When must a breach be reported?
If a breach affects 500 or more individuals, covered entities must notify the Secretary without unreasonable delay and in no case later than 60 days following a breach. If, however, a breach affects fewer than 500 individuals, the covered entity may notify the Secretary of such breaches on an annual basis.
What are the three standards of the Hipaa Security Rule?
The HIPAA Security Rule requires three kinds of safeguards: administrative, physical, and technical.
What is one of the differences between the Privacy Rule and the Security Rule?
The Privacy Rule sets the standards for, among other things, who may have access to PHI, while the Security Rule sets the standards for ensuring that only those who should have access to EPHI will actually have access. In contrast, the Security Rule covers only protected health information that is in electronic form.
What is one of the differences between the Privacy Rule and the Security Rule quizlet?
What are the primary distinctions between the HIPAA Security Rule and the HIPAA Privacy Rule? *The Privacy Rule applies to all forms of patients’ PHI, whether electronic, written, or oral. In contrast, the Security Rule covers only PHI that is in electronic form.
Which of the following is an example of a privileged communication?
Communications between an attorney and client, husband and wife, clergyperson and penitent, and doctor and patient are all privileged. In a few states, the privilege extends to a psychotherapist and client and to a reporter and her source.
What type of health information does the Security Rule address quizlet?
The Security Rule protects: all individually identifiable health information a covered entity creates, receives, maintains or transmits in electronic form. calls this information “electronic protected health information” (e-PHI). 3 The Security Rule does not apply to PHI transmitted orally or in writing.
Who is subject to the security rule?
The Security Rule applies to health plans, health care clearinghouses, and to any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of HHS has adopted standards under HIPAA (the “covered entities”) and to their business associates.
What are the three areas of safeguards the security rule addresses quizlet?
The HIPAA Security Rule requires covered entities to implement security measures to protect ePHI. Patient health information needs to be available to authorized users, but not improperly accessed or used. There are three types of safeguards that you need to implement: administrative, physical and technical.
What is the purpose of the Hipaa security rule quizlet?
What is the purpose of the HIPAA security rule? To ensure that CE’s implement basic safeguards to protect ePHI from unauthorized access, alteration, deletion, and transmission, while ensuring that data or information is accessible and usable on demand by authorized individuals.
Who is responsible for enforcing the Hipaa security rule quizlet?
Terms in this set (37) The Department of Health & Human Services (HHS) Office for Civil Rights (OCR) is responsible for enforcing the Privacy Rule and the Security Rule.
Who is responsible for enforcing the Hipaa Security Rule?
HHS’ Office for Civil Rights is responsible for enforcing the Privacy and Security Rules.
What does Phi stand for?
PHI stands for Protected Health Information. The HIPAA Privacy Rule provides federal protections for personal health information held by covered entities and gives patients an array of rights with respect to that information.
Why is phi so important?
PHI is important to individuals and valuable to hackers which makes it vital for organizations to protect. HIPAA lays out all the requirements and safeguards that should be put in place so that each person’s identifiable health information is kept secure from cyber criminals.
What is the best example of PHI?
Examples of PHI
- Vehicle identifiers and serial numbers, including license plate numbers.
- Device identifiers and serial numbers.
- Names of relatives.
- Internet Protocol (IP) address numbers.
- Biometric identifiers — including finger and voice prints.
- Full face photographic images and any comparable images.
What is not included in PHI?
PHI only relates to information on patients or health plan members. It does not include information contained in educational and employment records, that includes health information maintained by a HIPAA covered entity in its capacity as an employer.
Is patient name alone considered PHI?
Pursuant to 45 CFR 160.103, PHI is considered individually identifiable health information. A strict interpretation and an “on-the-face-of-it” reading would classify the patient name alone as PHI if it is in any way associated with the hospital.
Are patient initials considered PHI?
HHS Publishes Guidance on How to De-Identify Protected Health Information. It notes that derivations of one of the 18 data elements, such as a patient’s initials or last four digits of a Social Security number, are considered PHI.
Is first name and last initials considered PHI?
Patient names (first and last name or last name and initial) are one of the 18 identifiers classed as protected health information (PHI) in the HIPAA Privacy Rule. HIPAA does not prohibit the electronic transmission of PHI.
What is included in PHI?
PHI is health information in any form, including physical records, electronic records, or spoken information. Therefore, PHI includes health records, health histories, lab test results, and medical bills. Essentially, all health information is considered PHI when it includes individual identifiers.
How do you identify PHI?
As discussed below, the Privacy Rule provides two de-identification methods: 1) a formal determination by a qualified expert; or 2) the removal of specified individual identifiers as well as absence of actual knowledge by the covered entity that the remaining information could be used alone or in combination with other …
Who can PHI be disclosed to?
Generally speaking, covered entities may disclose PHI to anyone a patient wants. They may also use or disclose PHI to notify a family member, personal representative, or someone responsible for the patient’s care of the patient’s location, general condition, or death.
When can you release PHI without authorization?
A covered entity is permitted, but not required, to use and disclose protected health information, without an individual’s authorization, for the following purposes or situations: (1) To the Individual (unless required for access or accounting of disclosures); (2) Treatment, Payment, and Health Care Operations; (3) …
What dates are not Phi?
All elements of date (except year), including date of birth, ages > 89 years, and other dates such as diagnosis dates, procedure dates, admission or discharge dates.
Is appointment date and time PHI?
Individually identifiable health information includes many common identifiers such as: Name. Address. Any Date (birth date, admit date, appointment date, discharge date)
Is an xray considered PHI?
In the radiology department, you come across an X-ray of a hand. However, no information is attached to the image, making it impossible to know to whom it belongs. Therefore, the X-ray is not PHI; it is simply medical information.
Is Phi a surgery date?
To be considered “de-identified”, ALL of the 18 HIPAA Identifiers must be removed from the data set. This includes all dates, such as surgery dates, all voice recordings, and all photographic images.
What is PII or PHI considered?
PHI is an acronym of Protected Health Information, while PII is an acronym of Personally Identifiable Information. Personally identifiable information (PII) or individually identifiable health information (IIHI) is any health information that allows the patient to be identified.
How many identifiers are Phi?
18
How many identifiers are considered PHI?
18 Identifiers