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SOP Number: IRB 010 Guidance on Use of PHI Without Subject Authorization Version Number: 001 Date Effective: 03/11/2008 Date of Annual Review: 05/20/2014 UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF
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How to fill out HIPAA use of PHI:

01
Start by understanding the purpose of HIPAA. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy and security of an individual's health information. It establishes rules and regulations for covered entities, such as healthcare providers and health plans, regarding the use and disclosure of Protected Health Information (PHI).
02
Determine if you are a covered entity. HIPAA applies to healthcare providers, health plans, and healthcare clearinghouses. If you are employed by or affiliated with any of these entities, you will need to fill out the HIPAA use of PHI forms.
03
Familiarize yourself with the necessary forms. Covered entities are required to have and implement HIPAA policies and procedures. These may include forms to document the use and disclosure of PHI. Some common forms include the Authorization for Use or Disclosure of Protected Health Information and the Notice of Privacy Practices.
04
Understand the purpose of each form. The Authorization for Use or Disclosure of Protected Health Information is used to obtain consent from individuals before using or disclosing their PHI for certain purposes. The Notice of Privacy Practices informs individuals about their rights regarding their PHI, how it may be used and disclosed, and how to file a complaint if privacy practices are violated.
05
Gather the necessary information. To effectively fill out these forms, you will need specific information, such as the individual's name, contact information, details of the intended use or disclosure, and the purpose for which the PHI will be used.
06
Complete the forms accurately. Take your time to ensure that all required fields are filled out accurately and completely. Double-check the information provided to minimize errors or omissions.
07
Obtain appropriate signatures. The Authorization for Use or Disclosure of Protected Health Information form typically requires the individual's signature to demonstrate their consent. Make sure to clearly explain the purpose and consequences of signing the form, and provide a copy for their records.
08
Keep copies of the completed forms. It is important to maintain a record of the completed forms for future reference or in case of an audit. Store them securely and in accordance with HIPAA guidelines to protect the privacy and confidentiality of PHI.

Who needs HIPAA use of PHI?

01
Healthcare providers: Physicians, nurses, hospitals, clinics, dentists, therapists, and any other professionals who provide medical services to patients fall under the category of healthcare providers. They may need to fill out HIPAA use of PHI forms when requesting or disclosing a patient's health information.
02
Health plans: Insurance companies, HMOs, Medicaid, Medicare, and other organizations that pay for medical services fall under the category of health plans. They may need to fill out HIPAA use of PHI forms when managing claims, request information from providers, or disclose information to authorized entities.
03
Healthcare clearinghouses: These are entities that process or facilitate the processing of health information received from another entity. They may need to fill out HIPAA use of PHI forms when transmitting health information electronically or when managing claims.
It is important for all covered entities to understand and comply with HIPAA regulations regarding the use of PHI to protect the privacy and security of individuals' health information.
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HIPAA use of PHI refers to the rules and regulations set forth by the Health Insurance Portability and Accountability Act regarding the use and disclosure of Protected Health Information.
Covered entities such as healthcare providers, health plans, and healthcare clearinghouses are required to file HIPAA use of PHI.
HIPAA use of PHI forms can be filled out by providing the required information regarding the use and disclosure of Protected Health Information.
The purpose of HIPAA use of PHI is to ensure the privacy and security of individuals' health information and to regulate its use and disclosure.
Information such as the types of PHI used or disclosed, the purpose of the use or disclosure, and any safeguards implemented to protect the information must be reported on HIPAA use of PHI forms.
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