Group Health Insurance And HIPAA Privacy Rule

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					Group Health Insurance And HIPAA Privacy Rule

HIPAA stands for Health Insurance Portability and Accountability Act HIPAA When I hear, are not usually
talk about the original act. They speak of the Privacy Rule, which was a result of HIPAA, as a notice of
Health Information Practices.

United States Department of Health and Human Services official summary of the HIPAA privacy rule is 25
pages, and this is only a summary of the key factors. So as you can imagine, covers the ground well. I
would like to offer this summary of the fundamental principles of the Privacy Rule.

Since it was adopted in 1996 and the rules of confidentiality laid down guidelines for the protection of
health information. The guidelines are written such that they ensure that a person's medical records are
protected, while at the same time allowing the necessary information to be released in the course of
providing health care and protect the health and well be. In other words, not just someone sees the
medical records of a person. But if you want someone like a health care provider to see your records,
you can sign a waiver that allows them access to your records.

Therefore, all health information and where it comes? Your health information is held or transmitted by
health plans, clearinghouses, health care, and providers of health care. These are called entities in
drafting the standard.

These instructions also apply to the so-called business partners in all health plans, health care
clearinghouses, and health professionals. Business partners are companies that provide legal, actuarial,
accounting, consulting, data aggregation, management, administration, accreditation or financial

So what typically contain confidentiality?

* What type of information collected by the health plan.

* A description of what your health record / information included.
* A summary of your rights to health information.

* Exposures to a group health plan.

Look at these one at a time:

The information collected by your plan:

The group health plan includes the following types of information to provide the benefits:

The information you provide to register for the plan, including personal information such as your
address, telephone number, date of birth and social security number.

Plan contributions and account balance information.

The fact that you have, or have been enrolled in the plans.

Related to the health of any information received from your physician or other health care providers.

Health information, including diagnosis and reporting of compensation payments.

Changes in the registration of the plan (for example, the addition of a participant or a participant to low,
add or remove an advantage.)

Payment of benefits plan.

Small Claims Court.
Case or medical treatment.

Other information about you that is necessary for us to provide health benefits.

Understanding Your Health Record / Information:

Each time you visit a provider of hospital care, doctor or another, a trace of your visit is made. Typically,
this record contains your symptoms, examination and test results, diagnoses, treatment and plan for
future care or treatment.

This information, often referred to as your health or medical history is the following:

Basis for planning your care and treatment.

Means of communication among the many health professionals who contribute to your care.

Legal document describing the care received.

Ways you or a third-party payer can verify that services billed were actually delivered.

Training tool for health professionals.

Source of data for medical research.

Source of information for public health officials to improve the health of the nation.
Sources of data for facility planning and marketing.

Tool with which the plan sponsor can assess and continually work to improve the services offered by the
group health plan. Understanding what is in your record and how your health information is used, you


Better understand who, what, when, where and why others may access your health information.

Make more informed decisions when authorizing disclosure to others.

Your Health Information Rights:

Although your health record is the physical feature of the plan, a health care professional or facility that
has been compiled, the information belongs to you. You have the right to:

Request a restriction on the unauthorized use and disclosure of your information for treatment,
payment and health care information provided to family members for care.

Get a copy of this notice of information practices upon request, even if you have agreed to receive the
notice electronically.

Inspect and obtain a copy of your medical records by making a written request to the Privacy Plan.

Change your health record, making a written request to the intelligence official plan that includes a
reason for the request.
Get an account of disclosure of your health information for six years by submitting a written request to
the Privacy Plan.

Ask for communication within their own health information by alternative means or alternative

Cancel the authorization to use or disclose health information except to the extent that action has
already been taken.

Responsibilities of the Group Health Plan:

The group health plan must:

Maintain the confidentiality of your health information.

You can provide this notification planâEUR (TM) s legal duties and privacy practices regarding
information collected and stored about you.

Comply with the terms of this notice.

To notify you if the plan is unable to accept an application for restriction.

Accommodate reasonable requests you may have to communicate health information by alternative
means or at alternative locations. The plan would restrict access to your personal information only for
those who need to know that information to administer the plan and its benefits. The plan will maintain
physical, electronic and procedural safeguards that comply with federal regulations to protect your
personal information. By the standards of privacy are people with access to plan information to:
To ensure and safeguard the confidential financial and health information, as required by law. The plan
only to use or disclose confidential information without the consent of medical operations for the
treatment of treatment, payment or health. The plan only to reveal sensitive information to health plan
sponsors plan administration purposes.

Limiting the collection, dissemination and use of health information involving the minimum necessary to
administer the plan.

Allow only trained, authorized persons to obtain confidential information.

Other items that can be addressed:

Communication with family. Under the plan, the company can provide the family member of an
individual employee, guardian, or you identify, health information related to that person's involvement
in their care benefits or payment related to obtaining the benefits of care.

Notification. The plan may use or disclose information to notify or assist by notifying a family member,
personal representative or another person responsible for your care, your location, general condition,
the benefits of the plan, or plan enrollment.

Business relationships. There are some services provided in the plan through business relationships.
Examples include accountants, lawyers, actuaries, medical consultants and financial advisors, as well as
those providing managed care, quality assurance, claims processing, claims review, claims monitoring
services, rehabilitation and copying. When these services are concluded, you may need to disclose your
health information with our partners to make them do the work that we asked them to do. To protect
the health information of employees, but the company will require the associate to appropriately
protect such information.

Enjoy coordination. The plan may disclose health information as authorized by and to the extent
necessary to comply with employee benefit plans of coordination.
Accident. The plan may disclose health information to the extent authorized by and to the extent
necessary to comply with the laws of accident or other similar programs established by law.

Police. The plan may disclose health information for law enforcement purposes as required by law or in
response to current challenges.

Sale of the company. If the plan sponsor's business is sold, so that medical information may be
disclosed. The plan reserves the right to change its practices and make new provisions effective for all
protected health information maintained. If the information the company is evolving, it posts a revised
notice to the address provided by each employee.

The plan does not use or disclose health information of employees without your permission, except as
described in this notice.

In summary:

As an employee, you should be aware of their rights and trusts that the employer must comply with the
directions on the Privacy Rule.

Since the employer insurance group health insurance, you should make employees aware of their rights
and must give them a way to get more information or to report the problem.

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