What Does HIPAA Do?

Posted on by Herrick Lipton | New York City in Uncategorized

HIPAA, the Health Insurance Portability and Accountability Act, is a federal law enacted in 1996 in the United States. HIPAA was designed to establish national standards for protecting certain health information, ensuring personal health data’s privacy and security, and promoting health insurance coverage’s portability. 

Here are critical aspects of what HIPAA does:

Privacy Rule: 

Medical records and other personally identifiable information kept by covered entities about persons is protected nationally under the HIPAA Privacy Rule. Healthcare providers, health plans, and clearinghouses are examples of covered entities. The Privacy Rule requires covered companies to put protections in place to preserve the privacy of health information and offers individuals specific rights about their health information.

Security Rule: 

The HIPAA Security Rule establishes standards for safeguarding electronic protected health information (ePHI). Covered entities must conduct risk assessments, develop security policies and procedures, and provide workforce training to ensure the security of ePHI.

Enforcement: 

HIPAA establishes enforcement mechanisms to ensure compliance with its provisions. The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is responsible for upholding HIPAA’s privacy, security, and breach notification requirements. To determine compliance, the OCR audits and investigates complaints. 

Portability of Health Insurance Coverage: 

HIPAA includes provisions that promote the portability of health insurance coverage. It ensures that individuals who change or lose their jobs, including those with pre-existing medical conditions, can access continued health coverage through group health plans or individual policies. HIPAA also prohibits health insurance companies from excluding coverage for pre-existing conditions in certain situations.

Administrative Simplification: 

HIPAA’s Administrative Simplification provisions aim to streamline and standardize healthcare administrative processes. This includes standardized electronic transactions for claims and payment processing, uniform code sets for medical procedures and diagnoses (e.g., ICD-10), and unique identifiers for healthcare providers, health plans, and employers.

By establishing national standards and guidelines, HIPAA aims to enhance the trust between individuals and healthcare entities, promote the confidentiality of health information, and ensure that sensitive data is handled responsibly.

Healthcare professionals, organizations, and individuals need to understand and comply with HIPAA regulations to protect the privacy and security of health information. Covered entities must implement appropriate safeguards, train their workforce on HIPAA requirements, and maintain compliance with the law’s provisions to avoid penalties and uphold patient trust. Additionally, individuals should know their rights and understand how their health information is protected under HIPAA.

from Herrick Lipton | NYC Behavioral Health Professional http://herricklipton.com/what-does-hipaa-do/
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Published by Herrick Lipton | New York City

Herrick Lipton, the CEO of New Horizon Counseling Center, believes that behavioral health is the focal point of healthcare. Ensuring emotional and mental stability is not only vitally important in its own merit, but it also keeps people from neglecting or abusing their physical health. Providing tools for behavioral health means providing the foundation for a long, healthy life. Ever since Herrick Lipton got involved in NHCC as a teenager, he has focused on not only removing the stigmas surrounding behavioral healthcare, but improving options and ease of access for thousands of clients every year. Herrick was the administrative and financial director of NHCC for many years and has always made it his mission to listen to the needs of his local community. For example, in August of 2014, Herrick worked with local government officials to strategically approach the opening of Howard Beach Outpatient Clinic: what would improve its outreach and overall status as a local resource? The answer was all in the location. Moving out of a nondescript building into an accessible storefront model helped remove the clinic’s stigma and make its purpose more clear to people who might need it. Herrick Lipton works within numerous aspects of behavioral health through his role at NHCC, including developmental disabilities, Alzheimer’s and elder care, alcohol and substance abuse, and mental illnesses in children, adolescents, and adults. One of his first realizations after becoming CEO of NHCC was the need for diversification; every behavioral health issue has its own unique set of needs, so every issue should have its own targeted program. That’s why Herrick works on not only revamping existing programs, but creating new ones that more directly help patients. As we move toward integrated healthcare delivery systems across the board, Herrick is working to make behavioral healthcare a key component. From better outreach (NHCC has grown from 800 to 6,000 clients under Herrick’s watch) to simply encouraging people to take the first step, Herrick Lipton is constantly trying to share education and awareness about the importance of behavioral healthcare. Herrick has managed to make NHCC thrive in a time where many behavioral health organizations unfortunately fold under mismanagement or lack of funding. His executive direction has resulted in license renewals, massive grants, and governmental citations, all of which point to a bright future not just for NHCC, but for thousands of patients in the New York area.

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