Tag: Medicaid and Medicare compliance

Regulatory Compliance For Healthcare Organizations

 By Jordan MacAvoy, vice president of marketing, Reciprocity Labs.

Jordan MacAvoy
Jordan MacAvoy

There are several regulatory compliance requirements that healthcare organizations must follow. Even so, it’s the Health Insurance Portability and Accountability Act (HIPAA) that gets the most recognition. If your organization is involved in the healthcare industry, you should ensure that it complies with the Health Information Technology for Economic and Clinical Health Act (HITECH) as well.

These two compliance requirements are somehow interrelated. However, HITECH is meant to enhance information technology in the healthcare industry while protecting the security and privacy concerns regarding ePHI. HITECH significantly modified HIPAA and the Social Security Act. Therefore, it can be difficult to understand how these regulatory compliance frameworks complement each other.

How HITECH And HIPAA Are Similar

HITECH and HIPAA compliance is overseen by the Health and Human Services Department (HHS). Typically, healthcare organizations tend to focus on HIPAA compliance since it is the backbone of the Privacy Rule that sets national standards regarding PHI and medical record protection. The Privacy Rule was adopted in 2000. Since then, HHS has only made one modification. That was in 2002 when the Privacy Rule was modified to become one of the initial information privacy and security regulations.

The Office of the National Coordinator for Health Information Technology (ONC) is mandated to promote the quality of healthcare by advancing health IT. ONC is also tasked with the role of securing ePHI and establishing procedures for electronic health records (EHRs) to promote privacy.

Therefore, while HITECH and HIPAA complement each other, they are dissimilar. HITECH focuses on information technology as well as the preservation of electronic information, whereas HIPAA dwells on protecting privacy as well as expanding beyond information systems.

How HITECH And HIPAA Differ

Although HITECH and HIPAA have many similarities, the two regulations also differ on various vital details. HITECH was meant to expand HIPAA. Even so, the latter remains focused on addressing privacy and breach notification issues to protect against identity theft and fraud. On the other hand, HITECH differs from HIPAA because it established restructured criminal and civil compliance penalties. Furthermore, HITECH extended HIPAA’s breach notification requirement beyond covered organizations also to include business associates.

From an IT perspective, compliance managers ought to focus on the significance of robust encryption. In case malicious actors breach the ePHI, effective encryption will mitigate rule violations. Therefore, if the encryption makes the information unreadable, the organization won’t be fined. Nonetheless, proving effective encryption means complying with the NIST Federal Information Process Standard. Therefore, healthcare regulatory compliance can only be realized if you fully understand your organization’s IT infrastructure.

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