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HIPAA, HITECH & HIT Legal Issues, Developments and Other Pertinent Information Relating To The Creation, Use and Exchange of Electronic Health Records

Tag Archives: covered entity

The Parade of Major Reported PHI Breaches Surges to 885 – Theft and Loss Dominate the Numbers

Posted in Privacy & Security, Security Breach Notification

The number of large breaches of Protected Health Information (PHI) under HIPAA that have been reported on the so-called “Wall of Shame” (the HHS List) maintained by the U.S. Department of Health and Human Services has jumped by 239 to 885 in less than a year.    The most common breach type is “theft” in this… Continue Reading

Hobby Lobby, HIPAA and Happy Independence Day

Posted in Health Reform, Privacy & Security

The recent United States Supreme Court decision in Burwell v. Hobby Lobby Stores, Inc. has  attorneys, pundits, policy-makers and businesses (yes, corporations are people, too) pondering big, quintessentially American issues like the free exercise of religion, compelling government interests, and our fundamental right to make money (and, as a corollary issue, what distinguishes for-profit from not-for-profit corporations). … Continue Reading

When the Long Arm of HIPAA Reaches into Mergers, Acquisitions and Asset Sales of Health Care Practices

Posted in HIPAA Business Associates

Michael J. Coco writes: If you have ever bought or sold a business, or you have experience with the process, you are aware of the due diligence efforts and multiple agreements required to close the deal. Transactions involving the sale or purchase of health care related business, such as a medical practice, often take the… Continue Reading

More on Considerations for Entering into or Revising Business Associate Agreements

Posted in HIPAA Business Associates

My partner Elizabeth Litten and I were interviewed by Marla Durben Hirsch for her recent article in Medical Practice Compliance Alert entitled “Evaluate Relationships Before Signing Business Associate Agreements.” While the full text can be found in the February 3, 2014 issue of Medical Practice Compliance Alert, the following considerations are based upon points discussed… Continue Reading

“Boilerplate” Provisions in Business Associate Agreements Warrant Attention

Posted in HIPAA Business Associates

Michael J. Coco writes: The expanded requirements under the HIPAA Omnibus Rule for a Business Associate Agreement (“BAA”) has created an increase in volume and the need for analysis of such agreements, as individuals in industries traditionally unrelated to health care – such as IT vendors –find themselves confronting issues respecting a BAA. The increase… Continue Reading

Springing, Shifting, and Slip-Sliding Business Associate Agreements

Posted in HIPAA Business Associates

What do you do if you have signed a Business Associate Agreement (BAA) with a covered entity, but are getting protected health information (PHI) from the covered entity in conjunction with health care treatment you provide to the individual? What if another covered entity provider has contracted with you to provide services to that provider’s… Continue Reading

Embarrassing Fact: Few Seem to Understand HIPAA or the ACA (at least when it comes to individual health coverage to be purchased on an Exchange)

Posted in Health IT, Privacy & Security

I read a recent Forbes.com post by Rick Ungar (“Claims That Obamacare Website Violates Health Privacy Reveals Embarrassing Fact – GOP Does Not Understand HIPAA or Obamacare”) that revealed a truly embarrassing fact:  very few of us really understand HIPAA, let alone the intricacies of the Affordable Care Act (“ACA” or “Obamacare”) and its interplay… Continue Reading

The Parade of PHI Security Breaches: Why Did it Take Two Years for the Status of Minne-Tohe Health Center as a Marcher to be Disclosed?

Posted in Security Breach Notification

It is noteworthy that there are often substantial delays in disclosures regarding covered entities (“CEs”) that have become marchers in the Parade of large Protected Health Information (“PHI”) security breaches under HIPAA.  This is the case even though the PHI breach notification rule requires that, when a PHI breach affects 500 or more individuals (a… Continue Reading

A Business Associate Agreement Dilemma: To Indemnify or Not to Indemnify – Ten Considerations

Posted in HIPAA Business Associates

A party (Party) to a HIPAA Business Associate Agreement (BAA) or Subcontractor Agreement (SCA), whether a covered entity (CE), business associate (BA) or  subcontractor (SC), may struggle with the question as to whether to agree to, demand, request, submit to, negotiate or permit, an indemnification provision (Provision) respecting the counterparty (Counterparty) under a BAA or… Continue Reading

Ten Days, Ten Tips – Countdown to Omnibus Rule Compliance

Posted in HIPAA Enforcement

Unless the Department of Health and Human Services (HHS) makes another last-minute, litigation-inspired decision to delay the September 23, 2013 compliance date, we’re on a 10-day countdown for compliance with most of the Omnibus Rule requirements.  In a motion filed jointly with the plaintiff in the U.S. District Court for the District of Columbia on… Continue Reading

The Parade of Major Reported PHI Breaches Jumps Ahead to 646 – Part 2: Business Associates Continue to Augment the Numbers

Posted in HIPAA Business Associates, Security Breach Notification

This blog series has been following breaches of Protected Health Information (“PHI”) that have been reported on the U.S. Department of Health and Human Services (“HHS”) ever-lengthening parade list (the “HHS List”) of breaches of unsecured PHI affecting 500 or more individuals (the “List Breaches”).  As reported in a previous blog post in this series,… Continue Reading

The Parade of Major Reported PHI Breaches Jumps Ahead to 646 – Theft Continues to Dominate the Numbers

Posted in Security Breach Notification

This blog series has been following breaches of Protected Health Information (“PHI”) that have been reported on the U.S. Department of Health and Human Services (“HHS”) ever-lengthening parade list (the “HHS List”) of breaches of unsecured PHI affecting 500 or more individuals (the “List Breaches”). Previous blog posts in this series discussed here and  here… Continue Reading

The Parade of PHI Security Breaches: With a New Large Breach, Indiana Family and Social Services Administration Marches Again

Posted in Security Breach Notification

Elizabeth Litten and Michael Kline write: For the second time in less than 2 ½ years, the Indiana Family and Social Services Administration (the “FSSA”) has suffered a large breach of protected health information (“PHI”) as the result of actions of a business associate (“BA”).  If I’m a resident of Indiana and a client of… Continue Reading

PRISM, Surveillance and PHI: What the NSA’s data collection means for HIPAA privacy and security compliance concerns.

Posted in Privacy & Security

Tamarra Holmes writes: In recent weeks, people all around the world were made aware of a secret U.S. government surveillance program that essentially collects massive amounts of data from the general public through electronic communication providers, such as Facebook, Skype, and Google. The existence of the program, known as PRISM, was leaked by a former National… Continue Reading

The Parade of Large PHI Security Breaches: The University of Rochester Medical Center Makes it a Triple in 2013

Posted in Security Breach Notification

In January 2011 this blog series discussed here and here that the University of Rochester Medical Center (“URMC” or the “Medical Center”) became a marcher twice in 2010 in the parade of large Protected Health Information (“PHI”) security breaches.  The U.S. Department of Health and Human Services (“HHS”) publishes a list (the “HHS List”), which… Continue Reading

Collateral Effects of the Omnibus Rule: Exercise Caution in Using Past OCR Summaries on Large PHI Breaches as a Roadmap for Future Guidance

Posted in Security Breach Notification

While the summaries of closed investigations posted on the U.S. Department of Health and Human Services list of breaches of unsecured PHI affecting 500 or more individuals continue to provide highly useful information for covered entities, business associates and subcontractors relative to confronting PHI breaches, large and small, they must be analyzed with appropriate care and attention paid to changes brought about by the recently-published Omnibus Rule.

As the Breach Parade Passes 500 Marchers: Should There be a Posting on the HHS List for a Third Massachusetts Eye and Ear Infirmary Breach?

Posted in Security Breach Notification

Much has been written about the circumstances surrounding the agreement of Massachusetts Eye and Ear Infirmary (“MEEI”) to pay the U.S. Department of Health and Human Services the sum of $1.5 million to settle potential violations involving an alleged 2010 security breach of PHI under HIPAA. However, relatively little has been written that the 2010 breach was the second of what may be three significant PHI breaches experienced by MEEI within the last three years.

Employers: Beware of PHI “Minimum Necessary” Standards Lurking Under Statutes Other Than HIPAA and State PHI Statutes

Posted in Privacy & Security

Employers should limit PHI that they provide with respect to medical examinations of employees and job applicants and in other contexts to the least amount of medical information necessary for evaluation in order to avoid potential violations of the Americans with Disabilities Act, the Genetic Information Nondisclosure Act, State workers’ compensation laws and other statutes.