FAQs on HIPPA Compliance At Sedona Medical Staffing Services, we work hard to meet all standards and regulations set forth by local, state and federal government.  This includes being HIPAA compliant.  Hopefully the following FAQ’s will help alleviate confusion with compliance issues.
 
The Four Components of HIPAA:
  1. Electronic Transaction and Code Set Standards Requirements
  2. Privacy Standards Requirements
  3. Security Standards Requirements
  4. National Identifier Requirements
 
Who is Affected by HIPAA?
  • Providers – Those who transmit any PHI electronically in connection with a transaction for which standard requirements have been adopted
  • Health Plans – These include any government or non-government organizations or private plan that provides or pays for medical care.  An exception in the law was granted to State Workers Compensation Plans.
  • Health Care Clearinghouses – These are organizations that translate nonstandard information into a standard transaction or convert a standard transaction into a nonstandard format.  This also includes billing centers and re-pricing companies.
 
Do you have to be HIPAA compliant?

You definitely have to be HIPAA compliant if any of the following apply:
  • If you employ more than 10 full time employees which requires you to file Medicare electronically
  • If you use a billing center to file your claims
  • If you sign a Business Associates Agreement with anyone
  • If you are filing ANY claims electronically
 
What are the consequences of NOT being HIPAA compliant?
  • Civil monetary penalties for HIPAA privacy violations are $100 per incident, up to $25,000 per person, per year, per standard
  • A person who knowingly violates HIPAA and obtains IIHI (Individual Identifiable Health Information) or discloses IIHI to another person may be fined up to $50,000 and imprisoned up to 1 year, or both.
  • If the offense is committed with the intent to sell, transfer or use IIHI for commercial advantage, personal gain, or malicious harm, the fine may be up to $250,000 and imprisonment up to 10 years.
 For more information on how Sedona Medical Staffing Services can help your practice become HIPAA compliant, contact Kathryn Phillis, Medical Division Manager, at (309)736-4170 or click here to request more information.