If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with what area?
Edifecs Ramp Management for Healthcare
End-to-End On-Boarding and Testing That Mirrors Your Production Environment
All of the above.
Information security is always always concerned with the three objectives of Confidentiality, Integrity, and Availability.
Your facility security officer
HIPAA is a privacy act which protects patient information from getting into the wrong hands. Simply by talkiing about a patients case with name or location mentioned is breaking the act. With this act in place, those who violate the act can faces financial penalties and jail time.
In the UK the amount of compensation you can claim depends upon the whether the broken hip is simple or complicated and whether you are left with any ongoing disability and pain. See the related link entitled "hip injury compensation" to see examples of how much compensation you can claim for all manner of hip injuries.
HIPPA under the DoD is covered by the following rules, regulations, laws, and legislation:
"While some things vary from place to place, employee safety, privacy, benefits, workplace conditions, opportunities, payment, and standardized other information is required to conform to HIPAA guidelines."
If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:
HIPAA allows patient access to their own medical record, with very few exceptions. Failure to pay the bill is NOT one of those exceptions.
Added: HIPAA restricts and prevents the dissemination of your medical records without your knowledge and approval. There is no provision within it which allows a medical provider to hold your records "hostage" until you pay their bill.
Health Insurance Portability and Accountability Act of 1996. The original concept behind HIPAA was "to prevent arbitrary exclusion from insurance coverage with the Pre-existing conditions not covered gambit." Some people were not able to change jobs because doing so would cause them to lose necessary coverage, because at the new job, their condition would be a "pre-existing condition that is not covered". (paraphrased from Edward Zuckerman, PhD) It broadened to include the need for privacy of health care information in general. Answer: The compliance acronyms roll right off our lips these days: HIPAA, SOX, PCI. All these and many others are top-of-mind to executives and practitioners throughout the industry. What about the European Union Directive 2002/58/EC, or India's Information Technology Act? As the need to protect data moves from a local to a global concern, many governments are taking notice and have implemented their own versions of data-protection laws. While there are strengths to having this legislation in place, there are several hazards that organizations must be aware of when considering doing business in other countries.
Good question! People are often amazed at how many different ways their health information or medical records can be used AND abused! I do not know if I can think of twelvecircumstances, but here are some that I know of:
The most common ones are:
1. Decision-making for insurers. Many people are often denied health or life insurance, based on current medical conditions. Often, coverage is denied because of "pre-existing conditions", that is, some condition the person applying already has or had. Many times, this is used by insurance companies very blithely, without really checking to see if it is true. For instance, a person might be denied payment for a doctor's visit for anything that included dizziness (such as a stroke), if in the past, they or a health professional had EVER used the word "dizziness" in a doctor's visit!
2. Joining the Armed Forces or other branches of law enforcement: Most people know of the rating system in the Army, for instance, but anyone wishing to be a police officer or FBI agent, would have to have rigorous medical exams and background checks for other medical problems/conditions.
3. Use in schools: All children in public schools are required to be up-to-date on their immunizations and to provide medical documentation of these, as well as history of yearly physicals, medication required or conditions about which the school should know, in case of emergency. Asthma is a common one.
4. Hiring and even firing. Though this is rarely said, it is also common knowledge that prospective and current employers often check applicants' and employees' medical records, with or without consent, to see if they will be a problem, say, with sick time, or medical claims (if the company offers insurance benefits). Many companies also ask for disclosure of an applicants' disability, if any on their application. This way, if the employee later claims disability, or lack of compliance with such, the company may use this to say they did not know, if the person claimed they had no disability. Responsible companies will use this to PROVIDE compliance for disabled employees (such as ramps).
An example of a GOOD reason to look up a patient's health history, would be in dangerous professions, or ones in which the employee is responsible for many lives, such as an airline pilot, or a doctor!
5. Legal claims: Often, people who sue individuals or companies for conditions due to injury (both on the job and off), are in for a tough road, if the defendant's lawyers uncover a medical condition that could even remotely account for the plaintiff's condition. An example would be: An plaintiff is hit on the head and develops seizures. Head injuries are the most common cause of sudden onset seizures. However, if the plaintiff has a history of alcohol or drug abuse and treatment, a good defense lawyer will almost CERTAINLY claim that this, not the injury, caused the seizures. And a crummy litigator will give up and settle for far less, or so they hope!
6. Information for other doctors. Though reading a patient's COMPLETE medical history is rare these days, with the current state of health care, doctors do use a person's health history to test and diagnose conditions. Dentists often use medical history (such as a heart murmur), to prevent damage to the heart during dental procedures. Other health professionals, such as chiropractors or dentists will often need some of this information.
7. Housing. Though one's medical health is usually not asked for on a lease application, the landlord might very well look it up, using an online service. One might ask why, but it is similar to the employer's reason: not wanting the tenant complaining that their disability was not accommodated (this is against the law) or that they were discriminated against (this is why the landlord would look up medical history secretly, then give another reason for not renting, such as bad references or credit). Also, if the tenant had something that made them prone to injury, such as epilepsy, the landlord might fear being sued if they fell and were hurt).
8. Marriage. It sounds unromantic, but potential spouses often want to know about any history of illness, genetic or otherwise. Also, many partners (wisely) want the other tested for STD's such as HIV and Hepatitis C. In most states, testing for syphilis is mandatory, though there is a cure in the early stages.
9. Conceiving and carrying a child. Most parents are asked if there is a family or personal history of genetic disorders, so that they can prepare for possible outcomes. some people choose not to reproduce, if there is a high risk of passing on a genetic disease, such as Tay-Sach's or Huntington's chorea. There is also the mother's health. Doctors should investigate possible birth problems (diabetes, hypertension, injuries, malformations of the skeleton or uterus), or anything that could complicate pregnancy and/or delivery.
9. Child custody - This could come under the "legal" category, but many times, individuals make decisions on their own, without legal advice, about who will care for their children (say, if both parents die), based on the potential care-giver's health. Often, grandparents are either not considered, or only given temporary custody, due to age-related issues.
10. Ability to make decisions, legally and otherwise. Many times, families take over decisions about living arrangements, finances and many other aspects of a person's life, if the person's ability to make sound decisions is compromised by a disease such as Alzheimer's or drug/alcohol abuse. This often happens if the person is mentally or emotionally challenged, such as with retardation or mental illness.
11. Marital problems, Separation and/or Divorce - Sadly many spouses who are diagnosed with a lasting, crippling medical condition, such as multiple sclerosis or rheumatoid arthritis, are deserted by their spouses (usually women by their husbands), especially if any personal care may be needed in the future! Men are usually not raised to be caregivers, so possibly, the prospect of caring for a sick or disabled spouse frightens them. Or they may just be callous and want "something better".
12. Driving. Of course, eyesight is tested, but few people know that people with certain conditions, such a seizures, may not be allowed to drive or subject to restrictions (such as being free of seizures for 2 years, after treatment, as certified by a doctor). Obviously, any health condition that impairs a driver's ability would either limit their driving or cause their license to be taken. It is still amazing, however, that such strict rules are imposed on teen drivers, yet not on the elderly (such as yearly eye exams and road tests), when their accident rate is almost the SAME as that of teenage males!
Being that I am an EMT and past nursing student, I have gone through HIPAA training multiple times. This course goes through the dos and don'ts when dealing with patient confidentiality and information. This course is usually no more than a one day course and will basically teach individuals taking the course that they can not share any medical information about a patient with anyone except for the patient without the patient's permission including personal information, health information, health status, where the patient is currently being treated, etc. All information about the patient is to be be kept confidential. You aren't even allowed to speak to other health care professionals about the patient unless they are directly involved in the patient's case. If you need to discuss a situation with another health care professional that isn't part of the case, you must keep all information about the patient generic so that the identity of the patient can not be discovered.
Most medical and disciplinary records are sealed and only the person may have access to them. If copies are required for court proceedings, there are separate rules.
(1) Treatment (T): This encompasses all care provided to a patient by a health care provider
(2) Payment (P): This is all data for collected for billings and collections received or pending collection outcome
(3) Operations (O): Anything that has to do with business activities such teaching and training of health care professionals
Individuals seeking to start a nonprofit organization should begin by researching grant opportunities. Grants may be obtained from a variety of sources. The government is a particularly good source for securing funding for a nonprofit organization. Grants, unlike loans, are funding sources that do not need to be repaid. Grants may require some stipulations that organizations must meet to continue funding. Grants are simply a form of financial assistance awarded by a federal agency. Currently, over 1000 grants are offered by 26 federal agencies in various categories.
In order to obtain a grant as a nonprofit, the organization must obtain 501-c3 status. This status allows the organization to operate tax exempt under the federal law. This status also states that the organization is not operating in order to gain a profit from the services it provides. Once the documentation is obtained, research various grant opportunities. The websites are listed below as leads for finding grant sources:
Grant Writing Tips
Those seeking to write a grant must prepare and plan the proposal to make a convincing argument to the selection committee. The grant process is often long and tedious. Federal grants, especially, often requires including documents with a plethora of information. Those who cannot follow instruction and provide the proper documentation will not be successful in the grant writing process. Some of the most common tips are listed below to assist the grant writer:
Provide a persuasive and concise argument.
Establish a need for the service or product introduced in the proposal.
Prove the necessity for funding.
Provide a logical approach to the proposal.
Demonstrate the organization’s ability to meet the need of the individuals introduced in the proposal.
Set clear goals and priorities for the organization.
Clearly follow the guidelines. Inquire if there are any questions regarding the process.
Determine how the success of your program will be measured and include it in the proposal.
Demonstrate your organization’s competence level in addressing the problem stated.
Those individuals who follow those basic guidelines will demonstrate to the grantmaker a certain competence level. This will aid the organization in receiving the funds they desire.
Edifecs CommerceDesk Framework provides portal services, reporting, dashboards, partner management, user management and other common services for use by Edifecs business performance management applications. Here Portal Services & Reporting clearly says that Edifecs 5010 provides Online Compliance Reporting System.
However, HIPPA, which is within the realm of privacy laws, is a fluid area. Consequently, it is an area of the law subject to change and should be monitored.
Frequently, courts interpret the requirements of statutes differently; that is, they do not interpret the statute literally. It is therefore important that you keep abreast of the interpretations of the law by courts in your jurisdiction.
HIPAA laws are applied under both federal and state guidelines. Generally the only persons who will be granted access to a deceased person's medical history are, govenment agencies (medical examiner, Medicare, Medicaid, VA, etc.) health care providers/insurers who were involved before the person's death, executor or personal representative of the deceased's estate, a surviving spouse if the couple were legally married at the time of death and adult children. A few states require an order from the court regardless of who is requesting the information. The best option is to contact the doctor or facililty who is in charge of the records as they are actually the "legal owner" and would be able to supply information on how to obtain a copy of whatever is needed.
The compliance acronyms roll right off our lips these days: HIPAA, SOX, PCI. All these and many others are top-of-mind to executives and practitioners throughout the industry. Check out TheComplianceAuthority resources site for more info .
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