HIPAA - The Health Insurance Portability and Accountability Act (HIPAA)

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The Health Insurance Portability and Accountability Act (HIPAA)

The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996.

The Health Insurance Portability and Accountability Act (HIPAA) offers protections for millions of American workers that improve portability and continuity of health insurance coverage.

What is HIPAA ? 

HIPAA GUIDE
HIPAA amended the Employee Retirement Income Security Act (ERISA), to provide new rights and protections for participants and beneficiaries in group health plans. Understanding this amendment is important to your decisions about future health coverage. HIPAA contains protections both for health coverage offered in connection with employment (group health plans) and for individual insurance policies sold by insurance companies (individual policies).

If you find a new job that offers health coverage, or if you are eligible for coverage under a family member's employment-based plan, HIPAA includes protections for coverage under group health plans that:
- Limit exclusions for preexisting conditions
- Prohibit discrimination against employees and dependents based on their health status
- Allow a special opportunity to enroll in a new plan to individuals in certain circumstances

If you choose to apply for an individual policy for yourself or your family, HIPAA includes protections for individual policies that:
- Guarantee access to individual policies for people who qualify
- Guarantee renewability of individual policies

HIPAA provides a uniform set of requirements for Electronic Transactions, Identifiers, Privacy, and Security.

HIPAA Title I and HIPAA Title II 

According to the Centers for Medicare and Medicaid Services (CMS) website, Title I of HIPAA protects health insurance coverage for workers and their families when they change or lose their jobs.

Title II of HIPAA, the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers. The Title II of HIPAA also address the security and privacy of health data. The standards are meant to improve the efficiency and effectiveness of the nation's health care system by encouraging the widespread use of electronic data interchange in the US health care system.

Some Good HIPAA Books At Amazon 

The Practical Guide to HIPAA Privacy and Security Compliance

Our Comment about this Book:
This is the best single reference that I've seen on the subject. Kevin and Rebecca have assembled a guide that is eminently practical, superbly organized, and tremendously helpful. I reach for it every time I have a question on HIPPA. In fact, it's the only HIPPA reference I've used since I got it.
This is the best of the best available books about HIPAA

Avg. Customer Rating: Amazon Rating

Amazon Price: $70.83 (as of 12/09/2009) Buy Now

HIPAA: The Questions You Didn't Know to Ask

Our Comment about this Book:
This book has really helped me to gain an initial understanding of HIPAA. The book gets right down to the nitty gritty of HIPAA without causing the reader to fall alseep. I highly recommend this as a must read for all employees of a health providers office. It can be read in less than an hour from cover to cover.

Avg. Customer Rating: Amazon Rating

Amazon Price: $18.60 (as of 12/09/2009) Buy Now

HIPAA in Daily Practice

Our Comment about this Book:
This book provides an easy to understand overview of HIPAA and its effects on the medical industry. The authors did an outstanding job of taking a complex topic and making it easy to understand and follow for the average person. I highly recommend this book for anyone who wants to better understand HIPAA.

Avg. Customer Rating: Amazon Rating

Amazon Price: $15.56 (as of 12/09/2009) Buy Now

More about HIPAA 

HIPAA Protects Workers And Their Families By

* Limiting exclusions for preexisting medical conditions (known as preexisting conditions)

* Providing credit against maximum preexisting condition exclusion periods for prior health coverage and a process for providing certificates showing periods of prior coverage to a new group health plan or health insurance issuer

* Providing new rights that allow individuals to enroll for health coverage when they lose other health coverage, get married or add a new dependent

* Prohibiting discrimination in enrollment and in premiums charged to employees and their dependents based on health status-related factors

* Guaranteeing availability of health insurance coverage for small employers and renewability of health insurance coverage for both small and large employers

* Preserving the states' role in regulating health insurance, including the states' authority to provide greater protections than those available under federal law

Preexisting Condition Exclusions

* The law defines a preexisting condition as one for which medical advice, diagnosis, care, or treatment was recommended or received during the 6-month period prior to an individual's enrollment date (which is the earlier of the first day of health coverage or the first day of any waiting period for coverage)

* Group health plans and issuers may not exclude an individual's preexisting medical condition from coverage for more than 12 months (18 months for late enrollees) after an individual's enrollment date

* Under HIPAA, a new employer's plan must give individuals credit for the length of time they had prior continuous health coverage, without a break in coverage of 63 days or more, thereby reducing or eliminating the 12-month exclusion period (18 months for late enrollees)

Creditable Coverage

* Includes prior coverage under another group health plan, an individual health insurance policy, COBRA, Medicaid, Medicare, CHAMPUS, the Indian Health Service, a state health benefits risk pool, FEHBP, the Peace Corps Act, or a public health plan

Certificates Of Creditable Coverage

* Certificates of creditable coverage must be provided automatically and free of charge by the plan or issuer when an individual loses coverage under the plan, becomes entitled to elect COBRA continuation coverage or exhausts COBRA continuation coverage. A certificate must also be provided free of charge upon request while you have health coverage or an

Some More Good HIPAA Books and Resources 

That you souldn't loose!

Encyclopedia of Digital Government

The Encyclopedia of Digital Government offers the most comprehensive coverage of the issues, concepts, trends, and technologies of digital government (or electronic government). The challenges and future prospects faced by governments at different institutional levels and in different parts of the world are described in explicit detail in this commanding encyclopedia. With over 250 detailed articles, this three-volume set provides a broad basis for understanding the issues, theories, and applications faced by public administrations and public organizations as they strive for more effective government through the use of emerging technologies. This comprehensive, research-based publication is an essential reference tool for academic, public, and private libraries.

Amazon Price: $825.00 (as of 12/09/2009) Buy Now

HIPAA Privacy Certificate Program Manual and CD: HIPAA Regulations, HIPAA Training, HIPAA Compliance, and HIPAA Security for the Administrator of a HIPAA ... Officers, and Practice Administrators

The HIPAA Privacy Certificate will certify your knowledge of HIPAA privacy, provide you with documentation of HIPAA mandated training, and prepare you for administering a HIPAA program.

Amazon Price: $339.95 (as of 12/09/2009) Buy Now

HIPAA Compliance Products 

Bellow you will find HIPAA compliance products, such has office, hardware and software products designed to satisfy the physical-safeguard standards. Physical safeguards are security measures that protect electronic information systems, and their related equipment and buildings, from natural and environmental hazards as well as unauthorized access by intruders.

HIPAA Friendly Transport Cases 

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HIPAA Administrative / Office Products 

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HIPAA Administrative Products 

HIPAA 36in. Wide Lateral Files 

When space is an issue, choose this efficient high-quality option. Built to last, this medium-capacity file cabinet features a heavy-duty ball-bearing suspension for smooth drawer movement and a special system that keeps more than 1 drawer from opening at a time. Drawer pulls match cabinet color. The hardware is included for hanging files side to side.

HIPAA 42in. Wide Lateral Files 

The heavygauge construction and doublewalled base of these lateral files keep them aligned for smooth operation. Mechanical interlock ensures that only one drawer opens at a time. Other features include core removable lock, counterweight in two and threedrawer models, four adjustable leveling glides and adjustable hang rails for sidetoside letter, legal and A4 filing. Fronttoback hang rails and lateral file dividers are sold separately. The fivedrawer files have a top rollout shelf with posting shelf. Meets or exceeds ANSI/BIFMA and ISTA performance standards. HON(R) limited lifetime warranty.

4 Drawer 42" Wide Lateral File Cabinet Light Gray

Amazon Price: $617.56 (as of 12/09/2009) Buy Now

4 Drawer 42" Wide Lateral File Cabinet Black

Amazon Price: $767.95 (as of 12/09/2009) Buy Now

HIPAA 30in. Wide Lateral Files 

Get the space efficiency of lateral files without making a big investment. The drawers of this economical file open smoothly on nylonrollers, and a special interlock system keeps more than one drawer from opening at a time. Drawer pulls match cabinet color. Fronttoback accessories sold separately. Comes with core removable lock.

2 Drawer 30"W Lateral File Black

Amazon Price: $280.56 (as of 12/09/2009) Buy Now

4 Drawer 30"W Lateral File Light Gray

Amazon Price: $315.75 (as of 12/09/2009) Buy Now

HIPPA Software 

HIPAA Checkup Compliance Suite 3.0

* Automated, step-by-step HIPAA privacy & security compliance.
* Designed specifically for small and medium-sized practices and clinics.
* Anyone can do it -- explains the HIPAA privacy & security regulations in plain English.
* All required privacy & security policies and forms customized for your practice.

Amazon Price: (as of 12/09/2009) Buy Now

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by JonitasKalimpo

A guide about HIPAA. HIPAA is The Health Insurance Portability and Accountability Act and
provides rights and protections for participants and benefic... (more)

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