Hipaa101 updated

HIPAA: Understanding the Basics

Presenters Leanne Shank, Esquire University Counsel Jennifer Kirkland, Esquire Office of University Counsel Washington and Lee University Lexington, Virginia

HIPAA: The Basics ,[object Object],[object Object],[object Object],[object Object],[object Object]

H ealth I nsurance P ortability and A ccountability A ct of 1996 ,[object Object],[object Object]

A Little Congressional Humor: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Transaction Regulations ,[object Object],[object Object],[object Object]

Privacy Regulations ,[object Object],[object Object]

Security Regulations ,[object Object],[object Object],[object Object]

Is Your Institution, or any part of it, Covered by HIPAA? By any or all of the Transaction, Privacy and/or Security Regs? ,[object Object]

Campus Entities That Are NOT “Covered Entities” Per Se without further analysis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is a “Covered Entity” under HIPAA? ,[object Object],[object Object],[object Object],[object Object]

Use the CMS Covered Entity Decision Tools to Help Determine Your Campus Coverage ,[object Object],[object Object]

Health Plan ,[object Object],[object Object],[object Object],[object Object],[object Object]

Health Plan (cont’d.) ,[object Object],[object Object],[object Object],[object Object]

Plans Not Covered By HIPAA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Examples of Covered Health Plans in the College or University Setting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Examples of Non-Covered Plans in a College or University Setting ,[object Object],[object Object],[object Object],[object Object],[object Object]

Is This Example a Health Plan? ,[object Object],[object Object]

“Plan Sponsor” ,[object Object],[object Object],[object Object]

Endorsed vs. Sponsored Plans ,[object Object],[object Object]

“Health Care Providers” ,[object Object],[object Object],[object Object],[object Object]

HIPAA Transactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HIPAA Transactions (cont’d.) ,[object Object],[object Object]

Look Closely at the Definitions of HIPAA Transactions ,[object Object],[object Object]

More Examples of non-HIPAA Triggering Transactions ,[object Object],[object Object]

Health Care Providers that May Be Covered in a College or University Setting ,[object Object],[object Object],[object Object],[object Object]

Health Care Clearinghouse ,[object Object],[object Object]

Business Associates ,[object Object],[object Object],[object Object],[object Object]

Threshold Question: Are You Covered under HIPAA? ,[object Object],[object Object],[object Object],[object Object]

HIPAA Transaction Regulations: Overview ,[object Object]

Transaction Regulations (cont’d.) ,[object Object],[object Object],[object Object]

Transaction Regulations Compliance Deadline ,[object Object],[object Object],[object Object]

What if You Failed to File an Extension? ,[object Object],[object Object],[object Object]

Privacy Regulations: Overview ,[object Object]

Status of Privacy Regulations ,[object Object],[object Object]

Application of Privacy Regulations ,[object Object],[object Object],[object Object],[object Object],[object Object]

“Protected Health Information” ,[object Object],[object Object],[object Object]

Student Health Information Exclusion ,[object Object],[object Object],[object Object]

Employee Records Exclusion ,[object Object],[object Object],[object Object]

Disclosure of PHI Restricted ,[object Object],[object Object],[object Object]

Disclosure of PHI Restricted (cont’d.) ,[object Object],[object Object],[object Object]

How do Restrictions on PHI Disclosure Affect Research? ,[object Object],[object Object],[object Object]

“Hybrid Entity” ,[object Object],[object Object],[object Object]

“Hybrid Entity” (cont’d.) ,[object Object],[object Object]

Considerations for Selection of Optional Health Care Components ,[object Object],[object Object]

Designation of Hybrid Entity Components ,[object Object],[object Object],[object Object]

Considerations for Hybrid Entities (cont’d.) ,[object Object],[object Object],[object Object]

Use/Disclosure by Business Associates ,[object Object],[object Object],[object Object],[object Object]

Use/Disclosure by Business Associates (cont’d.) ,[object Object],[object Object],[object Object],[object Object]

Right of Individual Patient or Plan Participant ,[object Object],[object Object],[object Object],[object Object]

Required Privacy Notices by Covered Entities ,[object Object],[object Object],[object Object]

Joint Consent and Notice Vehicles ,[object Object],[object Object]

Joint Consent and Notice Vehicles (cont’d.) ,[object Object],[object Object],[object Object],[object Object]

Use of PHI by Plan Sponsors of Group Health Plans ,[object Object],[object Object],[object Object],[object Object],[object Object]

Plan Document Amendments (cont’d.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Should all Plan Sponsors Amend their Plan Documents? ,[object Object],[object Object],[object Object],[object Object]

Ancillary Administrative Requirements of Privacy Regs ,[object Object],[object Object]

Ancillary Administrative Requirements (cont’d.) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Ancillary Administrative Requirements (cont’d.) ,[object Object],[object Object],[object Object],[object Object]

Attn: Covered University Health Care Providers and Student Health Plans With No PHI ,[object Object],[object Object]

The $64,000 Question: ,[object Object],[object Object]

Deadlines for Privacy Regulations Compliance ,[object Object],[object Object]

First Steps to Take Toward Compliance with Privacy Regs ,[object Object],[object Object],[object Object]

Security Regulations (Proposed): Overview ,[object Object],[object Object]

Security Regulations Coverage (Proposed) ,[object Object],[object Object]

Security Standards (Proposed) ,[object Object],[object Object]

Security Standards (Proposed) (cont’d.) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Security Regulations Compliance Deadline ,[object Object]

General Penalty for Non-Compliance with HIPAA ,[object Object],[object Object],[object Object],[object Object]

Penalty for Knowing Wrongful Disclosure of Individually Identifiable Health Information ,[object Object],[object Object],[object Object],[object Object]

No Private Cause of Action ,[object Object],[object Object]

Want to Know More about HIPAA? ,[object Object]

A Few Online Resources on HIPAA ,[object Object],[object Object],[object Object],[object Object]

Hipaa101 updated

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