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The Health Insurance Portability and Accountability Act (HIPAA) were enacted by the U.S. Congress in 1996. It consists of two different titles. These are,

Title I: Health Care Access, Portability, and Renewability
Title II: Preventing Health Care Fraud and Abuse

What is the HIPAA privacy law? Well, The (HIPAA) Privacy Rule is the first comprehensive Federal protection for the privacy of personal health information. This Rule that comes under Title II took effect on April 14, 2003, with a one-year extension for certain “small plans.” It is about regulations for the use and disclosure of Protected Health Information (PHI) that is about an individual’s information about his health status, provision of health care, payment for health care etc. (Take a look at the privacy rules after final modifications at http://www.hhs.gov/ocr/hipaa/privrulepd.pdf) It forms a patient’s medical record or payment history. The other laws for preventing of health care fraud are,

  • The Transactions and Code Sets Rule
  • The Security Rule
  • The Unique Identifiers Rule (National Provider Identifier)
  • The Enforcement Rule

Besides the Fair Debt Collection Act and the HIPAA acts, one of the major laws that govern medical billing is the privacy law. The Privacy Rule allows individuals the right to request that a covered entity correct any inaccurate PHI. If a covered person feels that the Privacy Rule is not being upheld he can file a complaint with the Department of Health and Human Services Office for Civil Rights (OCR).

Outsource Strategies International (OSI) is a US based medical transcription company that offers professional medical billing, medical coding and medical transcription service to clients in all the US States.