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Disclaimer

The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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What is the Privacy Rule?

The Privacy Rule standards address the use and disclosure of individuals’ health information—called “protected health information” by organizations subject to the Privacy Rule — called “covered entities,” as well as standards for individuals' privacy rights to understand and control how their health information is used. Within HHS, the Office for Civil Rights (“OCR”) has responsibility for implementing and enforcing the Privacy Rule with respect to voluntary compliance activities and civil money penalties.

A major goal of the Privacy Rule is to assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being. 

The Privacy Rule addresses:

  • Uses and disclosures of protected health information
  • Uses and disclosures to carry out treatment, payment, or health care operations
  • Uses and disclosures for which an authorization is required
  • Uses and disclosures requiring an opportunity for the individual to agree or to object
  • Uses and disclosures for which an authorization or opportunity to agree or object is not required
  • Notice of privacy practices for protected health information
  • Rights to request privacy protection for protected health information
  • Access of individuals to protected health information
  • Accounting of disclosures of protected health information

Reference

U.S. Department of Health & Human Services

Health Information Privacy

HIPAA for Professionals

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Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

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