Preview

Reporting Practices and Ethics Paper

Powerful Essays
Open Document
Open Document
1073 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Reporting Practices and Ethics Paper
Administrative Ethics Paper
Michelle Hoagland
Health Care and Social Responsibility/335
September 11, 2013
Mr. David Carmon

Administrative Ethics Paper
WellPoint, a managed care company, was investigated for violations of the Health Insurance Portability and Accountability Act of 1996 and Security Rules. The investigation concluded WellPoint improperly “implement policies and procedures for authorizing access to the on-line application database, perform an appropriate technical evaluation in response to a software upgrade to its information systems, and have technical safeguards in place to verify the person or entity seeking access to electronic protected health information maintained in its application database” (Sebelius, 2013).The investigation began in October 23, 2009 and ended in March 7, 2010. The investigation specified WellPoint released the Electronic Protected Health Information (ePHI) of about 620,000 entities by permitting admission to the ePHI of entities sustained in the application database. The information available by this database included phone numbers, SSN, dates of birth, and health information. U.S. Department of Health and Human Services (HHS) stated even if database or system upgrades are accompanied by concealed individuals or the corresponding cooperation contacts, HHS expects all associations to comply with regulations by having appropriate technical, physical, and administrative safeguards to conceal the ePHI, confidentially, and integrity.
Resolution
WellPoint agrees to pay $1.7 million and is not released from any rights, obligations, and causes of action other than those of the Covered Conduct. HHS is grant to release any information about the investigation without any restriction. Based on other case the HHS has investigated with patient confidentiality, this case conducted fair and penalize in the same manner as the previous cases. This is an appropriate resolution as long as WellPoint further complies with

You May Also Find These Documents Helpful

  • Good Essays

    The investigation followed a notice submitted by BCBST to HHS reporting that 57 unencrypted computer hard drives were stolen from a leased facility in Tennessee. The drives contained the protected health information (PHI) of over 1 million individuals, including member names, social security numbers, diagnosis codes, dates of birth, and health plan identification numbers. OCR’s investigation indicated BCBST failed to implement appropriate administrative safeguards to adequately protect information remaining at the leased facility by not performing the required security evaluation in response to operational changes. In addition, the investigation showed a failure to implement appropriate physical safeguards by not having adequate facility access controls; both of these safeguards are required by the HIPAA Security Rule.…

    • 554 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    This paper discusses the elements of financial management that is important to the healthcare organizations, generally accepted accounting principles, and a summary of the articles related to healthcare financial management.…

    • 252 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    In the 1905 Supreme Court case of Jacobson v. Massachusetts, the court ruled that the state had the right to compromise a person’s right to due process in the name of the common good of society. This case was controversial because it brings up a question of whether or not the ruling was ethical. More than one hundred years later, the ruling still plays a role in the authority of public health officials and has been stated as the most influential case for public health thus far. In today’s law the Jacobson ruling can be seen in smoking bans across the nation, as well as seatbelt and helmet laws. The most influential result of the case is the power of the government to isolate or quarantine a person so as not to further spread a communicable disease.…

    • 2627 Words
    • 11 Pages
    Powerful Essays
  • Good Essays

    Most healthcare organizations operate on the accrual accounting basis. With this type of accounting; revenue is recorded when it is earned-not when payment is received; and expenses are recorded when they are incurred-not when they are paid.…

    • 978 Words
    • 4 Pages
    Good Essays
  • Best Essays

    The Effect of the Health Insurance Portability and Accountability Act on the Privacy of Electronic Medical Records…

    • 3042 Words
    • 13 Pages
    Best Essays
  • Good Essays

    Baker J.J., & Baker, R.W. (2011). Health Care finance; Basic tools for nonfinancial managers (3rd ed).Jones & Bartlett…

    • 833 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Legal implications, costs, and privacy are just three of many challenges facing widespread implementation of health information exchanges. Legal implications of a health information exchange may arise with misuse of patient data collected in an HIE data base. Health information exchange is a fairly new concept, policies and procedures need to be in place in regards to sharing of patient data for purposes other than patient treatment. Other use of patient information includes using aggregated patient information for research purposes. Attention needs to be paid to patient data collected in HIE and the consents provided for patient data sharing. Health Information exchange is complicated and sensitive, thus the scope of error is very minimal. The issue of cost with HIE sensitivity arises when Heath Information Exchanges go down. The scope for error in HIE is minimal and very sensitive, implementation and utilization over long periods of time could eventually cause system issues. Downtime caused by system issues would impact the physicians and organization ability to generate revenue. Security of sensitive patient information in Health Information Exchange systems is the biggest challenge of widespread implementation. Health Information Exchanges give patient access to many health care professionals. The reality of abusing patient information is always a factor. Patient medical information can be misused by competing insurance companies, physicians, unauthorized research and pharmaceutical companies, and other unauthorized agencies. Patient information abuse is a major factor in HIE…

    • 525 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    the organization. Disclosing is defined as releasing, transferring, provision of access and divulging in any…

    • 611 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Hipaa Privacy Rule

    • 2356 Words
    • 10 Pages

    As part of the requirements under HIPAA 1996, regulated by the Office for Civil Rights under the Department of Health and Human Services [HHS], federal guidelines must set a standard for the protection of individually identifiable health information (2003). These regulations and requirements are outlined under the Privacy Rule. Specifically, it addresses the use and disclosure of records and data by organizations subject to the privacy rule (aka covered entities), as well as outline the rights to knowledge and control over individuals’ medical information (HHS, 2003). The following is a discussion of particular aspects of the Privacy Rule as it relates to specified circumstances addressed.…

    • 2356 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    Many healthcare professionals and organizations have not been following the regulations set forth by HIPAA. Whenever violations of HIPAA’s privacy or security laws occur the organizations responsible must be held accountable resulting in a fine or penalty. Penalties provide incentive for organizations to guarantee patient privacy and security. Recently, certain people have failed to follow through with the laws and restrictions and were forced to accept the penalty. This paper will provide three real examples of such HIPAA violations as well as solutions or ways each violation could have been prevented.…

    • 1058 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    HIPAA is divided into five titles or categories covering different aspects of healthcare. The highlights of these five titles are (i) continuous health care insurance coverage for most people, (ii) preventing health care fraud and abuse and protecting patient’s personal information, (iii) tax-related health provisions governing medical savings accounts, (iv) application and enforcement of group health insurance requirements, (v) revenue offset governing tax deductions for employers. Title II of HIPAA deals with Fraud/Abuse in healthcare, Administrative Simplification via standardization of electronic exchange and privacy and security of protected health information (PHI). PHI is individually identifiable information of patient’s health record that covered entities and their business associates maintain or share. As defined by HIPAA a covered entity is a health plan, a healthcare clearinghouse, or a healthcare provider. Business associates are individuals or organizations that perform work on the behalf of the covered entities. The title II provision of ‘Administrative Simplification’ include rules for protecting privacy and security of PHI. The US Department of Health and Human Services Office for…

    • 1261 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    Consumer concerns have increased over the past few years because of the dramatic changes in health care information and its’ delivery (Benfield, Ashkanazi, Rozensky 2006). Each day patients put their physical health and trust in the hands of health care providers. Unfortunately, there have been times when the treatment provided, whether accidental or intentional, has caused harm to the patient. Patients who have experienced injury have the right to lodge a complaint against that provider. Included in the possible reasons for civil complaints is the sharing of personal information, negligence, or assault. These injuries are considered civil wrongs and are covered under Tort Law. In recent years, with the advances in technology, patient privacy has become imperative. In order to protect patient privacy the Health Insurance Portability and Accountability Act of 1996 was enacted, and is part of the Department of Health and Human Services, regulated by the Office of Civil Rights. Health care providers must take care to protect the privacy of their patients at all times. HIPAA regulations provide a guideline to help protect not only the patient, but also employees, from divulgence of their personal information to non-involved third parties.…

    • 1599 Words
    • 7 Pages
    Powerful Essays
  • Best Essays

    References: Author Unknown. Breach Report 2010, Redspin Inc. Dec. 2010. Retrieved from http://www.redspin.com/resources/whitepapers-datasheets/index.php on April 19, 2012. Badzek, L., Gross, G. Confidentiality and Privacy: At the Forefront for Nurses. The American Journal of Nursing, Vol. 99, No. 6 (June, 1999), pp.52-54. Lippincott Williams & Wilkins. Retrieved April 18, 2012 from http://www.jstor.org/stable/3472150. Byfield, E. 315,000 Patients ' Information Disappears From Emory Healthcare. WSBTV. Retrieved April 18, 2012 from file:///F:/Ethics%20information%20age/315,000%20patients%27%20information%20disappears%20from%20Emory%20Healthcare%20_%20www.wsbtv.com.htm Dixon, P. MEDICAL IDENTITY THEFT: The Information Crime that Can Kill You, March 3, 2006. World Privacy Forum. Retrieved from http://www.worldprivacyforum.org/pdf/wpf_medicalidtheft2006.pdf on April 24, 2012. Foreman, Judy (26 June 2006). "At Risk of Exposure”. Los Angeles Times. Retrieved April 23 , 2012. Gellman, R. Fact Sheet 8a: HIPAA Basics: Medical Privacy in the Electronic Age. Privacy Clearing House. March, 2012. Retrieved April 19, 2012 from http://www.privacyrights.org/fs/fs8a-hipaa.htm. Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. § 1320d-9 (2010).…

    • 1982 Words
    • 57 Pages
    Best Essays
  • Good Essays

    Hipaa and Medical Records

    • 366 Words
    • 2 Pages

    The Health Insurance Portability and Accountability Act of 2003 changed the way that patients, practitioners and insurance companies viewed medical records. No longer would physician be able to choose the level of privacy they maintained for clients’ records. Patients became more aware of their rights and responsibilities toward their health records. This paper provides a brief synopsis of how HIPAA has affected access to medical records and its affect on medical offices and their employees.…

    • 366 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Every healthcare organizations must comply with the privacy and security rules to protect patient identifiable information. Patient identifiable information is confidential therefore policies are in place to ensure that organizations security message cuts across departments. A Data breach is defined by the Department of Human Services as an “impermissible use or disclosure under the privacy rule that compromises the security or privacy of the protected health information.” The Office for Civil Rights and the…

    • 1491 Words
    • 4 Pages
    Better Essays