HIPAA Audit Implementation
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HIPAA Audit Implementation discusses the need to implement HIPAA audits to ensure compliance. HIPAA establishes privacy and security provisions for protected health information. It requires covered entities like healthcare providers and their business associates to implement controls to secure patient data and mitigate the risk of breaches. Noncompliance can result in civil penalties up to $1.5 million per year or criminal penalties of up to 10 years in prison.
HIPAA Audit Implementation
- 1. HIPAA Audit Implementation Author : Sachi,Yachit,Aniket June,2017
- 2. www.valencynetworks.com What is HIPAA? • HIPAA(Health Insurance Portability and Accountability Act of 1996) is united states legislation that provides data privacy and security provision for safeguarding medical information. • Reduces health care fraud and abuse. • Mandates industry-wide standards for health care information on electronic billing and other processes; and • Requires the protection and confidential handling of protected health information
- 3. www.valencynetworks.com Problem statement • HIPAA audit implementation
- 4. www.valencynetworks.com Risk mitigation • HIPAA is about mitigating the risk of a potential breach of patient health information. • It is a step taken to control or preserve a hazard from causing harm and to reduce risk to a tolerable or acceptable level.
- 5. www.valencynetworks.com Healthcare Providers • Hospitals • Medical offices • Dental offices • Mental and behavioral health professionals • Nursing homes • Urgent care centers • Pharmacies • Medical and healthcare personnel • Medical students
- 6. www.valencynetworks.com Who needs to be HIPAA compliant? • Federal regulations identify two categories of individuals, organizations, agencies and businesses that must comply with HIPAA requirements. • Those are:
- 7. www.valencynetworks.com Who are Covered Entities • Covered entities are defined in the HIPAA rules as (1) health plans, (2) health care clearinghouses, and (3) health care providers who electronically transmit any health information in connection with transactions for which HHS has adopted standards.
- 8. 8 Business Associates • With certain exceptions, a person or entity that • Creates, receives, maintains, or transmits PHI for a function or activity regulated by the privacy rule for a covered entity ; • Data transmission providers • Data processing firms • Data storage or document shredding companies • Medical equipment companies • Consultants hired for audits, coding reviews, etc. • Electronic health information exchanges • Medical transcription services • External auditors or accountants
- 9. 9 Health Information Privacy - Key Terms • Privacy - an individual’s right to control their identifiable health information. • Confidentiality - privacy interests that arise from a specific relationship (e.g., doctor/patient, researcher/subject) and corresponding legal and ethical duties. • Security - technological or administrative safeguards or tools to protect identifiable health information from unwarranted access or disclosure.
- 10. 10 Health Information Privacy - Key Terms If the security safeguards in an automated system fail or are compromised, a breach of confidentiality can occur and the privacy of data subjects invaded.
- 11. 11 The HIPAA Eighteen These are the patient identifiers as defined by HIPAA • Account number • Vehicle identifiers and serial number • All elements of date except years • Postal address • Full face photos and others comparable images • URL address • Fax number • Name • Health plan beneficiary number • IP address • Any other unique identifier number • Telephone number • Social security number finger and voice prints • Device identifiers and their serial numbers • License number • Medical record number email address
- 12. 12 What safeguard must be in place? • The HIPAA security rule identifies three specific categories of safeguards. Those are • Technical safeguards • Physical safeguards • Administrative safeguards • You must also meet the privacy rule standard
- 13. 13 What requirement must be in place? • The following are required as part of the HIPAA security rule: • HIPAA Risk Assessment • HIPAA Risk Management Plan • Annual HIPAA Security Awareness Training
- 14. 14 Risks to Health Information Privacy •Accessibility and intimate nature of health data combine to cause social, psychological, and economic harms to those whose privacy is violated. •Emerging computer technologies and the development of longitudinal individual health records and national electronic health information infrastructures are perceived by many to threaten individual privacy.
- 15. 15 Rules There are 4 rules that you will need to dissect. • HIPAA Privacy Rule • HIPAA Security Rule • HIPAA Enforcement Rule • HIPAA Breach Notification Rule
- 16. 16 Data Protection for Healthcare Organizations and Meeting HIPAA Compliance • Make sure that you have a data protection strategy in place that allows your organization to: • Ensure the security and availability of PHI to maintain the trust of practitioners and patients • Meet HIPAA and HITECH regulations for access, audit, and integrity controls as well as for data transmission and device security • Maintain greater visibility and control of sensitive data throughout the organization • The best data protection solutions recognize and protect patient data in all forms, including • Structured and unstructured data • emails • Documents, and scans, • while allowing healthcare providers to share data securely to ensure the best possible patient care.
- 17. 17 What are the penalties for HIPAA violations? • Penalties for noncompliance are based on a level of negligence. • Civil monetary penalties range from $100 to $50,000 per violation of each patient record. • A maximum penalty of $1.5 million per year for identical provisions. • Criminal penalties can range up to 10 years in jail.
- 18. www.valencynetworks.com An ISO27001 Certified Company http://www.valencynetworks.com sales@valencynetworks.com Facebook Twitter Linkedin