6.HIPAA.pptx
- 1. HIPAA-Health Insurance Portability and Accountability Act Mr.B.Brahmaiah Assistant Professor Department of Pharmaceutical Regulatory Affairs & Pharmaceutics Shri Vishnu College of Pharmacy, Bhimavaram
- 3. Objective • An Act to improve the Internal portability and continuity of health insurance coverage in the group and individual markets, to prevent waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes. • HIPPA initiative was taken to regain the public trust in health care so Health care institutions and providers have worked to make sharing of medical information easier to help facilitate care and payment.
- 4. Areas under HIPAA 1. Insurance portability or the ability to move to another employer and be certain that your insurance will not be denied 2. Fraud enforcement and accountability 3. Administrative simplification
- 5. Portability Portability ensures that as people move from one health plan to another they will have continuity of coverage and will not be denied coverage under pre-existing clauses. Accountability In accordance with HIPAA, accountability means an increase in the government’s fraud enforcement authority.
- 10. Protected Health Information (PHI) • Protected Health Information (PHI) is a new term that will be used with increasing frequency in facilities where you work. PHI includes information by which the identity of a client can be determined with reasonable accuracy and speed either directly or by reference to other publicly available information. The patient now has the right to direct when, why, and to whom PHI may be released. For instance, in the past, aggregated patient information may have been collected for research, quality improvement, or other purposes. Even though the patient’s name would be omitted, the patient may still be identifiable through specific data including date of procedure, type of procedure, gender, or any number of other details. The new bill allows patients much more control over PHI.
- 11. • PHI includes items in the record, such as: • Encounter/visit documentation • Lab results • Appointment dates/times • Invoices • Radiology films and reports • Histories and physicals, etc.
- 15. HIPAA and INDIA • There is no act like HIPAA has been enacted in India due to lack of intervention of IT and ITES in Indian health care industry. • There is forum running in India to bring act like HIPAA in India • The common people are not quite concerned with HIPAA in India but there are lot of benefits which can be revealed by implementing HIPAA to the booming Indian IT Industry and Health care services. • Right now some clients hesitate to contract with Indian service providers companies so this setback can be removed
- 16. THANKYOU