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How HIPAA Applies to Practice

Anywhere in which health care information is electronically leaving the four walls of your practice should be housed in a HIPAA-compliant platform. You should audit and assess your practice for HIPAA adherence throughout the process of engaging with a patient, including:

Patient Making an Appointment

 

Likely compliant examples include

  • Scheduling using online platforms hosted by a secure vendor with whom you have executed a BAA
  • Scheduling by phone call
  • Maintaining local (e.g., not cloud-based) or paper schedules and records

 

Likely noncompliant examples include

  • Scheduling via texting, voicemail, or email, if not using platforms hosted by a secure vendor with whom you have executed a BAA
  • Maintaining an online calendar of appointments with any identifiable patient information on a platform with which you have not executed a BAA

Collecting Patient Information (medical history, payment information, consent to treatment and Notice of Privacy Practices)

 

Likely compliant examples include

  • Collecting patient information using online platforms hosted by a secure vendor with whom you have executed a BAA
  • Collecting patient information on forms maintained locally or on paper

 

Likely noncompliant examples include

  • Collecting or maintaining patient information via texting, voicemail, or email, if not using platforms hosted by a secure vendor with whom you have executed a BAA
  • Maintaining patient information on a platform with which you have not executed a BAA

Delivering Care

 

Likely compliant examples include

  • Delivering telehealth using online platforms hosted by a secure vendor with whom you have executed a BAA
  • Delivering audio-only telehealth through phone calls (not using online audio services providers, like FaceTime with whom you do not have a BAA)
  • Seeing patients in person

 

Likely noncompliant examples include

  • Delivering telehealth using FaceTime Audio, Google Voice, or any other voice over IP (VoIP) provider with whom you have not executed a BAA
  • Delivering telehealth in public places where others can hear either the clinician or the patient

Maintaining Health Records

 

Likely compliant examples include

  • Maintaining patient information using in an EHR or other platform hosted by a vendor with whom you have executed a BAA
  • Maintaining patient information on paper forms maintained locally or on paper

 

Likely noncompliant examples include

  • Maintaining patient information on a platform with which you have not executed a BAA
  • Maintaining patient information in physically unrestricted environments, including in an unlocked office or on a computer without a password

Sending Prescriptions

 

Likely compliant examples include

  • Sending electronic prescriptions through a platform hosted by a vendor with whom you have executed a BAA
  • Faxing prescriptions

 

Likely noncompliant examples include

  • Texting, emailing, or leaving voicemails to transmit prescriptions if not through platforms with whom parties have executed a BAA

Billing the Patient’s Insurance

 

Likely compliant examples include

  • Using a secure online portal to transmit billing data to the patient’s payer
  • Faxing billing data

 

Likely noncompliant examples include

  • Texting, emailing, or leaving voicemails to transmit billing data if not through platforms with whom parties have executed a BAA

Collecting Payment from the Patient (co-pay or out-of-pocket)

 

Likely compliant examples include

  • Collecting payments through a secure online portal with which you have executed a BAA
  • Collecting cash or checks

 

Likely noncompliant examples include

  • Using consumer-facing money transfer apps (e.g., Venmo, CashApp) to collect payments

Communicating with the Patient about Any Component of Their Care or Condition

 

Likely compliant examples include

  • Communicating through secure online portals with whom you have executed a BAA
  • Communicating via audio-only phone calls

 

Likely noncompliant examples include

  • Texting, emailing, or leaving voicemails to communicate with the patient if not through platforms with whom parties have executed a BAA

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