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As a healthcare provider, you're likely no stranger to the complexities of HIPAA regulations. HIPAA authorizations lawyers can help you navigate these intricacies and ensure your law firm is compliant.
To start, it's essential to understand that HIPAA authorizations are required for the use or disclosure of protected health information (PHI). This includes any information that can be linked to a patient, such as their name, address, or Social Security number.
HIPAA authorizations must be written and signed by the patient or their representative, and they must be specific about the information being shared and the purpose of the disclosure. This means that you'll need to have a clear understanding of what constitutes PHI and how it's being used.
Compliance with HIPAA regulations is not optional; it's a requirement for any healthcare provider or law firm handling PHI. Failure to comply can result in significant fines and penalties.
Understanding HIPAA Compliance
HIPAA compliance is a must for law firms handling protected health information (PHI). All American attorneys, especially those in practice areas like personal injury, insurance defense, malpractice, and elder law, should be aware of HIPAA compliance for law firms.
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HIPAA is a complex set of regulations, but understanding your obligations is key to avoiding violations. To start, you need to understand the administrative, physical, and technical requirements for data protection under HIPAA. This includes implementing policies and procedures to prevent and detect HIPAA violations, training on HIPAA compliance for all staff members, controlling access to systems that contain PHI, and ensuring the security of offices, networks, data, and technology.
Here are the three key areas of HIPAA compliance:
- Administrative: Implementing policies and procedures to prevent and detect HIPAA violations.
- Technical: Controlling access to systems that contain PHI.
- Physical: Ensuring the security of offices, networks, data, and technology.
To avoid HIPAA violations, it's essential to implement a HIPAA compliance checklist for law firms. This includes:
- Entering business associate agreements with clients and subcontractors (where appropriate).
- Ensuring compliance with the administrative, physical, and technical requirements for data protection under HIPAA.
- Notifying the Office for Civil Rights (OCR) promptly and cooperating with any questions or investigations in case of a breach.
- Considering law firm practice management software that helps manage HIPAA compliance for law firms.
By following these steps, you can ensure HIPAA compliance and protect your law firm from inadvertent disclosure of PHI. Remember, clients trust their attorneys to keep them compliant with their data protection responsibilities, so it's crucial to take HIPAA compliance seriously.
Documenting Your Compliance
Developing HIPAA compliance documents is a crucial step in ensuring your law firm is in compliance with HIPAA regulations. Our Cybersecurity and Privacy Team can help you develop documents such as notices of privacy practices, business associate agreements, and breach notices.
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You'll also need to produce policy and procedure manuals and related contractual provisions to protect the confidentiality of patient information. This includes creating employee training materials covering HIPAA laws and other privacy and security standards.
To stay compliant, you'll need to regularly review and update your documents to ensure they remain accurate and effective. This may involve revising your notice of privacy practices or updating your business associate agreements.
Here are some examples of HIPAA compliance documents you may need to develop:
- Notices of privacy practices
- Business associate agreements
- Breach notices
- Plan document amendments
- Protective orders
- Authorization forms
The HITECH Act and Breach Notification
The HITECH Act was enacted in 2009 and created the "meaningful use" incentive program, while also directing the promulgation of additional regulations to strengthen the HIPAA Privacy and Security Rules.
These regulations resulted in increased penalties for noncompliance and required periodic audits of health care providers, rather than relying on a complaint-driven process. The Office of Civil Rights (OCR) is now training state attorney generals to bring actions to enforce HIPAA.
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A breach of protected health information is only considered a "breach" if there is a significant risk of financial, reputational, or other harm to the individual. Factors to consider when making this determination include the identity of the entity or individual who impermissibly used the information, the steps taken to mitigate harm, and whether the information was returned before being accessed.
If a covered entity determines that a breach occurred, each affected individual must be contacted personally without unreasonable delay, but no later than 60 days after discovering the incident. The notice must be written in plain language and include specific information as directed by the regulations.
If there are less than 10 affected individuals for whom there is insufficient or out-of-date contact information, substitute notice can be made to these individuals by telephone notice or by any other means. If there are more than 10 affected individuals, the practice must either post notice of the breach on its website homepage or publish notice in a major media outlet for the geographical area.
The Hitech Act
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The HITECH Act was enacted as part of the American Recovery and Reinvestment Act of 2009 on February 17, 2009. This act created the "meaningful use" incentive program and strengthened the HIPAA Privacy and Security Rules.
The HITECH Act increased penalties for noncompliance with HIPAA and required periodic audits of health care providers. This marked a shift from the original complaint-driven process used to enforce HIPAA.
Business associates are now held to the same standards as covered entities regarding HIPAA Privacy and Security Compliance. This means they will be assessed the same penalties for noncompliance.
Covered entities must now comply with an individual's request that information not be disclosed to a health plan, if the disclosure is not for the purpose of treatment and the services at issue have already been paid in full out of pocket.
Breach Notification Rule
The Breach Notification Rule is a crucial aspect of the HITECH Act, requiring covered entities to report breaches of the HIPAA Privacy and Security Rules to individuals, the government, and the media on some occasions.
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A breach is only considered a breach if there's a significant risk of financial, reputational, or other harm to the individual. This determination is made by considering factors such as the identity of the entity that impermissibly used the information, the steps taken to mitigate harm, and whether the information was returned before being accessed.
Covered entities must contact each affected individual personally without unreasonable delay, but no later than 60 days after discovering the incident. The notice must be written in plain language and include specific information as directed by the regulations.
If contact information for an affected individual is insufficient or out-of-date, a covered entity must make substitute notice. Here's how:
- If there are less than 10 affected individuals, substitute notice can be made by telephone or any other means.
- If there are more than 10 affected individuals, the practice must either post notice on its website homepage or publish notice in a major media outlet for the geographical area.
In cases where a breach involves more than 500 individuals, the covered entity must publish notice in a prominent media outlet no less than 60 days after the discovery of the incident. This notice must include all the information contained in an individual notice.
Frequently Asked Questions
Does power of attorney override HIPAA?
No, a Power of Attorney (PoA) does not override HIPAA, but it can grant an individual the legal authority to access and make healthcare decisions on behalf of the patient. A properly executed PoA can work in conjunction with HIPAA to ensure the patient's healthcare needs are met.
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