Outpatient Facility Coding Alert - 2022 Issue 4
Reader Questions: Keep Compliant With HIPAA Risk Analysis
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Article Overview
This reader question addresses HIPAA Security Rule compliance planning for covered entities and business associates. It explains the difference between a narrower gap analysis and a more comprehensive risk analysis, drawing on guidance from the HHS Office for Civil Rights (OCR). The article is aimed at privacy, compliance, and security teams that need a general understanding of how risk assessment approaches fit into HIPAA planning and documentation.
Why This Topic Matters
Organizations subject to HIPAA need a clear understanding of the type of assessment they are using and how that assessment supports Security Rule compliance. This article helps readers evaluate whether a limited gap review is sufficient for their purposes or whether a broader risk analysis is more appropriate.
Article Sections
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Question
Introduces a reader question about substituting one type of HIPAA compliance review for another. The focus is on whether a simpler assessment approach can replace a more comprehensive one.
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Answer
Provides a general response about HIPAA compliance planning and references OCR guidance on assessment scope and methodology. It also outlines broad activities commonly included in a risk analysis process.
What You Will Learn
- How gap analysis and risk analysis differ at a high level in HIPAA planning
- Why OCR guidance is relevant to Security Rule compliance assessments
- What broad steps are commonly associated with a risk analysis process
- How organizations may think about scope, documentation, and ongoing review in compliance planning
Who Should Read This
- HIPAA compliance officers
- Privacy and security officers
- Healthcare administrators
- Business associates
- Covered entities
- Healthcare compliance teams
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