Demystifying the HIPAA Omnibus Rule: Strengthening Healthcare Data Protections

hipaa-audits-imageFile-3-a-7296

In the ever-evolving landscape of healthcare information security, the Health Insurance Portability and Accountability Act (HIPAA) Omnibus Rule stands out as a pivotal regulation that enhances privacy and security standards. This comprehensive rule, often referred to simply as the Omnibus Rule, signifies a significant stride in fortifying the protection of patient health information. In this blog post, we’ll delve into the key aspects of the Omnibus Rule HIPAA, its implications, and the heightened safeguards it introduces to ensure the confidentiality and integrity of healthcare data.

Understanding the HIPAA Omnibus Rule

The HIPAA Omnibus Rule, officially titled the “Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules,” was enacted to strengthen the privacy and security protections established under HIPAA.

Key Components of the Omnibus Rule HIPAA:

1. Enhanced Patient Rights:

   The Omnibus Rule HIPAA grants patients greater control over their health information. Individuals can request copies of their electronic health records, and restrictions are imposed on the sale of health information without explicit consent.

2. Business Associate Accountability:

   Business associates, entities that handle protected health information on behalf of covered entities, are now directly accountable for complying with certain HIPAA provisions. This expands the scope of responsibility for safeguarding patient information beyond covered entities.

3. Breach Notification Requirements:

   The Omnibus Rule HIPAA introduces a more stringent breach notification process. Covered entities and business associates are obligated to promptly notify affected individuals, the Department of Health and Human Services (HHS), and, in some cases, the media, in the event of a breach compromising the security or privacy of protected health information.

4. Enforcement and Penalties:

   The Omnibus Rule HIPAA enhances the enforcement of privacy and security rules. Non-compliance with the regulations can result in more severe penalties, reflecting the increased emphasis on the importance of safeguarding patient data.

5. Genetic Information Protection:

   Recognizing the growing relevance of genetic information, the Omnibus Rule HIPAA extends its protections to genetic information. This inclusion ensures that the privacy and security of genetic data are accorded the same level of consideration as other forms of protected health information.

Final Omnibus Rule HIPAA Impact

The finalization of the Omnibus Rule in 2013 marked a turning point in healthcare data protection. The enhanced provisions addressed emerging challenges in the digital age, where electronic health records and advanced technologies necessitated a more robust framework for safeguarding sensitive information.

Navigating Compliance with the Omnibus Rule HIPAA

For healthcare entities, compliance with the Omnibus Rule is paramount. This involves a thorough understanding of the expanded requirements, ensuring that policies and practices align with the enhanced standards for protecting patient information. Covered entities and their business associates must stay vigilant to changes in the regulatory landscape, prioritizing ongoing training and updates to maintain compliance.

Conclusion

The HIPAA Omnibus Rule represents a milestone in the ongoing efforts to fortify the privacy and security of patient health information. Its comprehensive provisions, addressing issues ranging from patient rights to genetic information protection, reflect the evolving nature of healthcare data management. As technology continues to advance, the Omnibus Rule HIPAA stands as a critical framework, fostering a healthcare environment where patient confidentiality is upheld, and data breaches are diligently addressed. In embracing the principles outlined in the Omnibus Rule, the healthcare industry demonstrates its commitment to maintaining the trust and well-being of patients in an increasingly digital and interconnected world.

Florida Abortion Law

setting up your office to work remotely during a crisis

Florida is one of two states that block abortions after 15 weeks’ gestation. While 15 weeks, or a little beyond the first trimester, may seem like plenty of time to make the decision and undergo the procedure, the law does not provide exceptions for pregnancies that came about due to rape, incest, or sex trafficking.

Only about 2 percent of abortions in the state of Florida occurred after the 15-week mark in 2019, according to the Centers for Disease Control and Prevention and AP News. The populations most likely to be impacted negatively by the law are those who need time to put together the money to pay for an abortion, those who are so young or unhealthy that they do not realize they are pregnant until after the 15-week mark, and those who are in domestic violence situations and may need time to set up the appointment and cover the cost.

How Will the New Abortion Law Affect Physicians in Florida?

The situation is a difficult one for doctors as well as for the women who may be in need of an abortion in Florida. Physicians who break the law and provide an abortion outside of the terms and conditions face a fine of $10,000 for each violation and the possibility of losing their medical license.

Keeping Up With the Laws

It is a good idea to stay abreast of updates as the laws regarding abortion continue to change in Florida. A contingent of the population and some officials holding office are working hard to change the laws, calling them a violation of the state constitution.

If the current iteration of the law contrasts with your current policy, changing that policy will help you to stay within the bounds of the law. Updating all standards and convening a meeting of the entire staff will help to ensure that patients are getting the same information from all employees at every level.

How Do I Respond to Litigation or Notices From the State Regarding the Florida Abortion Law?

If you have received a notice from the state or have been served legal paperwork due to an alleged violation of the abortion law in Florida, it is important to connect with legal help as soon as possible.

At the Florida Healthcare Law Firm, we focus solely on serving the medical community in South Florida. We can help you keep up with the changes in abortion law as well as changes in all laws that impact your clinic, office, employees, and patients. Additionally, we can help you to overhaul your business plan to support the legal changes. Should you face charges along the way, we can help you to address the situation proactively.

Contact Florida Healthcare Law Firm to set up a free consultation.

What Is a BAA Agreement?

direct primary care agreements

A BAA agreement is designed to protect the private identifying medical information that belongs to patients but may need to leave the office or clinic in which it was created. This agreement is drawn up between a medical provider’s business and/or hospital and other individuals or businesses who are not directly employed by that provider or hospital but may have cause to come into contact with these documents through the course of their work.

The goal is always to protect the patient, but these agreements can also serve to protect the healthcare providers who contract with outside businesses should there be an issue with medical privacy.

What Is a BAA Agreement?

A BAA agreement is not a simple document whereby the business associate in question agrees to be careful with all patient data. Rather, it is a lengthy and specific document that outlines exactly what it means to protect patient privacy, how the business associate is and is not to handle patient medical records, and what the penalties will be should they violate the agreement.

The following is included in a BAA agreement:

  • What PHI will be accessed by the business associate
  • The requirements for protecting each variety of PHI expected of the business associate
  • The explicit expectation that the business associate will not share any protected health information outside of the confines of the agreement
  • The outline of training required of the business associate and the log of completion of that training
  • The details of what penalties will occur if a data breach is identified
  • How the BAA agreement should be terminated, if appropriate
  • A detailed process for destroying or returning PHI, if appropriate to the process

Why Is a BAA Agreement Necessary?

Many healthcare businesses work with the assistance of outside businesses in order to efficiently run the backend of the business and provide care to patients. For example, a clinic may require an outside company to transport test specimens to or from a lab, to manage x-rays and scan and store them after they are taken, or to otherwise attend to some of the details of healthcare management.

Should that organization or one of its employees put the healthcare data they use at risk, the healthcare organization who employed them will be liable for any harm caused if there is not a BAA agreement in place that clearly outlines the expectations and responsibilities of the business associate.

How to Create a BAA Agreement

If you or your organization works with outside organizations or businesses, it is a good idea to create a BAA agreement that is specific to the business. Make sure you are covered and get the support of Florida Healthcare Law Firm in this process to make sure that the agreement is ironclad.

What Is the HIPAA Privacy Rule?

hipaa security

The HIPAA Privacy Rule was first proposed in 1999. Over the decades, it has seen a number of modifications as the interests of patients have evolved over time.

With the COVID-19 pandemic, HIPAA has faced new challenges due to the sometimes conflicting need to protect public health while also protecting the privacy of individual patients.

Often, healthcare providers are caught between maintaining legal standards and providing patients with the best care possible. Sometimes, their choices impact the greater good as well when the public may be at risk of exposure to a viral illness like COVID.

In these times, it is often valuable to go back to the primary source and reconnect with the wording and intent of laws like the HIPAA Privacy Rule rather than make potentially life-altering choices based on hearsay or social convention.

What Is the HIPAA Privacy Rule?

The HIPAA Privacy Rule protects the confidentiality of all medical records and health information that is individually identifiable. Essentially, the rule limits the use of these records without the consent of the patient, but it also requires the provision of access to all healthcare and medical records for the patient along with the ability of that patient to transmit those documents to a third party and to request corrections if appropriate.

Does COVID Impact the HIPAA Privacy Rule?

COVID does not necessarily change the protections provided by HIPAA because there are already provisions within HIPAA that allow for the sharing of medical information, including identification information, under certain circumstances.

Under HIPAA, the name and other identifying information of a patient who is diagnosed with COVID may be shared by the provider with law enforcement, first responders, and/or public health agencies without patient consent when the following is true:

  • It is necessary to provide treatment.
  • Notification is required by law.
  • Notification is required to prevent or control the spread of the illness.
  • First responders or other medical professionals may be at risk of exposure to the illness.
  • The individual is in custody of law enforcement or a correctional institution.

Essentially, if the care and treatment of the patient, protection of medical providers who are providing treatment to that patient, or the well-being of public health is at risk due to a patient’s diagnosis with any infection or disease, including COVID, sharing of personal information may legally be done by medical providers.

How Can Medical Providers Ensure HIPAA Compliance & Protection From Related Litigation?

Unfortunately, many patients do not understand the nature of HIPAA and/or its intent and bring lawsuits against medical providers who they feel have violated their rights by sharing their COVID diagnosis. If you are facing such litigation and would like help, Florida Healthcare Law Firm can assist you. Call now for a consultation.

Does HIPAA Apply to Minors?

hipaa-audits-imageFile-3-a-7296

The Health Insurance Portability and Accountability Act, commonly known as HIPAA, is a federal law that was enacted in 1996 to protect the privacy of patients pertaining to their medical records.

No one can go into a doctor’s office or medical facility of any kind and request to see the medical files of a patient. In fact, healthcare professionals cannot even confirm whether or not a person is getting treatment of any kind at their facility.

But does this law apply to minors who are under the care and guardianship of their parents or law-appointed caregivers? The answer is not straightforward.

Do HIPAA Laws Apply to Minors?

Yes and no. Extended family, teachers, friends, neighbors, or strangers cannot go into a healthcare facility and access the medical records of a child. Additionally, those records cannot be shared between medical offices.

For example, if a pediatrician refers a child to a specialist, that specialist does not automatically have the right to access the child’s medical records without the express consent of the child’s parent or guardian.

However, when it comes to stopping parents or guardians from viewing the medical records of their children, that is where HIPAA does not protect privacy, except in a few select cases.

What Are the HIPAA Laws Regarding Minors?

When it comes to minors, biological parents who have not lost their parental rights in a court of law can legally access their child’s medical records, with or without their child’s consent, except when:

  • The minor requests or consents to a treatment that does not require the consent of a parent.
  • The minor is getting healthcare in order to fulfill a court order.
  • The parent agrees that the medical records can remain private and that the relationship between the child and healthcare provider may be confidential.

Even in these cases, depending on the specifics of the situation and Florida state law on that particular issue, if a parent contests the issue and wants to see their child’s medical files, it is rare that a Florida court of law will allow them to be blocked from access.

Are There HIPAA Laws Specific to Pregnant Minors?

In many cases, HIPAA protects the right of pregnant minors and minors who are parents from the requirement to get parental consent for certain medical care such as contraceptives, treatment for sexually transmitted diseases, and abortion. However, their medical records containing information about these services may not necessarily be protected from parental access.

HIPAA Laws & Minors: Florida Healthcare Law Firm Can Help

If your practice is seeking support in ensuring you are compliant under HIPAA when it comes to the medical records and medical care of a minor, Florida Healthcare Law Firm can help. Call now to set up a consultation.

HIPAA Law Violation

HIPAA PHI

HIPAA laws are designed to protect a patient’s sensitive information, and the protection of that information can also protect the healthcare providers who curate it.

There are a number of legal structures in place to enforce HIPAA, making sure that all loopholes are closed. This means that patients have a lot of rights in regard to protection of their medical information, but it also means that even an unintentional slipup can land a healthcare employee and/or the organization they work for in hot water.

Here’s what you need to know.

What Is HIPAA Law?

Officially known as the Health Insurance Portability and Accountability Act of 1996, HIPAA law requires all healthcare facilities and any organization that manages healthcare data to have systems in place to protect that information from being released without the explicit consent of the patient.

HIPAA is a federal law, and the US Department of Health and Human Services (HSS) issued a HIPAA Privacy Rule that additionally requires that organizations implement HIPAA. Additionally, there is a HIPAA Security Rule that further protects health information.

What Is a HIPAA Law Violation?

HIPAA law is violated whenever healthcare information is released to any person, organization, or the public without consent of the individual whose information it is.

Some HIPAA law violation examples include:

  • A release of information to another doctor or healthcare provider without the explicit consent of the patient.
  • The release of information to a parent regarding any child over the age of 18.
  • The discussion of any medical information over the phone or in person.
  • The discussion of medical options with family members who are not immediately related to a patient even if there is an established long-term relationship and the person is unable to care for themselves.

Even an acknowledgement that someone is receiving services at a healthcare facility or by a specific provider is a violation of HIPAA.

For example, if someone were to call a treatment center and ask to speak to a specific patient, many organizations will refuse to even acknowledge whether or not that person is in residence or ever has been.

To provide any information regarding someone’s medical status, treatment status, diagnosis, or other issue can lead to serious legal trouble.

Can You Sue for a HIPAA Law Violation?

Yes. If you feel that your medical information was released without your consent to any party, you can sue. If you can demonstrate that there was damage to your ability to earn money, emotional damage, or any negative impact of that release of information, it is more likely that the case will be resolved in your favor.

How Do You Report a HIPAA Law Violation?

Florida Healthcare Law Firm is here to help you manage any difficulties you may be experiencing due to HIPAA law. Contact us today for more information.

What Are 3 Major Things Addressed in the HIPAA Law?

PHI Breach

HIPAA law protects patients and their personal health information to keep doctor-patient confidentiality safe. It also serves to ensure that healthcare clinics and businesses do not share sensitive information without a patient’s consent.

What Is HIPAA Law?

HIPAA law is based on the Health Insurance Portability and Accountability Act (HIPAA) of 1996, a federal law that required the construction of nationally standardized regulations in regard to the handling and protection of sensitive patient health data.

In response, the U.S. Department of Health and Human Services (HHS) created the HIPAA Privacy Rule and the HIPAA Security Rule, which protects some of the private information identified in the HIPAA Privacy Rule.

What Are 3 Major Things Addressed in the HIPAA Law?

Though HIPAA regulations are complex and detailed, these are the three main areas that are addressed:

  • Administrative standards: This portion of the requirements identifies people who will oversee HIPAA standards, create backups and implement emergency plans, address breaches when they occur, and handle the annual assessment of data care.
  • Physical security: This aspect of HIPAA is directed at the computers and security for offices and databases that contain the sensitive information that requires protection.
  • Technical security: HIPAA also requires encryption of sensitive data in order to protect healthcare networks from hackers. It also requires that employees at healthcare businesses update passwords and make them as unique as possible frequently.

What Does HIPAA Law Mean for Employers and Healthcare Businesses?

Healthcare businesses are most frequently found to be violating HIPAA laws when there is a data breach followed by an investigation, an investigation into complaints by employees or patients, or a HIPAA compliance audit is conducted.

If your business is facing a compliance audit or investigation due to HIPAA, reach out to Florida Healthcare Law Firm today. We can help you navigate the problem, update your processes, and get compliant.

Which Health Care Law Can Lead to Criminal Liability?

Florida-logo single image

Health care laws are designed to protect patients, and health care businesses are tasked with keeping up with new laws and their nuances in order to remain compliant.

Ignorance is never a defense, but it is not easy to keep up with liability law in Florida, especially in the healthcare industry.

For this reason, many healthcare-related businesses reach out to Florida Healthcare Law Firm for support.

Healthcare Law and Criminal Liability for Patient Care

There are a number of reasons why a healthcare business might be in danger of criminal liability, and medical malpractice is one of the big ones. This can include charges for:

  • Negligent medical care that caused harm or death to a patient.
  • Giving medical services or medication to a patient without gaining their consent first.
  • Practicing medicine without a license or otherwise providing services beyond the certification scope.
  • Breaking HIPAA laws by violating patient confidentiality.
  • Having a romantic or sexual relationship with a patient.
  • Prescribing too much of an addictive medication or prescribing abusable medication without medical necessity.
  • Providing medical services that are illegal at the state or federal level.
  • Assisting any patient in ending their life.

Criminal Liability Is Possible for Health Care Fraud

Medicare fraud is one of the most common types of fraud and a primary reason for criminal liability complaints across the healthcare industry. In fact, any kind of billing fraud is grounds for a criminal offense.

Billing fraud can mean:

  • Accepting payment or favors for using certain medical products or prescriptions.
  • Billing for medical care that was not provided.
  • Double billing for medical care claims.
  • Billing for services that were not medically necessary.
  • Billing using a medical code that is more expensive than the actual amount of services provided.

Health Care Law Can Lead to Liability

The law is set up to protect patients, as it should. But, without knowledge of what current law requires, many healthcare businesses are at risk of criminal liability.

One of the best ways to protect against surprise lawsuits is to hire a healthcare law firm to assist your business in:

  • Assessing current software, forms, and records to ensure that there are no concerns in day-to-day practices.
  • Updating protocol if there are any issues that require attention.
  • Keeping up with changes to existing law and recommending adjustments to procedures as needed.
  • Staying current on new laws as they are introduced, voted on, passed, and put into effect, and creating plans to stay in compliance.

If you have a healthcare business in Florida, whether or not you work directly with patients, it is imperative to ensure that you remain in compliance with Florida law. Contact us at Florida Healthcare Law Firm today to find out how we can assist you in this process.

Just The Fax, Ma’am…

hipaa compliant healthcare communications

hipaa compliant healthcare communicationsGuest Blog Post By: Phil Liberty, Universal The Communications Company

The healthcare industry is doing its level best to keep fax machine manufacturers in business. Because fax machines are considered to be HIPAA compliant, it’s easy to keep them humming along. Paying for expensive toner, electricity and the telephone line attached to the wall behind the machine is just the way we’ve always done it. But that telephone line should give you enough reason to consider your options.

AT&T built and owns the copper telephone network that provides the analog signal required for T1 lines, traditional telephones, fax machines, credit card machines, postage meters, alarms and elevators. That service is known as POTS – Plain Old Telephone Service. Maintaining that antiquated network is costly and inefficient for AT&T so they will retire POTS in the near future. All services will eventually run over fiber optic cables and your equipment may have to change to keep up. You may have received a letter telling you about this transition but probably ignored it or did not even open it thinking it was a solicitation. So, how does AT&T get your attention if you won’t read their letter? Check your phone bill!

Continue reading