What is the role of a compliance officer?

What is the role of a compliance officer?

Compliance officers are responsible for ensuring their organization complies with government regulations — domestically as well as globally, if applicable — and avoids missteps that could result in hefty fines, legal ramifications and reputation damage.

What is the purpose and focus of a compliance program?

Compliance programs exist for the purpose of protecting against misdeeds, and the most effective programs are those that exist within a culture of ethics.

Which of the following are the privacy officer’s responsibilities?

General Purpose: The Privacy Officer is responsible for the organization’s Privacy Program including but not limited to daily operations of the program, development, implementation, and maintenance of policies and procedures, monitoring program compliance, investigation and tracking of incidents and breaches and …

Who is responsible for protecting PHI at our company?

Introduction. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the Secretary of the U.S. Department of Health and Human Services (HHS) to develop regulations protecting the privacy and security of certain health information.

What is the privacy practice notice?

The HIPAA Privacy Rule requires health plans and covered health care providers to develop and distribute a notice–the Notice of Privacy Practices (NPP)–that provides a clear, user-friendly explanation of individuals’ rights with respect to their personal health information and the privacy practices of health plans and …

What does the Privacy Rule provide?

The Privacy Rule protects all “individually identifiable health information” held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this information “protected health information (PHI).”

Which of the following is required for notice of privacy practices?

We proposed to require the notice to be written in plain language and contain each of the following elements: a description of the uses and disclosures expected to be made without individual authorization; statements that other uses and disclosures would be made only with the individual’s authorization and that the …

Where can anyone find privacy practices?

Patients may be able to find their records by contacting:

• the physician’s partners;
• the health information manager or privacy officer at a hospital or facility where the physician practices;
• a local medical society;
• the state medical association; or.
• the state department of health.

What are the six patient rights under the Privacy Rule?

Right of access, right to request amendment of PHI, right to accounting of disclosures, right to request restrictions of PHI, right to request confidential communications, and right to complain of Privacy Rule violations.

What are some examples of legal or public interest issues?

The following are some issue areas public interest lawyers work in, along with links to relevant guides.

• AIDS / HIV.
• Animal Issues.
• Arts / Entertainment.
• Bankruptcy / Debt.
• Business / Economic Issues.
• Children / Youth (.pdf)
• Civil Rights / Liberties (.pdf)
• Communications.

What four items must be included in a record of disclosures of protected health information?

The accounting is required to include the following: (1) disclosures of protected health information that occurred during the six years prior to the date of the request for an accounting; and (2) for each disclosure: the date of the disclosure; the name of the entity or person who received the protected health …

What are the four main rules of Hipaa?

HIPAA Rules & Standards. The Health Insurance Portability and Accountability Act (HIPAA) regulations are divided into several major standards or rules: Privacy Rule, Security Rule, Transactions and Code Sets (TCS) Rule, Unique Identifiers Rule, Breach Notification Rule, Omnibus Final Rule, and the HITECH Act.

What are 3 major things addressed in the Hipaa law?

The three components of HIPAA security rule compliance. Keeping patient data safe requires healthcare organizations to exercise best practices in three areas: administrative, physical security, and technical security.

What situations allow for disclosure without authorization?

What situations allow for disclosure without authorization? When a patient requests to see their info, when permission to disclose is obtained, when information is used for treatment, payment, and health care operations, when disclosures are obtained incidentally, when information is needed for research.

What are the three types of safeguards?

The HIPAA Security Rule requires three kinds of safeguards: administrative, physical, and technical.

What types of PHI does Hipaa require a signed authorization?

Use or disclosure of psychotherapy notes other than for specific treatment, payment, or health care operations (see 45 CFR §164.508(a)(2)(i) and (a)(2)(ii)) Use or disclosure of substance abuse and treatment records. Use or disclosure of PHI for research purposes.

When can you release PHI without authorization?

There are a few scenarios where you can disclose PHI without patient consent: coroner’s investigations, court litigation, reporting communicable diseases to a public health department, and reporting gunshot and knife wounds.

What is the 90 10 rule in healthcare?

The 90/10 rule refers to the level of federal funding – 90 percent of the necessary funds will be provided by the federal government, while the state kicks in the remaining ten percent.

What is the one exception where records can be released without patient consent?

You may only disclose confidential information in the public interest without the patient’s consent, or if consent has been withheld, where the benefits to an individual or society of disclosing outweigh the public and patient’s interest in keeping the information confidential.

What is included in a Phi authorization form?

Description of PHI to be used or disclosed (identifying the information in a specific and meaningful manner). The name(s) or other specific identification of person(s) or class of persons authorized to make the requested use or disclosure. Description of each purpose of the requested use or disclosure.

Which of the following must be included in an authorization?

An authorization document must include all of the following: Description of information to be use or disclose, identification of person authorized to use or disclose information, name of person(s) or group to whom PHI may be given, purpose of use or disclosure, expiration date, valid signature and date.

What information must be included on an authorization to release information?

The core elements of a valid authorization include: A meaningful description of the information to be disclosed. The name of the individual or the name of the person authorized to make the requested disclosure. The name or other identification of the recipient of the information.

What is the main focus of the security rule?

The purpose of the federally-mandated HIPAA Security Rule is to establish national standards for the protection of electronic protected health information. This goal became paramount when the need to computerize, digitize, and standardize healthcare required increased use of computer systems.

What is the purpose of the security rule?

The purpose of the Security Rule is to ensure that every covered entity has implemented safeguards to protect the confidentiality, integrity, and availability of electronic protected health information.

What are the security rules?

The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information.

What is the first step toward security rule compliance?

The first step toward Security Rule compliance requires the assignment of security responsibility — a Security Officer. The Security Officer can be an individual or an external organization that leads Security Rule efforts and is responsible for ongoing security management within the organiza- tion.

What is the Hipaa Privacy Rule and Security Rule?

The Privacy and the Security Rules. The HIPAA Privacy Rule establishes standards for protecting patients’ medical records and other PHI. The Privacy Rule, essentially, addresses how PHI can be used and disclosed. As a subset of the Privacy Rule, the Security Rule applies specifically to electronic PHI, or ePHI.

What is a key to success for Hipaa compliance?

Policies and Procedures. Policies and procedures are key to success for HIPAA compliance. They specify how to use and disclose protected health information. So, covered entities must implement policies and procedures that are peculiar to their business process.

What is considered PHI under Hipaa?

Under HIPAA, protected health information is considered to be individually identifiable information relating to the past, present, or future health status of an individual that is created, collected, or transmitted, or maintained by a HIPAA-covered entity in relation to the provision of healthcare, payment for …