Preparation for Child Psych PRITE and Boards
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==Introduction== | ==Introduction== | ||
| − | '''Health Insurance Portability and Accountability Act''' of 1996 (HIPAA) deals with employees keeping their insurance coverage, national electronic healthcare standards. THe part generally relevant to doctors have to do with the Privacy and Security provisions of the HIPAA law. | + | '''Health Insurance Portability and Accountability Act''' of 1996 (HIPAA) deals with employees keeping their insurance coverage, national electronic healthcare standards. THe part generally relevant to doctors have to do with the '''Privacy''' and '''Security''' provisions of the HIPAA law. |
| + | |||
| + | ===Who is not bound by HIPAA=== | ||
| + | *'''Covered entities''' include hospitals, insurance companies, and doctors are bound by the Privacy and Security rules of HIPAA. | ||
| + | *Life insurance companies, employers, worker comp agencies, schools, and law enforcement are not covered entities. | ||
| + | |||
| + | |||
| + | ==Privacy Rule== | ||
| + | * regulates use and disclosure of protected health information (PHI) by covered entities. PHI includes any part of medical record or billing history. | ||
| + | |||
| + | *Covered entities '''may''' disclose PHI for billing | ||
| + | * Covered entities '''must''' disclose PHI | ||
| + | **to the patient (upon request, within 30 days), and | ||
| + | **when required by law (child abuse, etc) | ||
| + | |||
| + | |||
| + | ===Security Rule=== | ||
| + | Security rule outlines the necessary safeguards in protecting electronic PHI. | ||
Revision as of 15:50, 28 February 2012
Introduction
Health Insurance Portability and Accountability Act of 1996 (HIPAA) deals with employees keeping their insurance coverage, national electronic healthcare standards. THe part generally relevant to doctors have to do with the Privacy and Security provisions of the HIPAA law.
Who is not bound by HIPAA
- Covered entities include hospitals, insurance companies, and doctors are bound by the Privacy and Security rules of HIPAA.
- Life insurance companies, employers, worker comp agencies, schools, and law enforcement are not covered entities.
Privacy Rule
- regulates use and disclosure of protected health information (PHI) by covered entities. PHI includes any part of medical record or billing history.
- Covered entities may disclose PHI for billing
- Covered entities must disclose PHI
- to the patient (upon request, within 30 days), and
- when required by law (child abuse, etc)
Security Rule
Security rule outlines the necessary safeguards in protecting electronic PHI.