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