HIPAA Compliance
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Lark Security provides HIPAA compliance assessments for organizations looking to achieve HIPAA Compliance.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive Protected Health Information (PHI) from being disclosed without the patient’s consent or knowledge. Today, HIPAA is a healthcare industry standard (public law 104-191) that was enacted on August 21st 1996. HIPAA establishes administrative, physical, technical security and privacy standards for protecting patients’ and health plan members data.
Individuals and organizations who fall under HIPAA are called “covered entities”. Covered entities include anyone who accesses patient information including IT vendors and third-party services.
Under HIPAA, healthcare providers have the responsibility of monitoring HIPAA compliance of their business associates.
HIPAA is enforced by the Office of Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS). Violating HIPAA can cost a covered entity up to $50,000 per violation. HIPAA violations are usually discovered by covered entities during internal audits, reported by co-workers/ other individuals or identified by employers.
HIPAA is broken down into two titles:
Title I covers “portability” and ensures that individuals are not denied health benefits based on pre-existing conditions when they switch group health insurance plans.
Title II covers “accountability” and mandates that all individuals’ medical data be kept private and secure by anyone who has any access to it.
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There are three rules for protecting patient health information under HIPAA:
The HIPAA Privacy Rule
The Privacy Rule sets out the standards for protecting the privacy of PHI. It aims to ensure PHI is well protected while allowing for health information to flow efficiently and promote high quality health care. As the healthcare industry is diverse, the Privacy Rule was designed to be flexible and comprehensive – it covers a variety of disclosures and uses.
The HIPAA Security Rule
The HIPAA security rule protects a subset of the privacy rule. The HIPAA Security Rule protects what is created, stored, received or transmitted in electronic form. The rule aims to operationalize the requirements of the HIPAA Privacy Rule by addressing the technical and non-technical controls that covered entities must implement in order to protect electronic protected health information (e-PHI) while still being able to adopt new technologies for improved quality and efficiency. The Security rule does not apply to PHI that is transmitted in writing or orally.
The HIPAA Security rule applies to healthcare clearing houses, health plans and any health care provider that transmits health information in electronic form.
3. The Breach Notification Rule
The Breach Notification Rule sets out the rules for disclosure notification when an entity has suffered a data breach.
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Lark Security HIPAA Assessment
Lark Security provides HIPAA compliance assessments for organizations looking to achieve HIPAA Compliance.
The project begins with a HIPAA Gap Assessment; the best first step to achieving HIPAA Compliance. During this first phase, Lark Security helps you identify the networks that possess, store or transmit PHI.
Once the scope is validated, Lark Security will work with you to remediate any gaps in your current cybersecurity controls and verify compliance to HIPAA.
Lark Security HIPAA Experts will help you:
Identify where there is ePHI within your network and enforce measures to protect it.
Complete and document regular HIPAA Risk Assessment
Conduct a HIPAA Gap Assessment to meet your Cybersecurity Objectives.
Provide Remediation Support to Address Gaps
Manage and Monitor HIPAA Compliance for your Business Associates
Assess and Verify HIPAA Compliance for your organization
HIPAA Certification Frequently Asked Questions (FAQs)
What does HIPAA Stand for?
HIPAA stands for Health Insurance Portability and Accountability Act.
What is HIPAA?
HIPAA is a healthcare industry standard that establishes administrative, physical and technical security and privacy requirements for protecting patients’ and health plan members' data.
What is HIPAA law?
HIPAA law is a federal law that requires the creation of national standards to protect sensitive Protected Health Information (PHI) from being disclosed without the patient’s consent or knowledge.
What is PHI?
PHI refers to Personal Health Information. PHI includes any health information that can be tied to an individual. Examples are names, phone numbers, email addresses, social security details, IP address details, fingerprints, voice prints and other health information that is tied to an individual.
What does HIPAA protect?
HIPAA protects sensitive Protected Health Information (PHI) and electronic Protected Health Information (e-PHI).
What is the penalty for HIPAA Violation?
Violating HIPAA can cost a covered entity up to $50,000 per violation.
Who does HIPAA Apply to?
Individuals and organizations who fall under HIPAA are called “covered entities”. Covered entities include anyone who accesses patient information including IT vendors and third-party services. Under HIPAA, healthcare providers have the responsibility of monitoring HIPAA compliance of their business associates.
Who enforces HIPAA?
HIPAA is enforced by the Office of Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS).
When was HIPAA enacted?
HIPAA was was enacted on August 21st 1996.
What are the consequences of violating HIPAA?
Violating HIPAA can cost a covered entity up to $50,000 per violation.
What is considered a breach of HIPAA?
A breach of HIPAA refers to unauthorized use or disclosure of PHI protected under the Privacy Rule.
What is the HIPAA Privacy Rule?
The Privacy Rule sets out the standards for protecting the privacy of PHI. It aims to ensure PHI is well protected while allowing for health information to flow efficiently and promote high quality health care.
What is the HIPAA Security Rule?
The HIPAA security rule protects a subset of the privacy rule. The security rule protects what is created, stored, received or transmitted in electronic form.
What is HITECH Act?
HITECH extends security, privacy and breach notification requirements to Business Associates. HITECH also establishes the right for patients to obtain their e-PHI, enforces data breach notification requirements, institutes third-party management and mandatory penalties for willful negligence.
What is Omni-bus Rule?
The omni-bus rule formalizes enforcement provisions for what is outlined in the HITECH act. Under the omni-bus rule, the definition for business associates includes subcontractors and requires ongoing monitoring of organizational security processes and programs.
About Lark Security
Lark Security is the leading provider of Cybersecurity Audit Readiness Solutions. The company is dedicated to helping organizations build, improve and manage resilient cybersecurity programs that guard sensitive data, comply with industry regulations and provide competitive advantage. Lark Security is recognized as a trusted and experienced advisor for audit readiness solutions to comply with HITRUST, PCI DSS, SOC 1, SOC 2, SOC 3, HIPAA, CMMC, ISO 27001, NIST and FedRAMP.
Email – info@lark-security.com
Phone – (303) 800-1872