Minnesota 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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FAQ
HIPAA Resources Website: HIPAA and Administrative Simplification. A free video: Call (866) 282-0659 or email: askhipaa@cms.hhs.gov. HIPAA Hotline: (866) 627-7748. Email questions to: askhipaa@cms.hhs.gov.
HIPAA privacy violations can be reported to the HHS Office for Civil Rights by sending an email to the OCR complaint portal at OCRCompliance@hhs.gov.
IMPORTANT NOTE: A HIPAA complaint to the DHHS must be filed with DHHS within 180 days of when you knew or should have known that the act or omission complained of occurred, unless this time limit is waived by the Regional Manager at the DHHS for good cause shown.
Your complaint must: Be filed in writing: sent by mail, fax or e-mail. Name the person that is the subject of the complaint and describe the act or acts believed to be in violation of the Patient Safety Act requirement to keep PSWP confidential.
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?
Finally, if your health privacy complaint involves an individual health care practitioner, or if you are otherwise unsure which state agency or board to contact about your concerns, you can contact the Attorney General's Office at (651) 296-3353 (Twin Cities Calling Area) or (800) 657-3787 (Outside the Twin Cities) and ...
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.
