HIPAA Manager™ Table of Contents
 Your Step-by-Step Guide to HIPAA Compliance

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I. Coming to Terms: The HIPAA Lingo

II. Putting HIPAA in Perspective: Background Information

A. How It All Got Started
B. Relationship to the other HIPAA Standards
C. Compliance Deadline: Between Now & Then
D. Relationship with State Law
E. The Enforcers
F. The Penalties

III. Who is covered?

A. Healthcare providers
B. Health plans
C. Healthcare Clearinghouses

IV. Obligations of Covered Entities

A. General Rule
B. Consent
C. Authorization
D. Opt in/Opt out
E. Exceptions
F. The Minimum Necessary
G. Marketing & Fundraising
H. Research

V. Individual Rights

A. Right to Privacy Notice
B. Right to Request Restrictions on Use or Disclosure
C. Right to an Accounting of Disclosures
D. Right to Inspect & Copy
E. Right to Request Amendment or Correction of PHI

VI. Administrative Requirements

A. Privacy Official
B. Contact Person
C. Training and Education
D. Administrative, Technical & Physical Safeguards
E. Complaints
F. Appropriate Sanctions
G. Mitigation of Harmful Effects of Violations
H. No Retaliatory Action
I. Reasonable Written Policies & Procedures

VII. Business Associates

VIII. Step-by-Step Compliance

A. Appoint a Privacy Officer
B. Conduct an Assessment

1. Find your PHI
2. Track the Flow of your PHI
3. Identify your Business Associates

C. Develop Forms, Policies and Procedures

1. Privacy Notice
2. Consent
3. Authorization
4. Request for Restriction on Use or Disclosure
5. Request to Inspect & Copy PHI
6. Request to Amend or Correct PHI
7. Request to Receive an Accounting
8. Accounting
9. Complaint Forms
10. Employee Handbook
11. Employee Confidentiality
12. Employee Separation
13. Disciplinary Policies
14. Work Area Standards
15. Record Destruction Policy
16. Business Associate Agreements

D. Educate & Train
E. Monitor Compliance
F. Correct & Improve