District of Columbia HIPAA Certification Requirements

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US-AHI-015
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This AHI form is a list of HIPAA certification requirements for group health plan coverage.
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FAQ

HIPAA regulation states that ePHI includes any of 18 distinct demographics that can be used to identify a patient. Common examples of ePHI include: Name. Address (including subdivisions smaller than state such as street address, city, county, or zip code)

The HIPAA Security Rule Standards and Implementation Specifications has four major sections, created to identify relevant security safeguards that help achieve compliance: 1) Physical; 2) Administrative; 3) Technical, and 4) Policies, Procedures, and Documentation Requirements.

A mandate requiring electronic medical records for all practitioners is a part of PPACA and is set to take effect in 2014. Some mandates included in the Health Insurance Portability and Accountability Act (HIPAA) have been included in and strengthened under the PPACA.

The HIPAA Security Rule requires physicians to protect patients' electronically stored, protected health information (known as ePHI) by using appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity and security of this information.

General RulesEnsure the confidentiality, integrity, and availability of all e-PHI they create, receive, maintain or transmit; Identify and protect against reasonably anticipated threats to the security or integrity of the information; Protect against reasonably anticipated, impermissible uses or disclosures; and.

Electronic protected health information (ePHI) is protected health information (PHI) that is produced, saved, transferred or received in an electronic form. In the United States, ePHI management is covered under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule.

If an entity does not meet the definition of a covered entity or business associate, it does not have to comply with the HIPAA Rules....This includes providers such as:Doctors.Clinics.Psychologists.Dentists.Chiropractors.Nursing Homes.Pharmacies.

HIPAA compliance requirements include the following:Privacy: patients' rights to PHI.Security: physical, technical and administrative security measures.Enforcement: investigations into a breach.Breach Notification: required steps if a breach occurs.Omnibus: compliant business associates.

The HIPAA rules and regulations consists of three major components, the HIPAA Privacy rules, Security rules, and Breach Notification rules.

Broadly speaking, the HIPAA Security Rule requires implementation of three types of safeguards: 1) administrative, 2) physical, and 3) technical. In addition, it imposes other organizational requirements and a need to document processes analogous to the HIPAA Privacy Rule.

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District of Columbia HIPAA Certification Requirements