tci Medicare Compliance & Reimbursement - 2017 Issue 20

HIPAA: Ensure Internal Protocols Are Ironclad to Stamp Out PHI Exposure

Payer's breach highlights the necessity of safeguarding sensitive information. Healthcare organizations have the best intentions of protecting critical information. But despite compliance planning, violations still occur - and, sometimes those mistakes put patients' lives at risk. Background: Large-scale HIPAA violations that expose electronic protected health information (ePHI) and violate the HIPAA Security Rule have dominated the news over the past year, garnering huge financial penalties. However, this past August saw a major mail snafu by a private payer that exposed the incredibly sensitive protected health information (PHI) of close to 12,000 individuals. Aetna Inc. sent HIV-specific information to...

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