In this video, I explain health insurance portability and accountability HIPPA as it is covered on the information systems and Controls CPA exam section.
CPA candidate or student?
https://farhatlectures.com/
Start your free trial
The Health Insurance Portability and Accountability Act (HIPAA) was established for several key purposes, focusing primarily on the protection of healthcare coverage for individuals and their families when they change or lose jobs, and on the establishment of industry-wide standards for healthcare information on electronic billing and other processes. Here's a more detailed breakdown of its main objectives:
1. Insurance Portability: One of the primary reasons HIPAA was established was to ensure healthcare coverage portability. It protects workers and their families from losing their health insurance if they change or lose their jobs, helping to reduce the chances that individuals would go without healthcare coverage during periods of unemployment or job transition.
2. Fraud Prevention and Security Measures: HIPAA mandates the protection and confidential handling of protected health information (PHI). This includes the establishment of national standards for electronic health care transactions, with provisions designed to safeguard the security and privacy of patient health data. It helps in preventing fraud and abuse in the health insurance and healthcare industries.
3. Data Privacy: HIPAA's Privacy Rule protects individuals' medical records and other personal health information by limiting who can have access to this information, setting limits on the use and disclosure of such information, and establishing a series of privacy rights for individuals.
4. Compliance Among Entities: HIPAA sets boundaries on the use and release of health records and encourages various health systems to comply with certain rules to ensure patient information confidentiality. It holds violators accountable with civil and criminal penalties if they violate a patient's privacy rights.
5. Data Security: The Security Rule within HIPAA specifies a series of administrative, physical, and technical safeguards for covered entities and their business associates to use to assure the confidentiality, integrity, and availability of electronic protected health information (ePHI).
6. Improved Healthcare Systems Efficiency: By standardizing healthcare transactions, HIPAA aims to improve the efficiency and effectiveness of the healthcare system. The Act encourages the widespread use of electronic data interchange in healthcare with the goal of improving the operations of healthcare organizations and making them more cost-effective.
In essence, the purpose of HIPAA is to promote the confidentiality and security of medical information, improve the efficiency of the healthcare system, and ensure patients' rights are respected, all while maintaining high-quality healthcare services.