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good afternoon and welcome everyone to.our webinar this afternoon on HIPAA an.introduction to HIPAA and why it's.important.my name is Adam bouillon I'm joined.today by Christine Stallings and we want.to thank everyone for joining us to get.some quick housekeeping out of the way.first of all we will be providing.everyone probably later today or first.thing tomorrow with a copy of the deck.that we're using as well as a recording.of this webinar so you know if you ask.questions be advised that this webinar.is being recorded and you'll get a copy.of that and an email from me as I said.later today or first thing tomorrow.second point of business does involve.questions we would be very happy if you.asked us any questions that you have.during the course of the presentation.the best way to do that is to use the.chat box that's located on the left-hand.portion of your screen.make sure that's directed to everyone or.to the presenters Christine and I will.see it and then we'll get to it within.short order.but we like to get to those before while.we sort of move off that particular.topic.we'll also hold some time at the end for.questions as well so without further ado.we're going to jump in Christine and I.are from Qi Express and we've partnered.with the Florida Association of.healthcare underwriters for this.presentation this is the beginning of a.series of webinars which will culminate.in a live presentation at your annual.conference in September so feel free to.look for additional webinars that.they'll be announced in your newsletter.as well as in some emails that will send.you the link to the next one which is in.two weeks from today is also at the end.of this so the goal is to really.provide members with a full.understanding of HIPPA how it impacts.you and the work that you do and we're.going to try and cover relevant topics.over the course of the next several.presentations and in order to do that we.really need to set the stage with a just.a very pretty high level actually.introduction of HIPAA and discussion of.really why it's important for you as.well as for everyone within the.healthcare industry and so some things.we're going to talk about we're going to.talk generally why what it is why it's.important we're talking about pH I the.different rules the Privacy Rule the.Security Rule and then some high-level.information about some things that you.can do now which we will dive deeper in.and into in future conversations actual.steps as well as instant and breach.response okay so I'm sure most of you.have heard of HIPAA it's been around.since the 90s and have seen some changes.throughout the years it's comprised of.three rules the Privacy Rule which is.established two standards establishes.standards to protect an individual's.medical records and other personal.health information security this rule.establishes standards for protecting.certain health information that L or.transferred an electronic form and.breach notification which establishes.standards for how notification of.affected individual and possibly the.media of unsecured pH I the goal of.these rules were not to make things more.difficult but to provide a way to keep.private information confidential while.still allowing necessary information to.be shared it's important to note that.although these are set at a federal.level states have the ability to modify.these rules to a more strict guideline.so why does any of this matter well to.start with it's the law and violations.of the law could mean hefty fines or.charges.which none of us wants we also know that.breaches are expensive not only our.organizations hit with finance but it.could cost you your business another.important reason is the patient all of.us want to feel that whatever.information we share is protected to the.best of the organization's ability.therefore any of us to deal with phi2.provide the same level of protection and.security we would expect okay so we've.talked about pH I a little so let's make.sure we all know what it is you guys any.information used to identify the.individuals it can be related to either.payment or delivery of healthcare this.slide here is the list of identifiers.that make up pH I it includes the.obvious like name date of birth and.social security numbers and also.includes things that many people.wouldn't consider like IP address.vehicle or ID or device serial numbers.it's a good practice to become familiar.with this list since it's hard to.protect pH I if you don't know what it.is okay so hip is made up of three.distinct rules that were passed at.various times throughout history and the.recent decades the Privacy Rule the.Security Rule and the breach.notification rules that's not.necessarily important to know but I.guess it's just worth noting so the.privacy rule is really the oldest and.it's the fundamental rule that we think.about when we talk when we talk about.HIPAA it's the one that most laypeople.if you will people that are primarily.just patients and not in the industry in.one form or another are most familiar.with because this is where they are.filling out forms notice of privacy.practices authorizations so they have an.understanding of what the privacy rule.is primarily about when pH is Christine.discussed when it can be disclosed.and what for what purposes it can be.disclosed the general idea is that there.are certain reasons why you can disclose.information into certain in certain.instances into certain recipients.everything else is not permitted to be.disclosed unless it's authorized by the.patient and we're going to talk about.deeper what each of those disclosure.types are the other thing I think this.is very important to note is probably.one of the most fundamental and.overarching things of HIPAA is what's.called the minimum necessary standard.you don't remember anything else from.this presentation remember this the.minimum necessary standard means that.you may only access the minimum amount.of pH I necessary to do your job or to.complete a task for instance I hear.often times of people that you know they.may be transferring this example may not.apply perfectly but you know they may be.transferring pH I and a record to.somebody to do the billing and instead.of just transferring the relevant.information necessary to do the billing.they send everything they send the.patient's record for the last 20 years.and you may not only need the.information from the last visit or.something along those lines so that's a.violation of HIPAA very simple and.easily preventable violation of HIPAA.because they did not disclose the.minimum amount of pH I necessary for.that task we also talked about minimum.necessary when we talk about access.control which is something that we'll.talk about in future presentations the.idea of that is using technical sort of.silos to give individuals only access to.certain information so if somebody's.just handling you know just handling.claims they may not need access to all.of the diagnosis information.so you would you would use an access.control procedure to minimize an.individual's access thus giving them.access to only the minimum amount.necessary again that's a fundamental.overarching theme that we will see.throughout the spirit of the HIPAA law.but it's also a very fundamental portion.of the privacy part of the law the.privacy rule also talks about access.patients have access to their records.and almost unlimited in unfettered.conditions they have access to an.accounting with some exceptions patients.can request to know who you have.released their information to patients.have a right to amend probably not.something that is relevant for the.audience here they have a right to a.cash restriction meaning if they pay.cash.before a visit then it can be not sent.to the payer whoever the player is and.confidential communication patient can.say don't send this information to my.spouse or to my sibling or to my child.and you have an obligation everyone has.an obligation to uphold that so let's.talk about disclosures there are three.types of disclosures required permitted.and then everything else which is.authorized there are two instances in.which disclosures are required in only.two instances only if you have a request.to disclose information to the.individual you must do it if you have a.request to disclose information to the.Department the US Department of Health.and Human Services you must do it.permitted disclosures are things that.are that you may do but you don't have.to do and you don't have to have a.patient's consent to do it authorized.disclosures are everything else in which.case the patient must specifically.authorize it so I mentioned required.disclosures already these are to the.individual.and to the HHS secretary you don't have.an opportunity to disagree with this you.must you must follow through with that.disclosure if it's requested by either.of those parties so permitted.disclosures are much more common in the.normal day-to-day way in which you.receive pH I in the day to day way in.which you may disclose pH I out so.permitted disclosures you may do you.don't need a patient to consent to that.but you also may say I'm not going to do.it for one reason or another the most.typical type of disclosures are for.treatment for payments or for healthcare.operations don't mean a dis consent to.transfer or to receive information phi4.treatment payment or operations you also.don't need you may you're permitted.disclosure is one in which the patient.the individual has an opportunity to.object which think of these in terms of.facility directories notifying family on.an individual's care things where the.patient may be there they may have the.opportunity to stand up and say no I.don't want you to discuss this.information in front of the other person.who may be with me in this situation.things that you may permitted.disclosures are also for public interest.in benefit activities if you receive a.request from a law enforcement this is.often something that you may disclose.without getting the the patient's.consent to do it but you don't have to.do it and things in a limited data set.which is the 18 identifiers that.Christine discussed those things have.been removed and those essentially.there's nothing personally identifiable.in there so those can be disclosed.authorized disclosures as I mentioned or.anything that are not permitted or.required so it's every other disclosure.which maybe a lot of your disclosures.that may not be a quick note about what.an authorization must include must be in.plain language it must be specific about.the information to be used or disclosed.so you can't just say you're going to.send them the whole record you must say.they're you're going to send you no.notes for or payment details from one.date to another date must identify.specifically who is disclosing it and.who is receiving it state a time or an.event for expiration and permit the.patient to revoke that authorization in.writing if they ever choose to do it.and it really can be done for anything.that the patient wants the patient can.authorize the disclosure of their.information for basically any reason.disclosures to an employer for a.pre-employment physical to display.artwork for a pharmaceutical firm for.marketing those are some well-known.examples I had one again not a perfect.example to all of you but one that I did.encounter was got a call from somebody a.client and they asked if they could.current authorization release.information to a journalist a patient.for whatever reason wanted to send all.of their their records phi2 a journalist.and you know we went through and we said.that the authorization contain all of.the required elements which you see here.yes it does then yeah you can do it I.mean the patient authorizes the the.authorization has all the meets all the.elements so they can make that.disclosure.okay so I touched on minimum necessary.so it's again it's only accessing and.disclosing the minimum amount of pH I.necessary to do your job or to fulfill a.specific request examples of minimum.necessary someone request that you send.them information on a specific specific.information about a patient or an.individual and you send them everything.that would be a violation having access.to an entire patient's record when you.only need access to a piece of it or.discussing this as a typical one that we.may not think about right discussing.information with a colleague who's not.involved in the individual with the.individual if it's not really for you.know some type of consultation you know.asking them you know here's information.about this person can you help me out.here especially if it's gossip or.something like that that's not permitted.that's a HIPAA violation technically.because you're violating at the minimum.necessary standard okay so the next.couple slides are going to talk about.business associates to answer this.question you're going to ask yourself.two other questions does the.organization in question perform a.service or function on your behalf and.the second one is does the organization.need access to phi2 perform the service.or function if either or both of those.questions are yes then your organization.is a business associate and it is.required to be in compliance with HIPAA.to give you an idea of who our business.associates we created a short list as.you see there are each ours IP vendors.as well as of cloud storage vendors but.now we have an idea of who is a business.associate but who isn't some common non.business associates fall into two.categories those with limited or.incidental access like janitors who.might see phi-1 while cleaning and the.second category is conduits this one.through people like total sir.with ups or private couriers sorry okay.so you figured out who your business.associates are now what you will need a.side business associate agreement with.all business associates they will be.required to protect the PHA they have.access to about line in the signed.agreement as well as notify you if a.breach does occur and if appropriate a.review of business associate compliance.with HIPAA and a business associate.agreement the next two slides cover the.required items that must be in a.business associate agreement I don't.want to read all of them to you I want.to just highlight a few it will have to.establish committed uses and disclosures.require business associates to implement.HIPPA safeguards to prevent unauthorized.access as well as required business.associates to ensure it some contractors.agree to the same provisions as the.business associate agreed to again this.required language is not meant to.complicate matters by to ensure that.everyone who handles pH I is doing their.part to protect it okay so we have one.question here that we've received about.business associate agreements and it's.about an example there are examples out.there we have OCR who is the regulatory.authority of HIPAA has put together an.example of a business associate.agreement we also have one so if you're.interested if you'd like or need an.example of a business associate.agreement you know just shoot me an.email back when I send you the deck and.send you the recording and we can get.you that example without any problems.and we also have another question about.business associates and it's about if.if you the audience on the call likely.have business associates and in my.without knowing specifically about you.know each of your businesses my guess.would be that you probably do have a.business associate somewhere probably.more than one some places that I would.encourage you to look as Christine.mentioned would be any cloud storage.vendors if you're storing personal.information patient information pH I in.the cloud with Amazon on Dropbox on.Google Drive something like that they.are a business associate of yours the.good news is that they're actually very.they're very willing to sign business.associate agreements so you would want.to you know let them know that that you.need to execute a business associate.agreement with them they're probably if.not already going to move your.information that you're storing into a.more secure environment and then you.will be in pretty good shape you may.have some other business associates as.well so I would encourage if you have.specific examples to you know let us.know here so we can discuss them and we.can we can discuss those more so another.question just came in as health.insurance agents to whom do we need to.provide a business associate of.agreement to so I'm just thinking.through here.I guess it would depend on who how.you're receiving the patient information.if you're getting it from the patient.themselves directly then you probably.don't need to execute the business.agreement you don't need to provide a BA.to anyone like that.but if it's being transferred to you.from a health plan for instance which.may or may not be true you might be a.business associate of that health plan.likely my guess is that you're not going.to be business associate of as many.people as you will have business.associate agreements of that is so again.cloud storage providers I think is is.one to look at other people in.technology depending on how you have.your networks set up and establish that.maybe anyone that you may be giving.access to or that may have access to the.patient's information would be somebody.that you want to scrutinize as a.business associate and again if you have.anyone has specific examples feel free.to send them around now or we can.discuss offline again you'll have our.email addresses so changing gears to the.security rule the security rule is sort.of the second rule that makes up hip-up.it covers those covered entities which.we kind of gleaned over what is it.covered entity that's a healthcare.provider not you a healthcare Clearing.House also not you and health care or.health insurance plans and as well the.security rule also covers business.associates and it requires you to.implement certain administrative.technical and physical safeguards for.protecting pH I in electronic form so if.you are only dealing with pH I and paper.form good news is the security rule.doesn't apply to you so but we're.talking about ensuring confidentiality.that information must be kept private.integrity that it may not be altered or.destroyed in a pro.really and third that it must be.available meaning accessible and usable.and the idea is that it must identify.and protect against reasonably.anticipated threats so if something is.considered reasonably anticipated then.that's something that you're going to.got one to guard against so there are.two types of there are two ways in which.the security role is sort of outlined.and broken down and those are required.things things that you obviously have to.do and addressable safeguards.addressable safeguards must be.implemented if the safeguard itself is.quote reasonable and appropriate so if.it's not reasonable and appropriate for.you to implement that safeguard then you.don't have to.one example is automatic at.automatically logging off of your your.system so R of your computer so you.would need to have an automatic timeout.or an automatic log off after 10 minutes.or 15 minutes or maybe even 30 minutes.if it's reasonable and appropriate if.it's not reasonable and appropriate then.you wouldn't have to have that automatic.timeout or automatic logoff I think the.technology that we're dealing with.prominently currently indicates that it.is probably reasonable and appropriate.for you to have automatic log off on.your on your all of your devices.specifically your laptops and.workstations if you're accessing patient.information on those devices the other.one the other addressable safeguard that.we hear a lot of conversation on is.encryption both encryption at rest and.encryption in transit and that's one.where it may be a little bit less.clear-cut as to whether it's reasonable.and appropriate but encryption is.at present and addressable safeguard so.if you want to determine if something as.reasonable and appropriate you look at.four things your size complexity and.your capabilities so what's going to be.reasonable and appropriate for you know.a one-person shop a health underwriter.or agent is different than if you are.you know a much larger operation your.technical hardware and software.infrastructure so are you going to have.to make giant infrastructure changes to.implement something like automatic log.off or encryption if so then you may.determine that it's not reasonable or.appropriate for you to do so the cost of.the security measures this is one where.we we see and hear a lot of pushback.from people that the cost of encryption.is expensive that's a moving target.because the cost of encryption for.instances is has gone down considerably.in the last several years so it's really.open to interpretation and the.likelihood and potential impact of the.potential risks so if you're doing.something that could be easily mitigated.by a addressable safeguard the.likelihood that you should implement.that safeguard is going to be higher.it's going to be deemed as more.reasonable and appropriate for you to do.so if it's going to have you know.mitigate the impact and risk to the pH I.so what you're doing is you go through.this analysis to determine if something.is reasonable and appropriate for you is.think about each of these four items and.you want to document that's something.that we really haven't hit on when it.comes to sort of a HIPAA introduction.and overview but one of the most.important things that you can do in.anything HIPAA related is to document.everything so if you're trying to.determine should I encrypt my devices.grupe encrypt my email that has pH I on.it or accesses pH I you know you would.want to think about you want to think.about that you know the potential the.potential increase but you want to.document exactly what your what your.thought process is so take yourself.through those four bullet points and.think about each one and make the.documentation create that documentation.because when it comes to HIPAA.compliance the documentation is what you.use to actually verify that compliance.almost very few times if ever you will.have somebody come and actually look at.your operation to determine your.compliance with something like HIPAA but.what they will do is they will ask for.the documentation to show that it's in.place so what I'm doing here in this.slide is just outlining for you what it.looks like in the rule this is just a.copy of a rule section from the security.rule and you can see section I unique.user identification and Phii those are.both required things those are things.you have to do you have to have a unique.user ID you have to have an emergency.access procedure but three and four.automatic logoff and encryption and.decryption are addressable so this is.how it this is how exactly how it looks.so now what I want to do is look at some.of the administrative physical and.technical safeguards and we're going to.distill these things down so that you.can see exactly what the required.elements are so you can essentially.extrapolate these are the things that.you have to do so you have to have a.security management process to identify.and analyze potential risks and.implement reasonable and appropriate.safeguards you have to have a security.personnel meaning you have to identify.somebody within your organization.serve as your security officer they.don't have to that doesn't have to be.something that you print on their.business card but you have to have a.document within your organization that.says somebody this person or person who.has this role is our security officer.and that should be known to anybody who.works for you any of your staff.information access management again.authorizing only the minimum amount of.access necessary this goes back to the.minimum necessary standard and brings in.what I touched on earlier which is role.based access control workforce training.you have to train your employees on.HIPPA high level on HIPAA as well as.what they can and cannot do within your.organization within their day-to-day.jobs and train them on the safeguards.that you have in place going back to the.encryption example if you encrypt your.emails you should train somebody so that.they know how to encrypt an email that.they're about to send if something.happens automatically do they have to.type secure in the subject line do they.have to click a special button whatever.the case is this is where training comes.in and shows you this is what you would.need to do and you need to evaluate.these things so these these things are.not done in a silo it's not a one-time.thing that you never go back to it's.something that you're consistently.reviewing and updating as necessary so.this is sort of the quick list of.administrate required administrative.safeguards conducting a risk assessment.implementing the risk management plan.those are two things that we'll talk.about I believe it's in the next webinar.but in future webinars have a sanctions.policy so staff know they violate a.policy that they will be sanctioned and.this is what their sanction process your.sanction process will look like that you.will you need to review the safeguards.periodically assigned a responsible.individual isolate Clearinghouse.functions employment incident response.and reporting have a back.plan we've heard a lot in recent weeks.and about ransomware again we'll talk.more about that in the future but one of.the most important things that you can.do to guard against the ransomware.attack is have a good backup disaster.recovery what are you going to do in the.event that your systems are down either.from something like a hack or ransomware.attack or natural disaster the state.with emergency mode and contingency plan.and going back to what we already.touched on executing business associate.agreements those are all the.administrative safeguards by far the.largest bucket of the three next is.physical safeguards having facility.access and control if you have a.physical office or if you work from home.potentially you still need to have some.type of physical access to your facility.we could be talking about things like in.an office setting like badges clothes.closed-circuit TV - something like if.you have a home office making sure that.you know your computer is kept locked.you know in your desk and your office is.locked when you're not in there things.like that as well as work workstation.and device security so this gets to.things like how you dispose of and.remove thi from devices when you're.discarding them either transferring them.to somebody else sending the amount of.your organization reselling them or just.giving them up and it also talks about.transfer and removal how are you going.to transfer pH I and these are the these.are the only four required physical.safeguards workstation use workstation.security that gives to things like.having antivirus software updated.patching as well as device disposal and.device reuse if that's something you.choose to do within your organization.and finally technical safeguards access.control audit controls so you're going.to be generating a lot of this.information and saying you're going to.be doing all these things.having audit controls to check those.things it is an important function.integrity control to ensure pH is not.improperly altered and destroyed and.transmission security so the four.required things here is having unique.user identification we saw that on a.slide earlier every user within your.organization must have a unique way to.log in wherever they log in to access pH.I and so that that can be tracked so.universal logins that is a big no-no you.need to have an emergency access.procedure how are you going to access pH.I how are you going to access this.information in times when other when.things are down this is a part of your.contingency planning and disaster.recovery planning as well so to kind of.go in together audit controls again how.are you going to how your follow up on.these things to ensure that you're doing.what you need to be doing and person or.entity authentications.so this is really a technical way to.determine that as you're sending pH I.out or receiving it that it's something.that you're doing to the to the correct.person.okay so let's distill this down into six.things for instance if you're hopefully.not but if you are sitting there feeling.a little bit overwhelmed we've thrown a.lot of things at you that you need to do.that you have to do let's take a step.back and figure out how do you actually.do this it's not I assure you it's not.as hard as it appears to be at this.point six things first do a security.risk assessment or a risk analysis you.need to look at your organization.large or small determine where pH I is.is what applications it's in that in.your email devices filing cabinets and.then determine the risks associated.with that we're going to talk more about.this in future webinars there are tools.out there HHS has a tool we also have a.risk assessment tool that'll sort of.drive you through that drives you.through your risk the risks within your.organization it helps you to classify.those and rank those so then step two is.to actually develop a plan for.remediation after you conduct that risk.assessment what things you're going to.fix and in what order are you going to.fix them so three is implement policies.and procedures I touched on the fact.earlier that hip is all about the.documentation so having these things.documented having a policy that says.you're going to have a unique user.identification and having a written plan.about how you're going to handle.disaster recovery or contingencies or.things like that.those are the things that you need to do.those policies and procedures then you.train your staff on them so you conduct.you need to conduct training if when.somebody is hired and at least once.annually and this is again to teach them.all the ins and outs of how they're.operating and how they should protect.pahi within your organization and then.you're going to implement audit controls.to verify and validate that the things.that you say are in place are actually.working that they're in place that you.want to continually check these things.and then the last piece is to review.consistently review your policies review.your plans take a look at your risk.assessment once a year make sure it's.still accurate you haven't added a.location or change how you process.anything or handle the pH I in any way a.sense of its still working and then.redesign things as necessary.now we're talking about incident and.breach response so what happens if an.incident or a breach Yorker.well you'll want to follow your incident.response plan if you're sitting there.thinking oh no I don't have that we're.going to provide some information now on.what an incident response plan should.include it should identify members of an.incident response team this group will.be responsible for investigating as well.putting in place a plan plan for how.incidents will be investigated it should.include forms for initial reporting as.well as far as the document steps.follows you also want to include.classification of incidents whether it.was critical important or not incredible.and finally you're going to want to.include if the incident is determined to.be a breach and then determine the.necessary steps to follow there are four.factors that are used to determine the.probability pH I was compromised those.factors are the nature and extent of the.pH I involved this includes types of.identifiers x' and a likelihood of.reaiiy denta fication who was the.unauthorized individual that was.disclosed that the disclosure was made.to was the ph i actually acquired or.viewed and finally the extent to which.the risk to the ph i has been mitigating.if through this analysis it can be.determined that there is a lower.probability the ph i was compromised.then it's not a breach otherwise the.incident must be reported as a breach so.let's say for example an employee has a.laptop stolen from their car in this.example let's say that the data is not.encrypted.is this a breach I would say yes that it.is.because the information could be.identified fairly easily if the person.knows how to to get into that laptop and.if you don't have a password protection.on that it will be even easier.so let's reverse that situation say that.the data was encrypted and that you had.all the all the safeguards in place then.chances are that would just be an.incident and not a breach okay.so that takes us through all of the the.high-level information that we wanted to.present today any last questions please.type them in to the chat box as you can.see in two weeks we will be doing.another webinar where we will dive.deeper into conducting risk assessment.and will and also discussing your risk.remediation plan so that sort of next.step - so what we intend to do over the.next several webinars is to so drive.through each item on this list and talk.in more depth about each of those pieces.so that we can you know you can all have.a deeper understanding of each of these.things so as I mentioned if anybody.joined late we'll be providing after the.webinar probably later today a copy of.the deck that we used for your reference.as well as a link to the recording this.will this should get to you at an email.later today so um if there are no other.questions we will we can end it there.okay we've just got one more question so.please provide the electronic.requirements that we need as brokers the.I'm sorry I'm sort of but not.understanding the full question so the.the ideally like the technical if you.mean the technical safeguards that you.need as brokers for HIPAA what I would.say is that this is sort of the the.problem with HIPAA is that it's not.necessarily based on the industry or the.work that you're doing specifically what.it's really about is your specific.organization.so to you know jump back into sort of.the high level stuff about HIPAA it was.written broadly so that it would apply.to essentially everybody in healthcare.from giant hospital systems to um you.know to everybody who has access to pH I.so it's written broadly which means that.it's not very prescriptive that's plus.and a minus so if you're talking about.okay so if you're talking about specific.encryption providers or something like.that I mean we can we can talk more.about that probably it may be a little.appropriate to do it in in context as we.get to those items we can discuss you.know ideas of providers that are.prevented doing that service which there.are plenty out there so that's something.that as we're preparing future webinars.you know if we're talking about.encryption we'll be sure to include some.ideas of encryption providers that are.that are out there that you could you.know you could potentially contact so.we'll try to be as specific as possible.as we go through each of these items ok.so again if there are questions just.feel free to respond to the email that.you'll get later sometimes this isn't.the best forum because we're only.getting so there's a short snippet of.what you're really thinking so feel free.to shoot us an email if you do have.questions when you get the deck so again.thanks to everyone for joining look for.additional information coming later.today and we hope you can join us in two.weeks when we talk about risk.assessments and remediation plays.

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This Operating Agreement Hipaa Form FAQs

Note answers to questions about This Operating Agreement Hipaa Form . View the most useful topics and more.

Need help? Contact support

Do the HIPAA laws prohibit Health Insurance companies from allowing members to fill out and submit medical claim forms on line?

No, nothing in HIPAA precludes collecting the claim information online. However, the information needs to be protected at rest as well as in-flight. This is typically done by encrypting the connection (HTTPS) as well the storage media

Are health clubs, gyms and other public businesses that require customers and clients to fill out health and/or medical forms or releases required to protect that information under HIPAA?

As Shana said, most states do have laws protecting individuals' personal information. There also may be a confidentiality agreement in the health form that protects the individual. I'd still recommend alerting the gym manager/owner. As a business, I doubt they would want this occurring.

I received my late husband's W-9 form to fill out for what I believe were our stocks. How am I supposed to fill this out or am I even supposed to?

You do not sound as a person who handles intricasies of finances on daily basis, this is why you should redirect the qustion to your family’s tax professional who does hte filings for you. The form itself, W-9 form, is a form created and approved by the IRS, if that’s your only inquiry. Whether the form applies to you or to your husband’s estate - that’s something only a person familiar with the situation would tell you about; there is no generic answer to this.

How can I get help to modify an operating agreement for a newly formed LLC without hiring a lawyer?

Given that you cannot afford a lawyer, and that it makes no sense to ask a non-lawyer to do a lawyer's work (which would constitute unauthorized practice of law), I can think of two ways you might be able to find Operating Agreement provisions that will meet your needs:Examine the publications at http://Nolo.com to determine whether there are some that provide the required provisions. Examine every Operating Agreement that you can find via a Google search to make a similar determination.

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