1. Introduction to HIPAA for Private Investigators

The scope and application of HIPAA Privacy laws and HIPAA Security laws are covered in this course.  While HIPAA is a federal law impacting the entire United States, most individual states have laws that may pre-empt the federal HIPAA law when the state law is more restrictive.  The distinction between healthcare fraud and healthcare abuse will be examined.  The importance of HIPAA laws in private investigation work will be detailed together with multiple case studies and investigatory techniques.

2. Purpose and Goals of Course HIPAA Business Associate Course

This course will examine the federal and state HIPAA Privacy and Security laws.  Real-life examples will illustrate the limitations investigators face in evaluating health-related issues.

3. Learning Objectives:

  1. Familiarity with both components of HIPAA: Privacy and Security.
  2. Understanding when state law preempts federal HIPAA.
  3. HIPAA and communicable diseases, child abuse, controlled substances, substance abuse, birth records, death records, and state law often control how, and with whom, protected health information can be shared, depending on various scenarios.
  4. Business associates and HIPAA restrictions.
  5. Healthcare fraud versus health care abuse.
  6. Parental access to medical records in custodial disputes.
  7. Senior rights and HIPAA law, particularly estate disputes.
  8. Civil law, criminal law and whistleblower laws, and HIPAA restrictions.

4. HIPAA: Privacy Laws and Security Laws

  1. What does it mean to violate a HIPAA law?  Huge penalties.
  2. What is a breach of confidentiality?
  3. What is the difference between privacy laws and security laws?
  4. How easy is it to make a HIPAA claim?  Incredibly easy.
  5. What is a ‘good faith’ effort to comply will all applicable laws, and is it documented?
  6. How can you transmit healthcare records?
  7. What is the difference between privacy and security?
  8. What are the different applications of HIPAA for a healthcare organization and a business entity?

5. State HIPAA Laws and Federal HIPAA Laws

  1. When does state law preempt Federal HIPAA laws?
  2. Where do I find state laws?
  3. How do I keep up with state and federal HIPAA law modifications?
  4. How are medical records transported physically and transferred electronically?

6. Specific Issues in HIPAA State Law

  1. HIPAA and communicable diseases, child abuse, controlled substances, substance abuse, birth records, death records, and state law often control how, and with whom, protected health information can be shared, depending on various scenarios.
  2. Group health plans and HIPAA.

7. Medical Records In Custodial Disputes

  1. Who has access to a child’s medical records in sole custody issues?
  2. Where is the law governing this?  Is this a HIPAA issue?

8. Seniors and HIPAA

  1. Nursing home abuse.
  2. Estate litigation issues.

9. Business Associates

  1. What is a business associate, and how does HIPAA apply?
  2. What are the sanctions for non-compliance?
  3. What training is mandated?

10. Business Entities and Whistleblowers, Fraud and Abuse in Healthcare

  1. What is the difference between healthcare fraud and abuse?
  2. Medicare Strike Force and Health Care Fraud Prevention Action Team (HEAT)

Course Information

1. Adult Education Methods Utilized

  • Downloadable handouts
  • Narrated slides
  • Case Studies

2. Textbook and Course Materials

  • Articles
  • On-demand video
  • Downloadable materials
  • Certificate of Completion

3. Course Requirements

  • Internet connection (DSL, LAN, or cable connection desirable)
  • Access to the internet
  • Ability to use a personal computer

4. Course Offerings

  • Certificate of Completion
  • 60-day unlimited course access

5. Course Structure

This course will be delivered entirely online through the catherinef20.sg-host.com website.  Participants will use website credentials to log in and access their accounts.  Participants will access online lessons, course materials, and resources.  The course will be broken down into modules for self-paced learning.  Access to the course is limited to 60 days.  Following the completion of the course, students will receive a certificate of completion for Continuing Education Credits and licensing renewal.  *Make sure this course is approved by your state for licensing renewal.

  • This course will be delivered online through a course management website named catherinef20.sg-host.com.
  • To access this course online, you will need to access the Internet and a supported Web browser such as Internet Explorer, Firefox, Safari, and Chrome.

6. Technical Assistance

If you require technical assistance at any time during the course or to report a problem:

Email:  support@catherinef20.sg-host.com

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