The entities that are required to comply with HIPAA rules as “covered entities.” Entities that fall under this category include:
Various types of insurance companies, HMOs, corporate health plans, and some government programs that pay for medical care, including Medicare and Medicaid, are all examples of health plans.
The vast majority of healthcare providersâ€”those that do specific business online, such as electronically invoicing the health insuranceâ€”include the vast majority of physicians, clinics, hospitals, psychiatrists, chiropractic, nursing homes, pharmacists, and dentists, to name a few examples.
Organizations that convert nonstandard health data they collect from another organization into a standard (e.g., a electronic form or metadata), or vice versa, are known as health care clearinghouses.
In addition, business partners of covered organizations require to comply with some aspects of the HIPAA rules.
Contractors and outside individuals and businesses who are not employees of a covered organization may often need exposure to the health information to provide services to the covered entity, which is known as “outsourcing.” These entities are “business associates.” Business associates include, for example, the following:
Billing firms and companies that handle the national healthcare claims are examples of businesses that assist the physicians in being reimbursed for delivering health care services.
Companies that assist in the administration of health insurance policies.
Individuals such as outside attorneys, accountants, and information technology experts.
Healthcare organizations that keep or delete medical records.
In order to protect the patient data, covered entities must have deals in place with their business relationships that ensure that they use and disclose the health information properly. Contracts with subcontractors must be in the same format as those with business partners. The use and disclosure terms of their contracts, business associates (particularly subcontractors) must also adhere to the safeguard requirements of the Federal Information security management act.
What Kind of Information is Safeguarded?
The medical record contains information that the physicians, nurses, and other healthcare professionals have entered for one.
Conversations the doctor conducts with nurses and other professionals regarding the care or treatment.
Information about the person is stored in the computer system of the health insurance.
In the clinic, one has billing information on themselves.
The vast majority of other patient data about individuals is individuals who must comply with these rules.
What Are Security Measures in Place to Protect This Information?
Covered organizations must put measures to secure the patient data and guarantee that it is not used or disclosed inappropriately.
Covered organizations must take reasonable steps to restrict their disclosure of confidential information to the bare minimum required to achieve their intended goals.
Covered organizations must have policies and protocols to restrict who has access to and may see the health information and training programs to educate workers on how to safeguard their patients’ health information.
Business partners are also required to put in place measures to secure the patient data and guarantee that they never use or share the patient data in an unauthorized manner.
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