What Are the Main HIPAA Rules?

HIPAA Rules & Standards

HIPPA is divided into many major codes or rules. To help you stay informed, we have listed these rules and standards below:

Privacy Rule, Security Rule, Transactions and Code Sets (TCS) Rule, Unique Identifiers Rule, Breach Notification Rule, Omnibus Final Rule, and the HITECH Act. 

What Are the Main HIPAA Rules

1. HIPAA Privacy Rule

These rules states that each healthcare organization and business associates should provide security, protection and privacy to the patient’s healthcare information and health records. HIPAA Important Rules regulate the use and disclosure of Protected Health Information (PHI) and sets the limits and conditions on the uses and disclosures that may be made of such information without patient authorization. According to this rules patient is also given many rights to their health information. 

2. HIPAA Security Rule

According to this security rule, it is important for all the healthcare organization to protect the electronic medical records (EMR) of the patient. The main focus of this rule is upon the technical aspects of protecting electronic health information.

3. HIPAA Transactions and Code Set Rule (TCS)

TCS take cares about the use of predefined transaction standards and standard sets for communications and transactions in the health-care industry. Standards sets for medical data are mandatory for administrative transactions under Health Insurance Portability and Accountability Act for diagnoses, procedures, and drugs. Standards 5010 and ICT-10 are stated below:

  • HIPAA Unique Identifiers Rule

HIPAA unique Identifiers Rule defines unique identifiers are used for covered entities in HIPAA transactions.  With the help of these Unique identifiers, standardization, efficiency and consistency can be promoted.

  • HIPAA Enforcement Rule

HIPAA Enforcement Rule focuses on compliance, investigations, hearings, and penalties for violations on those organizations who do not comply with HIPAA. It also focuses on actions to be taken over violators and amounts for imposing civil money penalties on covered entities that violate any HIPAA compliance. 

  • HIPAA Breach Notification Rule (BNR)

This rule says that within 60 days the healthcare organization or business associates should inform the patient, the HHS and individuals on any data leak or breach.  

  • HIPAA Final Omnibus Rule

HIPAA Omnibus Rule focuses on tightening and clarifying codes and standards that are enclosed in the HIPAA Privacy, Security, Enforcement, and Breach Rules.

So here we have disused all the important rules and standards that are set by the Health Insurance Portability and Accountability Act (HIPPA).

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