Kentucky Health Information Privacy Complaint Form for filing with HIPAA Privacy Office
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How to fill out Health Information Privacy Complaint Form For Filing With HIPAA Privacy Office?
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If a complaint describes an action that could be a violation of the criminal provision of HIPAA (42 U.S.C. 1320d-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.
If you suspect a violation of your HIPAA privacy rights, you can report it anonymously. You may do so by calling 1-866-633-6472, or filling out this complaint form.
Make Your Office HIPAA-Compliant Use Discretion when Verifying Insurance Information. ... Turn Over Sensitive Documents and Turn Computer Screen Away. ... Keep Personal Information Off Sign-In Sheet. ... Always Debrief Parents of Minors?Even When Parents Not in Exam Room. ... Conduct Parent or Caretaker Debrief in Private.
To submit an electronic complaint, go to OCR's Web site at: .hhs.gov/ocr/privacy/hipaa/complaints/index.html. To submit a complaint using alternative methods, see reverse page (page 2 of the complaint form). When do you believe that the violation of health information privacy rights occurred?
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.
The Office of Civil Rights (OCR) is a federal agency that investigates complaints of discrimination on the basis of race, color, national origin, sex, disability and age in public schools.
If you believe that a covered entity discriminated against you or violated your (or someone else's) civil rights, conscience rights, or religious freedom rights, you may file a complaint with OCR. You may file a complaint for yourself, your organization, or for someone else.
You may submit your complaint to the CDPH Privacy Office or to the U.S. Department of Health and Human Services (DHHS) (for complaints of violation of HIPAA only), or to both agencies at the addresses provided below.
