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HIPAA Covered Entity
HIPAA Covered Entity

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!!! Overview [1]
[Individuals], [organizations|Organizational Entity], and [agencies|Government Entity] that meet the definition of a [{$pagename}] [MUST] [comply|Compliance] with the Rules' requirements to protect the privacy and security of health information and [MUST] provide individuals with certain rights with respect to their health information.
If a [{$pagename}] engages a business associate to help it carry out its health care activities and functions, the [{$pagename}] [MUST] have a written business associate contract or other arrangement with the business associate that establishes specifically what the business associate has been engaged to do and requires the business associate to comply with the Rules’ requirements to protect the [privacy] and security of [Protected Health Information]. In addition to these contractual obligations, business associates are directly liable for [compliance] with certain provisions of the [HIPAA] Rules.
[{$pagename}] are defined in the [Health Insurance Portability and Accountability Act] [HIPAA Privacy Rule] as:[2]
* [Health Care|HealthCare] plans
* [Health Care|HealthCare] clearinghouses
* [Health Care Providers]
who electronically transmit any health information in connection with transactions for which [United States Department of Health and Human Services] ([HHS]) has adopted [standards]. Generally, these transactions concern billing and payment for services or insurance coverage.
[Compliance] with the Privacy Rule was required as of April 14, 2003 (April 14, 2004, for small health plans).
For [example],
* hospitals
* academic medical centers
* physicians
* other [Health Care Providers] who electronically transmit claims transaction information directly or through an intermediary to a health plan are covered entities. Covered entities can be institutions, organizations, or persons.
!! Researchers
Researchers are [{$pagename}] if they are also [Health Care Providers] who electronically transmit health information in connection with any transaction for which [HHS] has adopted a standard. For example, physicians who conduct clinical studies or administer experimental therapeutics to participants during the course of a study must comply with the Privacy Rule if they meet the [HIPAA] definition of a [{$pagename}].
!! Health Plan
Health Plans are [{$pagename}] With certain exceptions, an individual or group plan that provides or pays the cost of medical care (as defined in section 2791(a)(2) of the PHS Act, 42 [U.S.C.] 300gg-91(a)(2)). The law specifically includes many types of organizations and government programs as health plans.
!! Health Care Clearinghouse
Health Care Clearinghouse are [{$pagename}]. A public or private entity, including a billing service, repricing company, community health management information system or community health information system, and “valueadded” networks and switches that either process or facilitate the processing of health information received from another entity in a nonstandard format or containing nonstandard data content into standard data elements or a standard transaction, or receive a standard transaction from another entity and process or facilitate the processing of health information into a nonstandard format or nonstandard data content for the receiving entity.
!! [Health Care Provider]
[Health Care Provider] are [{$pagename}]. A provider of services (as defined in section 1861(u) of the Act, 42 U.S.C. 1395x(u)), a provider of medical or health services (as defined in section 1861(s) of the Act, 42 U.S.C. 1395x(s)), and any other person or organization who furnishes, bills, or is paid for health care in the normal course of business.
!! [Health Care|HealthCare]
Health Care are [{$pagename}]. Care, services, or supplies related to the health of an individual, including (1) preventive, diagnostic, therapeutic, rehabilitative, maintenance, or palliative care, and counseling, service, assessment, or procedure with respect to the physical or mental condition, or functional status, of an individual that affects the structure or function of the body; and (2) sale or dispensing of a drug, device, equipment, or other item in accordance with a prescription.
!! More Information
There might be more information for this subject on one of the following:
[{ReferringPagesPlugin before='*' after='\n' }]
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* [#1] - [To Whom Does the Privacy Rule Apply and Whom Will It Affect?|https://www.hhs.gov/hipaa/for-professionals/covered-entities/index.html|target='_blank'] - based on information obtained 2017-07-27-
* [#2] - [To Whom Does the Privacy Rule Apply and Whom Will It Affect?|https://privacyruleandresearch.nih.gov/pr_06.asp|target='_blank'] - based on information obtained 2017-07-27-
This page (revision-1) was last changed on 29-Nov-2024 16:16 by UnknownAuthorTop