Who falls under HIPAA regulations?

Providers

  • hospitals
  • health clinics
  • nursing homes
  • doctors
  • dentists
  • pharmacies
  • chiropractors
  • psychologists

Health Plans

  • HMO’s
  • health insurance providers
  • self insured companies
  • company health plans
  • government programs that pay for health care such as Medicaid and Medicare
  • veterans’ health programs.

Healthcare Clearinghouses

Includes entities that process nonstandard health information for a healthcare organization and transform the data into a different format

Business Associates

Note if you have a healthcare organization as a customer you may be subject to HIPAA. HIPAA extend to an individual or entity that is required to perform functions on behalf of a HIPAA-covered entity that involves the use or disclosure of protected heath information.

This could apply to you if your company does the following:

  • process claims
  • provide administrative services
  • quality assurance
  • billing
  • payment
  • collections services
  • accountants
  • consultants
  • attorneys
  • data storage firms
  • data management companies
  • software providers who deal with PHI
  • cloud service providers
  • cloud platforms
  • document storage companies 
  • medical billing companies
  • answering services
  • medical device manufacturers
  • transcription companies
  • medical couriers
  • marketing firms

Subcontractors

  • Consultants
  • Marketing Firms
  • IT Support Vendor
  • Attorneys
  • Shredding Companies
  • Equipment Rental Companies
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