 10 years

12. What about patient rights under HIPAA? New rights to control their information New rights to control their information Access, review and copy their information Access, review and copy their information Ask for changes to their information Ask for changes to their information Describe how they want health providers and health plans to communicate with them Describe how they want health providers and health plans to communicate with them Included in maintenance, use and disclosure of their information Included in maintenance, use and disclosure of their information

13. Summary All health care providers are mandated to comply with HIPAA All health care providers are mandated to comply with HIPAA Major changes in the delivery of care Major changes in the delivery of care Greater security to keep information private Greater security to keep information private Fines and imprisonment penalties for wrongful disclosure Fines and imprisonment penalties for wrongful disclosure Increased patient rights Increased patient rights

14. References http://www.cms.hhs.gov/hipaa/ http://www.cms.hhs.gov/hipaa/ http://www.cms.hhs.gov/hipaa/ https://hipaaprof.com https://hipaaprof.com https://hipaaprof.com http://himinfo.com/news http://himinfo.com/news http://himinfo.com/news http://aspe.hhs.gov/admnsimp http://aspe.hhs.gov/admnsimp http://aspe.hhs.gov/admnsimp http://aspe.hhs.gov/admnsimp/pl104191. htm http://aspe.hhs.gov/admnsimp/pl104191. htm http://aspe.hhs.gov/admnsimp/pl104191. htm http://aspe.hhs.gov/admnsimp/pl104191. htm www.discoveringhipaa.com www.discoveringhipaa.com www.discoveringhipaa.com

15. Post Test True or False 1. HIPAA affects only hospitals. 2. HIPAA means Health Insurance Portability and Accountability Act. 3. Protected health information identifies a patient. 4. The privacy rule only applies to written information. 5. The changes described by HIPAA are optional for health care facilities.

16. Post Test Under HIPAA, can this be done? 6. Ima Patient requests that a copy of her medical record be faxed to her at the local Kinko’s. 7. Seymour Attorneys requests that his health care provider communicate with him only through Federal Express requiring his signature for receipt.

17. Post Test Match Column A with Column B Column A Column B 8.Health care providera. process information 9.Health planb. gives services 10.Clearinghousec. pays costs

18. This certificate is awarded to _______________________ for completing a Basics of HIPAA seminar on __________________ at _______________________ Presenter: _________________________