Professional Documents
Culture Documents
• ADA accommodations
• Work Restrictions
PHI Before
April 14 Supervisor
Facility
Managers
File Clerk
Claims
Administrator
Doctor
Anyone in HR
Hospital
Any Insurance
Company
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Providers:
• Doctors Facilities
• Hospitals Managers
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• PHI can be shared with others who we retain for plan administration and
who agree in writing to comply with the Privacy Rule
• Employee/participant must authorize any “non-routine” use
If you are not in the box or have an agreement with the Plan
Sponsor or the Provider, you cannot have access to PHI
without written authorization from the employee
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All management
Only PHI-designated Human Resources staff
members can access and process PHI
Managers must adhere to policies and
procedures and defer to PHI-designated staff
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Managers/Supervisors
Must understand and comply with Privacy Rule
Must understand which plans are covered
• For example, Privacy Rule does not affect other
policies, such as FMLA or Workers’ Compensation
Know when and how to contact Privacy Officer or
other designated staff
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Scenario #2
Birth Announcement
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Scenario 2
-Could be under HIPAA if the information came from the health
plan.
-Employee has to request to disclose the information and should
provide a disclaimer.
Scenario 3
-Contact HR. Not a protected health situation. (Patty should have
contacted HR before authorizing leave.)
-Privacy Officer should educate.
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Scenario 5
- Document the disclosure and educate Barb and manager.
- Reinforce education.
Scenario 6
-Employer plan is not responsible if it has Business Associate Agreement
in place (Depending on “indemnification” provision of BAA.)
-TPA may face civil penalties and the individual(s) involved could face
criminal penalties.
- Report the violation to HHS.
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This presentation also does not constitute legal advice. If there is any
discrepancy between the provisions of the HIPAA Privacy Rule and the material
in this presentation, the terms of the HIPAA Privacy Rule will govern in all
cases.
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