Introduction to the Healthcare Legal Environment

The healthcare regulatory environment is ever-changing and requires frequent monitoring to stay ahead of regulatory deadlines. The most significant change in healthcare law as it relates to privacy, security, and the exchange of administrative health data (e.g., claims, remittance advices, eligibility determinations, etc.) was the Health Insurance Portability and Accountability Act (HIPAA) of 1996 administrative simplification provisions.1 Since its passage, privacy- and security-related requirements have expanded because of the passage of other federal and state laws.

This chapter focuses primarily on the legal requirements related to the HIPAA Privacy Rule, the HIPAA Security Rule (45 CFR Parts ...

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