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HIPAA is the acronym for the Health
Insurance Portability and Accountability Act
of 1996 (HIPAA) is a set of rules to be
followed by health plans, doctors, hospitals
and other health care providers.
HIPAA took effect on April 14, 2003. Key
provisions include:
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Patients must be
able to access their record and correct
errors.
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Patients must be
informed of how their personal
information will be used.
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Patient
information can only be shared if needed
to treat the patient. In particular, it
cannot be used for marketing purposes
without their explicit consent.
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Patients can ask
their health plans and providers to take
reasonable steps to ensure that their
communications with the patient are
confidential. For instance, a patient
can ask to be called on his work number,
instead of home or cell phone number.
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Patients can file
formal privacy-related complaints to the
Office for Civil Rights.
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Health plans or
providers must document their privacy
procedures, but they have a lot of
freedom on what to include in their
privacy procedure.
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Health plans or
providers must designate a privacy
officer and train their employees.
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Health plans and
providers must use standard formats for
electronic data interchange, such as
electronic claims submission EDI.
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