How to Become HIPAA CompliantĪfter identifying which standards your business needs to comply with to become HIPAA compliant, there is no one-size-fits-all path to compliance. Thereafter, follow the steps in the next section to become HIPAA compliant. Therefore, HIPAA compliance entails reviewing the HIPAA Administrative Simplification Regulations, identifying which standards are relevant to your business’s operations (and which you need to be aware of in order to conduct due diligence on third party service providers), and comparing these standards with any state or federal regulations you may be subject to. For example, healthcare providers that outsource claims and billing operations do not have to comply with Part 162 of the Regulations – although it is necessary to know what they are in order to conduct due diligence on third party service providers. The HIPAA Administrative Simplification Regulations only apply to businesses that qualify as a HIPAA Covered Entity or Business Associate according to the definitions provided in the HIPAA General Provisions ( 45 CFR §160.103) and to health-related businesses regulated by the Federal Trade Commission.Īdditionally, not every business operating in the healthcare and health insurance industry is required to comply with every standard of the HIPAA Administrative Simplification Regulations. Not every business operating in the healthcare and health insurance industries is required to become HIPAA compliant. What is HIPAA Compliance?įor many businesses operating in the healthcare and health insurance industries – and for businesses outside these industries that collect individually identifiable health information – HIPAA compliance means complying with any standards of the HIPAA Administrative Simplification Regulations that are relevant to their operations and that are not preempted by any other state or federal regulations. Nonetheless, businesses who operate in these industries – and service providers that do business with them – must understand what HIPAA compliance entails and how to become HIPAA compliant. How to become HIPAA compliant is one of the biggest challenges for many businesses operating in the healthcare and health insurance industries.
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