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What is a “designated record set?

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What is a “designated record set?

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• The medical records and billing records about individuals maintained by or for a covered health care provider. • The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan. • Used in whole or in part by or for the covered entity to make decisions about individuals. Must covered entities establish and maintain policies and procedures to safeguard the confidentiality of PHI? All covered entities must establish and maintain policies and procedures to include administrative, technical (security services and mechanisms) and physical safeguards to protect PHI. What are the HIPAA privacy training requirements concerning employees? All covered entities must train each member of the covered entity’s workforce and document that training took place for its workforce prior to the compliance date (April14, 2003) and must train all new workforce members after the compliance date. If there is a material change to its privacy polici

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• the medical records and billing records about individuals maintained by or for a covered health care provider; • the enrollment, payment, claims adjudication and case or medical management record systems maintained by or for a health plan; or • one that is used in whole or in part by or for the covered entity to make decisions about individuals. back to top Must covered entities establish and maintain policies and procedures to safeguard the confidentiality of PHI? All covered entities must establish and maintain policies and procedures to include administrative, technical (security services and mechanisms) and physical safeguards to protect PHI. What are the HIPAA privacy training requirements concerning employees? All covered entities must train each member of the covered entity’s workforce and document that training took place for its workforce prior to the compliance date (April 14, 2003) and must train all new workforce members after the compliance date. If there is a material c

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