What's included in PHI?

Asked By: Laziza Tsaregorodtsev | Last Updated: 18th May, 2020
Category: personal finance health insurance
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PHI is health information in any form, including physical records, electronic records, or spoken information. Therefore, PHI includes health records, health histories, lab test results, and medical bills. Essentially, all health information is considered PHI when it includes individual identifiers.

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Just so, what are examples of PHI?

Examples of PHI

  • Patient names.
  • Addresses — In particular, anything more specific than state, including street address, city, county, precinct, and in most cases zip code, and their equivalent geocodes.
  • Dates — Including birth, discharge, admittance, and death dates.
  • Telephone and fax numbers.
  • Email addresses.

Also Know, what is Phi Hipaa? Protected health information (PHI) under the US law is any information about health status, provision of health care, or payment for health care that is created or collected by a Covered Entity (or a Business Associate of a Covered Entity), and can be linked to a specific individual.

Subsequently, one may also ask, what is not considered PHI under Hipaa?

Please note that not all personally identifiable information is considered PHI. For example, employment records of a covered entity that are not linked to medical records. Similarly, health data that is not shared with a covered entity or is personally identifiable doesn't count as PHI.

What is included in Hipaa?

The HIPAA Privacy Rule applies to all forms of PHI, including paper records, films, and electronic health information, even spoken information. This information is classed as protected health information when it contains identifiers that would allow a patient or health plan member to be identified.

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What information is not considered PHI?

Examples of health data that is not considered PHI: Number of steps in a pedometer. Number of calories burned. Blood sugar readings w/out personally identifiable user information (PII) (such as an account or user name)

Is patient name alone considered PHI?

A. Pursuant to 45 CFR 160.103, PHI is considered individually identifiable health information. A strict interpretation and an “on-the-face-of-it” reading would classify the patient name alone as PHI if it is in any way associated with the hospital.

What information qualifies as Phi?

PHI is health information in any form, including physical records, electronic records, or spoken information. Therefore, PHI includes health records, health histories, lab test results, and medical bills. Essentially, all health information is considered PHI when it includes individual identifiers.

Is Phi a zip code?

Examples of PHI include: Name. Address (including subdivisions smaller than state such as street address, city, county, or zip code) Any dates (except years) that are directly related to an individual, including birthday, date of admission or discharge, date of death, or the exact age of individuals older than 89.

What is the difference between Hipaa and Phi?

PHI relates to physical records, while ePHI is any PHI that is created, stored, transmitted, or received electronically. If all identifiers are stripped from health data, it ceases to be protected health information and the HIPAA Privacy Rule's restrictions on uses and disclosures no longer apply.

What is the most common Hipaa violation?

The most common HIPAA violations that have resulted in financial penalties are the failure to perform an organization-wide risk analysis to identify risks to the confidentiality, integrity, and availability of protected health information (PHI); the failure to enter into a HIPAA-compliant business associate agreement;

What is a healthcare clearinghouse?

According to the Department of Health & Human Services, a health care clearinghouse is a “public or private entity, including a billing service, repricing company, or community health information system, which processes non-standard data or transactions received from one entity into standard transactions or data

What is the purpose of Hitech?

The Health Information Technology for Economic and Clinical Health Act (HITECH Act) is part of the American Recovery and Reinvestment Act of 2009 (ARRA). The HITECH Act was created to motivate the implementation of electronic health records (EHR) and supporting technology in the United States.

What is considered individually identifiable health information?

Individually identifiable health information” is information, including demographic data, that relates to: the individual's past, present or future physical or mental health or condition, the provision of health care to the individual, or.

What type of information is not protected by privacy regulations?

Individually identifiable health information that is held by anyone other than a covered entity, including an independent researcher who is not a covered entity, is not protected by the Privacy Rule and may be used or disclosed without regard to the Privacy Rule.

What is the definition of IIHI?

Individually Identifiable Health Information (IIHI) A subset of health information that identifies the individual or can reasonably be used to identify the individual; HIPAA protects individually identifiable health information.

What are the three rules of Hipaa?

The Health Insurance Portability and Accountability Act (HIPAA) regulations are divided into several major standards or rules: Privacy Rule, Security Rule, Transactions and Code Sets (TCS) Rule, Unique Identifiers Rule, Breach Notification Rule, Omnibus Final Rule, and the HITECH Act.

What is a limited data set under Hipaa?

A limited data set under HIPAA is a set of identifiable healthcare information that the HIPAA Privacy Rule permits covered entities to share with certain entities for research purposes, public health activities, and healthcare operations without obtaining prior authorization from patients, if certain conditions are met

What is the omnibus rule?

The Omnibus Rule is a composite of four closely related final rules. Its primary purpose is to implement Health Information Technology for Economic and Clinical Health Act mandates. The act is part of the American Recovery and Reinvestment Act of 2009, and provided for the EHR adoption and meaningful use incentives.

Is using initials A Hipaa violation?

Displaying names, especially when it's limited to first names and/or initials, does not breach the Privacy Rule — nor, for that matter, do sign-in logs, patient names on hospital doors, or publicly available treatment schedules. All of these cases are well within the application of HIPAA privacy regulations.

How can we protect PHI?

Examples of how to keep PHI secure:
  1. If PHI is in a place where patients or others can see it, cover or move it.
  2. If you work with PHI on your desk or on a computer, make sure no one can walk up behind you without knowing it.
  3. When PHI is not in use, store it in a locking office or a locking file cabinet.

What kind of law is Hipaa?

The acronym HIPAA refers to a federal law called the Health Insurance Portability and Accountability Act of 1996. HIPAA is a term that most people hear about in clinic waiting rooms or hospital front desks, or read about in their health plan documents.