The Health Insurance Portability and Accountability Act (HIPAA) passed by Congress in 1996 set new regulations for protecting the confidentiality of patient healthcare information. These regulations require NRS and out clients to:
  • Protect the confidentiality of patient healthcare information. The “protected health information” (PHI) of patients must be identified and remain confidential from the point it is recorded by a client, transferred for billing purposes,  used by NRS to file insurance claims or mail invoices and stored by NRS and/or a client for record keeping purposes.
  • Not disclose PHI unless permitted to do so. PHI and related healthcare information can only be used for the purposes of filing insurance claims, mailing invoices and conducting legitimate business operations related to financial transactions, record keeping and the administration of a medical billing system. All other uses of PHI must be approved by the patient prior to the release of such information.
  • Allow patients to view and amend PHI if requested. NRS and its clients must establish a record keeping system that allows patients to view and (in some cases) amend their PHI. Amending the PHI of a patient is permitted under certain circumstances, but can be denied in others. In all cases, the patient has a right to view their PHI along with a record of other parties who had access to such information.
  • Report disclosures of PHI, if they occur. NRS and/or our clients must report inadvertent or purposeful disclosures of PHI to the patient, if they occur. Such disclosures may involve civil or criminal penalties.
  • Provide accountability for PHI practices. NRS and our clients must provide accountability for business practices,  record keeping and information management related to the use or storage of PHI to the Federal Department of Health and Human Services (HHS), if requested.
 
To meet these requirements, NRS and our clients enter into a “Business Associate Agreement,” that outlines the responsibilities of each organization with respect to HIPAA. This agreement defines the role of each organization and details the responsibilities of both NRS and its clients in complying with the HIPAA regulations.
 
For more details on the “Business Associate Agreement” and/or HIPAA Privacy please contact your account manager.
 
 
 
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