Question

In: Nursing

Describe the components of the Health Insurance Portability & Accountability Act (HIPAA). Discuss the importance of...

Describe the components of the Health Insurance Portability & Accountability Act (HIPAA). Discuss the importance of following HIPAA regulations.

Solutions

Expert Solution

HIPAA IS HEALTH INSURENCE PORTABILITY AN DPORTABILITY ACT is created by the central government on 1996.

HIPPA is a central government law that needs to establish guidelines in order to secure patient sensible information from being published without prior consent

PURPOSE OF HIPPA:

· It provides health insurance for workers who lost their job or changed their changed

· It decreases health care cost by means of regulating the administrative and monetary transactions

PARTS of HIPPA

· ELECTRONIC TRANSACTIONS AND CODE SETS STADARD REQUIREMENT

· PRIVACY REQUIREMENTS

· SECURITY REQUIREMENTS

· NATIONAL IDENTIFIER REQUIREMENTS

COMPONENTS OF HIPPA

It has 5 components

· Title 1: health insurance reform: it guards and provides insurance to the people who has lost job or changed their job. It also avoids denying health insurance coverage insurance to the individuals with preexisting illness such as known diabetes. Known hypertensive

· Title IIHIPAA administrative simplification: it guides and provides direction to the United States department of health and human services to initiate and set guidelines in order to process health care transactions. It needs health care institution to enact the electronic health care information securely and to comply with guidelines as set by HHS

· TITLE III: TAX RELATED HEALTH PROVISIONS: it comprises of regulation of medical care and levy related facilities

· TITLE IV: APPLICATION AND ENFORCEMENT OF GROUP HELATH PLAN REQUIREMENTS: it again health insurance coverage to people with preexisting health problems and for people who needs continuous health insurance coverage

· TITLE V: REVENUE OFFSETS: it comprises facilities for company owned insurance and for care of

People who has lost United States citizenship for levying purpose

Title II deals with compliance requirements

1. National provider identifier standard: unique 10 digit national provider identifier number must be possessed by every organization, individuals, health care employers, health plans, and health care providers.

2. Transaction and code set standard: health care institution must follow guidelines for transaction of health care information for submitting and processing claims

3. HIPAA PRIVACY RULE: it is also called as standard for privacy of individual identifiable health information. This serves to establish federal level standards in order to patient information. Health care privacy rule covers entities and fall into three categories which are healthcare provider, health plan, and health care clearinghouse. It protects patient information such as identification of patient, past medical history, present history sensitive information, health care provider.

4. HIPAA SECURITY RULE: this rule applies to electronic protected health information for setting standards to patient data. it provides safe by means  physical and electronic to maintain and receiving of health information.  it secures data by means back up data, encryptes of data, electronic controls of data access, data integrity of data

5. HIPAA ENFORCEMNET RULE:: This initiate a set of regulation in order to explore any violation of HIPAA compliance

IMPORTANACE

1. It protect patient information by means of securing information under HIPAA guidelines

2. It avoids of disclosure of information by means of maintaining health information confidential and privacy

3. It avoids data fraud and increase data systems

4. It help the individual to access the personal health records and protect and access their health information upon request

5. It becomes necessary for protection of data which is created, stored, transmitted by means of individual identifiable health information

6. It can help to secure million of dollars for the organization by following HIPAA guidelines

7. It also provides details for accessing health care information by people, and ALSO to transfer , share the health information, to request and establish security and privacy

8. It helps to improve access for  long term services care


Related Solutions

Discuss the importance of confidentiality and Healthcare Insurance Portability and Accountability Act (HIPAA)?
Discuss the importance of confidentiality and Healthcare Insurance Portability and Accountability Act (HIPAA)?
Discuss how the Health Insurance Portability and Accountability Act (HIPAA) affects and impacts the use of...
Discuss how the Health Insurance Portability and Accountability Act (HIPAA) affects and impacts the use of electronic health records (EHRs).
Discuss the Health Insurance Portability and Accountability Act (HIPAA). Include the following: 1. Why was the...
Discuss the Health Insurance Portability and Accountability Act (HIPAA). Include the following: 1. Why was the law implemented. 2. What are the major aspects of HIPAA? 3. What are some examples of HIPAA violation?
9. The Health Insurance Portability and Accountability Act (HIPAA) was passed to Assist other countries that...
9. The Health Insurance Portability and Accountability Act (HIPAA) was passed to Assist other countries that are struggling with health care crises Track and monitor chronic conditions and illnesses Provide universal health care coverage to Americans Ensure that a patient's health care information is kept confidential 10. Which one is an instrumental activity of daily living (IADL)? a) Bathing oneself b) Feeding oneself c) Paying bills d) Using the toilet 11. Which one is not true of social martketing? Social...
This chapter introduces the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. It presents the...
This chapter introduces the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. It presents the history, purpose, and goals of the rule along with a detailed discussion of how it compares to other laws and standards that protect patient information. Central to this chapter are the who and what that the Privacy Rule addresses, with discussion about covered entities, business associates, and the elements that comprise protected health information. It also introduces the reader to basic HIPAA terminology such...
Choose two of the following and define and summarize. Health Insurance Portability and Accountability Act (HIPAA)...
Choose two of the following and define and summarize. Health Insurance Portability and Accountability Act (HIPAA) Privacy Security Code Sets National provider Identification (NPI) Current Procedural Terminology (CPT) Healthcare common Procedure Code Sets (HCPCS)
The Health Insurance Portability and Accountability Act (HIPAA) Security Rule defines the types of protected information...
The Health Insurance Portability and Accountability Act (HIPAA) Security Rule defines the types of protected information and the safeguards that must be in place to ensure appropriate protection of electronic protected health information. For this activity, you will identify protected health information (PHI) that will require protection and identify control types to be placed on the protected HIPPAA data. For your initial post, consider the scenario below. Tom Jones completed his yearly medical checkup, and the doctor found that he...
Regulatory requirements such as Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry Data...
Regulatory requirements such as Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry Data Security Standard require that an organization should conduct a risk analysis if a mobile device is lost or if the data on it are stolen. Discuss the following. How would this affect the business? If an employee's mobile device is lost, how would it affect the employer?
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated national standards for electronic exchange...
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated national standards for electronic exchange of administrative and financial healthcare transactions. Discuss all of the standards adopted. Did these standards improve healthcare reporting? If so, why? If not, why not? Did this Act put more burden on the physicians and their offices that did not relate to the quality of health care to the patient?
Assess the main possible Health Insurance Portability and Accountability Act (HIPAA) violations that your facility risks...
Assess the main possible Health Insurance Portability and Accountability Act (HIPAA) violations that your facility risks by having a third party monitor the integrated database, and recommend at least one (1) method of preventing or addressing each identified violation.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT