Arizona Health Information Privacy Complaint for filing with Dept. of Health and Human Services Office of Civil Rights

State:
Multi-State
Control #:
US-AHI-017
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is used by an employee that feels that their health care privacy rights were violated.
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  • Preview Health Information Privacy Complaint for filing with Dept. of Health and Human Services Office of Civil Rights
  • Preview Health Information Privacy Complaint for filing with Dept. of Health and Human Services Office of Civil Rights
  • Preview Health Information Privacy Complaint for filing with Dept. of Health and Human Services Office of Civil Rights

How to fill out Health Information Privacy Complaint For Filing With Dept. Of Health And Human Services Office Of Civil Rights?

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FAQ

6), OCR may refer the complaint to the Department of Justice for investigation. OCR reviews the information, or evidence, that it gathers in each case. In some cases, it may determine that the covered entity did not violate the requirements of the Privacy or Security Rule.

Failure to comply with HIPAA can also result in civil and criminal penalties. If a complaint describes an action that could be a violation of the criminal provision of HIPAA, OCR may refer the complaint to the Department of Justice (DOJ) for investigation.

Filing a Complaint If you believe that a HIPAA-covered entity or its business associate violated your (or someone else's) health information privacy rights or committed another violation of the Privacy, Security, or Breach Notification Rules, you may file a complaint with the Office for Civil Rights (OCR).

The investigation may take months, particularly if there were outside actors involved. The sooner HIPAA violations are reported, however, the sooner they can be resolved.

A person who knowingly obtains or discloses individually identifiable health information in violation of the Privacy Rule may face a criminal penalty of up to $50,000 and up to one-year imprisonment.

If the review identifies a potential HIPAA violation, it will be investigated further. An investigation can result in several outcomes. If no violation is identified, you should receive a communication explaining why. If a minor violation is identified, the organization will likely take steps to rectify it.

Your complaint must: Be filed in writing by mail, fax, e-mail, or via the OCR Complaint Portal. Name the covered entity or business associate involved, and describe the acts or omissions, you believed violated the requirements of the Privacy, Security, or Breach Notification Rules.

Your complaint must: Be filed in writing by mail, fax, e-mail, or via the OCR Complaint Portal. Name the covered entity or business associate involved, and describe the acts or omissions, you believed violated the requirements of the Privacy, Security, or Breach Notification Rules.

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Arizona Health Information Privacy Complaint for filing with Dept. of Health and Human Services Office of Civil Rights