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HIPAA: General Awareness

This course provides an overview of the privacy, security, and standard transactions and code requirements that comprise HIPAA’s Administrative Simplification provisions. It also examines the responsibilities employees have for complying with these requirements. Until 1996, no comprehensive legislation protected the personal health information of America’s health plan enrollees. Many healthcare companies had vulnerable information handling procedures and maintained databases of patient information that were incompatible with systems used by other plans and providers. At one point, more than 400 separate electronic formats were in use for processing claims!

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Learning Objectives

Identify the goals of HIPAA and its Administrative Simplification provisions.
Identify the entities that are covered under the law and recognize how the law is enforced.

Identify the key privacy and security requirements that apply to the use and disclosure of protected health information (PHI).

Course Outline

1. Overview
1. Privacy Regulations and Standards
2. About this course…
2. Definitions
1. Covered Entities
2. Business Associates
3. Exceptions
3. Privacy Standards
1. Use and Disclosure of PHI
2. Using and Disclosing PHI Requirements
3. Minimum Necessary Standard
4. Marketing
5. Patients’ Rights
6. Breach Disclosure
7. Disclosing a Breach
4. Security Standards
1. Safeguards
2. Biggest Security Weakness

5. Data Standardization
1. Standard Transaction Numbers
2. Expanded Transaction Standard
3. Code Sets
4. Standard Unique Identifiers
6. Enforcement
1. Additional Government Oversight
2. State Government’s Role
3. Your Role
4. Penalties
5. Civil Penalties
6. Civil Penalties and Agency Relationships
7. Criminal Penalties
7. Conclusion
1. Conclusion