HIPAA

Introduction

The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, was enacted by Congress to address healthcare reform, administrative simplification and patient healthcare information privacy and security issues.

Simplified, it was established to:

  • Allow portability of pre-existing condition exemption between employer health insurance group plans.
  • Standardize electronic transactions in health care to reduce costs through adjustments in record formats, code sets, identifiers, eligibility, referral, claims, remittance, etc.

The general requirements encompass five specific areas:

  • Electronic Data Interchange (EDI) - electronic transfer of information among organizations (New date of compliance 10/16/2003)
  • Code Sets - uniform codes for illnesses and treatments (no definite date of compliance)
  • Identifiers - standardized numbers identifying health providers, plans, and employers (no definite date of compliance)
  • Security - standards for protecting confidentiality, integrity, and availability of data (no definite date of compliance)
  • Privacy - standards defining appropriate and inappropriate disclosures of individually identifiable health information and how patient rights are to be protected (final date of compliance 4/14/2003) 

Employee & Student Training

https://bb-mercer.blackboard.com

HIPAA Link

http://www.hhs.gov/ocr/hipaa

Right To Make A Complaint

Any individual who believes their rights granted by HIPAA privacy regulations or any other state or federal laws dealing with privacy and confidentiality, have been violated may file a written complaint regarding the alleged privacy violation.

ALL complaints should be brought to the attention of the University HIPAA Privacy Officer:

Jim Calhoun
Office of Audit and Compliance
1400 Coleman Avenue
Macon, GA  31207-0001
478-301-2300 - Office
478-301-5520 - Fax

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