is it a hippa violation to get patient information if you are not medical but are taking a report

by Lee Cummerata 10 min read

The Most Common HIPAA Violations You Should Be …

9 hours ago  · A HIPAA violation is a failure to comply with any of the provisions of the HIPAA Privacy, Security, or Breach Notification Rules. In practice, a HIPAA violation is as simple as an employee leaving a client’s medical file on their computer screen while they … >> Go To The Portal


It's a definite HIPAA violation even if no names or information is posted. People can easily identify the patient and the doctor, which can reveal unwanted information about their health. This should definitely be taught in policy training.

Full Answer

Are accidental HIPAA violations reportable?

Accidental HIPAA violations occur even when great care is taken by employees. The HIPAA complaint will have to be investigated internally and a decision made about whether it is a reportable breach under provisions of the HIPAA Breach Notification Rule.

How are HIPAA violations discovered?

There are three main ways that HIPAA violations are discovered: Even when a data breach does not involve a HIPAA violation, or a complaint proves to be unfounded, OCR may uncover unrelated HIPAA violations that could warrant a financial penalty.

Is texting a patient name a HIPAA violation?

Is texting a patient name a HIPAA violation? HIPAA protects a patient’s medical information and their personally identifiable information. Texting any of this data to someone else constitutes a HIPAA-regulated data transfer. Here are 18 separate identifiers that would make a text subject to HIPAA requirements:

Can nurses commit HIPAA violations?

There are many ways nurses or other medical personnel can commit HIPAA violations. From not being careful about where confidential conversations are held to making social media posts in which patients may be identifiable, anyone who works with patients or in medical facilities must be extremely careful.

What qualifies as a HIPAA violation?

What is a HIPAA Violation? The Health Insurance Portability and Accountability, or HIPAA, violations happen when the acquisition, access, use or disclosure of Protected Health Information (PHI) is done in a way that results in a significant personal risk of the patient.

What are the 3 exceptions to HIPAA?

The Three Exceptions to a HIPAA BreachUnintentional Acquisition, Access, or Use. ... Inadvertent Disclosure to an Authorized Person. ... Inability to Retain PHI.

What are 5 HIPAA violations?

5 Most Common HIPAA Privacy ViolationsLosing Devices. ... Getting Hacked. ... Employees Dishonestly Accessing Files. ... Improper Filing and Disposing of Documents. ... Releasing Patient Information After the Authorization Period Expires.

What are two exceptions to HIPAA?

Exceptions to the HIPAA Privacy Rule with Examplesoversight of the healthcare system, including licensing and regulation.public health, and in emergencies affecting the life or safety.research.judicial and administrative proceedings.law enforcement.to provide information to next of kin.More items...

What information can be shared without violating HIPAA?

Health information such as diagnoses, treatment information, medical test results, and prescription information are considered protected health information under HIPAA, as are national identification numbers and demographic information such as birth dates, gender, ethnicity, and contact and emergency contact ...

What isn't covered by HIPAA?

Here are just a few examples of those who aren't covered under HIPAA but may handle health information: life and long-term insurance companies. workers' compensation insurers, administrative agencies, or employers (unless they are otherwise considered covered entities)

What is the most common HIPAA breach?

1. Failing to Secure and Encrypt Data. Perhaps the most common of all HIPAA violations is the failure to properly secure and encrypt data. In part, this is because there are so many different ways for this to happen.

What is considered protected health information?

Protected health information (PHI), also referred to as personal health information, is the demographic information, medical histories, test and laboratory results, mental health conditions, insurance information and other data that a healthcare professional collects to identify an individual and determine appropriate ...

Which exception can be made for release of patient medical information?

Under the fifth exception, a HIPAA-covered entity can disclose protected health information to law enforcement without authorization.

What information can be disclosed under HIPAA?

A covered entity may disclose protected health information to the individual who is the subject of the information. (2) Treatment, Payment, Health Care Operations. A covered entity may use and disclose protected health information for its own treatment, payment, and health care operations activities.

What does it mean to “reduce risk to an appropriate and acceptable level”?

When potential risks and vulnerabilities are identified, covered entities and business associates have to decide what measures to implement accordi...

How is it possible to prevent employees snooping on healthcare records?

Although many cases of healthcare snooping are attributable to curiosity rather than malicious intent, all cases of healthcare snooping are HIPAA v...

If encryption is not mandatory, how can it be a HIPAA violation if records are unencrypted?

Although encryption is not mandatory, it is an addressable implementation specification of the Security Rule. This means organizations can only avo...

Why was the fine for denying patients access to health records so high?

In this particular case, the non-cooperation of the covered entity contributed to the size of the fine (you can read about the case here). Since th...

Hipaa Right of Access Videos

OCR has teamed up with the HHS Office of the National Coordinator for Health IT to create Your Health Information, Your Rights!, a series of three...

Hipaa Right of Access Infographic

OCR has teamed up with the HHS Office of the National Coordinator for Health IT to create this one-page fact sheet, with illustrations, that provid...

Hipaa General Fact Sheets

1. Your Health Information Privacy Rights 2. Privacy, Security, and Electronic Health Records 3. Sharing Health Information with Family Members and...

Who Must Follow These Laws

We call the entities that must follow the HIPAA regulations "covered entities."Covered entities include: 1. Health Plans, including health insuranc...

Who Is Not Required to Follow These Laws

Many organizations that have health information about you do not have to follow these laws.Examples of organizations that do not have to follow the...

What Information Is Protected

1. Information your doctors, nurses, and other health care providers put in your medical record 2. Conversations your doctor has about your care or...

How This Information Is Protected

1. Covered entities must put in place safeguards to protect your health information and ensure they do not use or disclose your health information...

What Rights Does The Privacy Rule Give Me Over My Health Information?

Health insurers and providers who are covered entities must comply with your right to: 1. Ask to see and get a copy of your health records 2. Have...

Who Can Look at and Receive Your Health Information

The Privacy Rule sets rules and limits on who can look at and receive your health informationTo make sure that your health information is protected...

What is the need to know HIPAA?

HIPAA regulations for "need to know" include: The security guard in a healthcare institution needs to know the name and room number of patients to guide visitors. This is allowed; but, any other information, such as diagnosis or treatment, is not to be disclosed.

Why do HIPAA laws exist?

They exist to protect the rights of individuals to limit access to their PHI. HIPAA violations occur intentionally or unintentionally. Either way, they are unlawful and can result in significant penalties.

Why is it important to check authorization documentation?

It's important to check authorization documentation, as patients have the ability to authorize the release of only certain kinds of information to specific parties. Releasing the wrong patient's information is a common unintentional HIPAA violation.

What is PHI in HIPAA?

What Is PHI? Not all health-related information about a person falls under HIPAA. In order to understand what constitutes a HIPAA violation, it's important to be aware of exactly what constitutes PHI in the context of HIPAA regulations. "Under HIPAA, protected health information is considered to be individually identifiable information relating ...

What is an example of HIPAA?

Unprotected storage of private health information can be an issue. A good example of this is a laptop that is stolen.

What is the purpose of the Health Insurance Portability and Accountability Act?

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 was passed to protect an employee's health insurance coverage when they lose or change jobs. It also has provisions to ensure the privacy and confidentiality of Protected Health Information (PHI). Discover some common HIPAA violations examples and scenarios.

Is it a violation of HIPAA to post a photo on social media?

An emergency room employee who snaps a photo and posts it to social media to show how busy it is would represent a HIPAA violation, as people in the photo may be recognizable. A nurse shares patient information with a radiology technician who is authorized to receive the information. That is fine in and of itself.

What is a HIPAA violation?

The Health Insurance Portability and Accountability Act (HIPAA) was passed in 1996 to simplify health care administration, prevent fraud, and protect patients’ private medical information.

Common HIPAA violations to avoid

Here are some of the most common HIPAA violations and how to avoid them:

How are violations discovered?

HIPAA violations are often discovered through self-reporting or third-party investigations.

What are the penalties for HIPAA violations?

There are two types of HIPAA violations, civil and criminal. The penalties can include fines, corrective action plans, or even jail time.

5 HIPAA violation examples to learn from

In recent years, there have been several newsworthy examples of HIPAA violations. Even in instances of unintentional HIPAA violations, the consequences can be severe. Here are five disastrous HIPAA violation cases and the lessons we can learn from each.

How to avoid HIPAA violations

HIPAA violations are often due to carelessness or ignorance of HIPAA laws. Employers can avoid a lot of potential headaches by providing adequate HIPAA training for their employees.

How to simplify HIPAA compliance with Secureframe

HIPAA non-compliance isn’t an option for organizations that handle protected health information. Still, it’s not easy keeping up with evolving technology and regulatory changes.

Who must follow HIPAA regulations?

In addition, business associates of covered entities must follow parts of the HIPAA regulations. Often, contractors, subcontractors, and other outside persons and companies that are not employees of a covered entity will need to have access to your health information when providing services to the covered entity.

What are covered entities under HIPAA?

Covered entities include: Health Plans, including health insurance companies, HMOs, company health plans, and certain government programs that pay for health care, such as Medicare and Medicaid.

What is the purpose of paying doctors and hospitals?

To pay doctors and hospitals for your health care and to help run their businesses. With your family, relatives, friends, or others you identify who are involved with your health care or your health care bills, unless you object. To make sure doctors give good care and nursing homes are clean and safe.

What to do if you believe your health information is being denied?

If you believe your rights are being denied or your health information isn’t being protected, you can. File a complaint with your provider or health insurer. File a complaint with HHS. You should get to know these important rights, which help you protect your health information.

Can health information be shared without your permission?

To make required reports to the police, such as reporting gunshot wounds. Your health information cannot be used or shared without your written permission unless this law allows it. For example, without your authorization, your provider generally cannot: Give your information to your employer.

What is HIPAA regulation?

HIPAA regulations for medical records dictate the mandatory data storage and release policies that all healthcare institutions have to comply with. As a federal law, HIPAA is governed by the Department of Health and Human Services (HHS). However, the HIPAA regulations for medical records retention and release may differ in different states.

Who enforces HIPAA?

The HIPPA compliance is regulated by the Department of Health and Human Services (HHS) and enforced by the Office of Civil Rights (OCR).

What is the HIPAA Security Rule?

The protection of ePHI comes under the HIPAA Security Rule – a modern HIPAA addendum that was established to address the continuously evolving medical technology and growing trend of saving PHI information electronically.

What is protected health information?

Protected Health Information (PHI) is a broad term that is used to denote the patients’ identifiable information (PII) including; name, address, age, sex, and other health0related data which is generally collected and stored by medical practitioners using specialized medical software.

How long do you have to keep medical records?

Medical practitioners are required to keep the medical records of patients at least 10 years after the last contact of the patient with the doctor. The law also states that if possible, medical doctors may hold medical records for all living patients indefinitely.

How long do hospitals keep medical records in Oregon?

According to Oregon HIPPA medical records release laws, hospitals are required to keep the medical records of patients for 10 years after the date of last discharge.

Is John's PHI protected under HIPAA?

Thereby, in this example, John’s PHI will be protected under HIPAA records retention laws. There’s another definition referred to as Electronically Protected Health Information (ePHI). ePHI refers to the PHI transmitted, stored, and accessed electronically. The protection of ePHI comes under the HIPAA Security Rule – a modern HIPAA addendum ...

Who should report HIPAA violations?

When healthcare or insurance professionals suspect a violation of HIPAA has occurred, the incident should be reported to a supervisor, the organization’s Privacy Officer, or to the individual responsible for HIPAA compliance in the organization.

How long does it take to report a HIPAA violation?

Complaints should be submitted within 180 days of the violation being discovered, although in certain cases, an extension to the HIPAA violation reporting time limit may be granted if there is good cause.

How long does it take to file a HIPAA complaint?

All complaints will be read and assessed, and investigations into HIPAA complaints will be launched if HIPAA Rules are suspected of being violated and the complaint is submitted inside the 180-day timeframe. Not all HIPAA violations result settlements or civil monetary penalties.

What to do if you accidentally viewed PHI?

If you have made a mistake, accidentally viewed PHI of a patient that you are not authorized to view, or another individual in your organization is suspected of violating HIPAA Rules , you should report HIPAA violations promptly. The failure to do so is likely to be viewed unfavorably if it is later discovered.

Why are minor incidents so inconsequential?

Oftentimes, minor incidents are so inconsequential that they do not warrant notifications to be issued, such as when minor errors are made in good faith or if PHI has been disclosed and there is little risk of knowledge of PHI being retained.

Can HIPAA be a breach?

Accidental HIPAA violations occur even when great care is taken by employees. The HIPAA complaint will have to be investigated internally and a decision made about whether it is a reportable breach under provisions of the HIPAA Breach Notification Rule.

Can HIPAA violations result in civil penalties?

Not all HIPAA violations result settlements or civil monetary penalties. Oftentimes, the issue is resolved through voluntary compliance, technical guidance, or if the covered entity or business associate agrees to take corrective action.

What is HIPAA texting?

HIPAA protects a patient’s medical information and their personally identifiable information. Texting any of this data to someone else constitutes a HIPAA-regulated data transfer. Here are 18 separate identifiers that would make a text subject to HIPAA requirements: Names. Addresses.

What are the requirements for HIPAA?

HIPAA protects a patient’s medical information and their personally identifiable information. Texting any of this data to someone else constitutes a HIPAA-regulated data transfer. Here are 18 separate identifiers that would make a text subject to HIPAA requirements: 1 Names 2 Addresses 3 Social Security numbers 4 Dates 5 Telephone numbers 6 Fax numbers 7 Email addresses 8 Medical record numbers 9 Health plan beneficiary numbers 10 Account numbers 11 Certificate or license numbers 12 Vehicle identifiers or serial numbers 13 Device identifiers and serial numbers 14 Web URLs 15 Internet Protocol (IP) addresses 16 Finger or voice prints 17 Photographic images 18 Any other characteristic that can identify a patient

Why are HIPAA audits important?

These audits are a major component of HIPAA compliance because they can reveal security gaps and data breaches. Since you can’t control or run a data audit on who accesses a text, your messages could be compromised without you even knowing.

Does HIPAA protect text messages?

While HIPAA doesn’t refer to text messages specifically , it does lay out security requirements that apply to any online health data transfer. These data transfers include texts that contain a patient’s protected health information (PHI).

Is texting HIPAA compliant?

Standard text messa ging services aren’t HIPAA compliant, but there are specialized apps that comply with all of HIPAA’s security requirements. By developing new messaging habits, you can keep your patient data secure while using text messaging.

Can you send PHI through text?

Get permission from patients before you send their PHI through texts. A notable exception to HIPAA’s data security requirements is that you can send a patient texts containing their PHI if they understand the risks involved and have signed a waiver. Consider installing HIPAA-compliant text messaging apps.

Is personal communication HIPAA compliant?

However, the habits that work for personal communication don’t translate to legally regulated communications. Here are some basic ways you can get into the habit of HIPAA-compliant messaging: Don’t send data to other medical professionals in unsecured text messages.

Who must obtain HIPAA authorization?

For uses or disclosures of a decedent’s health information not otherwise permitted by the Privacy Rule, a covered entity must obtain a written HIPAA authorization from a personal representative of the decedent who can authorize the disclosure.

How long does HIPAA protect health information?

The HIPAA Privacy Rule protects the individually identifiable health information about a decedent for 50 years following the date of death of the individual.

What is protected health information?

The Rule explicitly excludes from the definition of “protected health information” individually identifiable health information regarding a person who has been deceased for more than 50 years. See paragraph (2) (iv) of the definition of “protected health information” at § 160.103.

How long does the Privacy Rule last?

During the 50-year period of protection, the Privacy Rule generally protects a decedent’s health information to the same extent the Rule protects the health information of living individuals but does include a number of special disclosure provisions relevant to deceased individuals.