HIPAA 101 For Long Term Care Facilities – Resident Rights and Privacy Rule

HIPAA stands for:

Health Insurance

HIPAA is a regulation enacted by the U.S. Congress to guard resident’s privateness. This regulation places strict limits on who’s allowed to see a resident’s well being data and who cannot. HIPAA is a “RESIDENT’S RIGHTS” regulation. HIPAA units nationwide requirements that every one our lengthy-time period care services, hospitals, clinics, physician’s workplaces and insurance coverage to comply with.


The Privacy Rule is all about who will get entry to a resident’s well being data and who would not. The Privacy Rule means each resident has sure rights comparable to:

– The proper to entry, examine, copy, and request modifications to your medical information;
– The proper to say who sees your medical information and who would not
– The proper to request a listing of precisely who has seen your medical information;
– The proper to confidential communication about your well being;
– The proper to understand how your well being data will probably be used and disclosed;
– The proper to complain, both to us or to the Department of Health and Human Services about the way in which through which your well being data has been used or disclosed.

Protected Health Information

P.H.I. is any details about a resident’s situation, remedy and cost. P.H.I. contains: Medical Records – printed and on laptop, Arm Bracelets, Pharmacy Orders, Conversations a couple of resident’s well being, Dietary Cards, IV Bags and Meds, Payment and Insurance Records. Under HIPAA, you’ll be able to share P.H.I. for 3 functions:

1. Treatment
2. Payment
three. Operations

HIPAA fines and penalties are critical… together with jail phrases and large fines. Non-Compliance with necessities – $100 per violation to a most of $25,000 per requirement per 12 months. At the second, there are 80+ necessities (and counting).

HIPAA is regulation throughout the nation. All well being staff should implement these new laws by April 14th of 2003. As part of any facility’s employees, a part of your job is to ensure resident data stays confidential and safe.

Source by Patrick S. Fellers

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