Complying with HIPAA laws may sometimes seem like a challenge for your dental practice, but these guidelines are crucial to help protect your patients. Here's why.
HIPAA laws could apply to dental services that may issue eligibility requests, pre-determinations, claims, claim status inquiries, and treatment authorization requests electronically. Additionally, dental practices may be required to advise all employees on how to safeguard, use, and disclose the personal health information (PHI) of dental patients to third-party suppliers, business associates, and patient family members.
The statistics surrounding data security in the healthcare industry are staggering:
The fact is, healthcare workers are drastically undereducated about how to handle sensitive data and the personal health information of patients. This includes dentists, hygienists, dental assistants, dental laboratory assistants, and other key dental staff. These numbers clearly illustrate the need for dental practices to address the issue of data security within their offices.
When sensitive data is mismanaged in a dental office, it can leave patients vulnerable. Depending on what information was compromised, a data breach can result in patients becoming the victims of fraud, unwanted contact or harassment, or medical record errors. Or, people may gain access to the personal health information of others that harms relationships and careers.
The exposure of sensitive information may at best embarrass or upset patients, but their reputation may also be damaged, potentially resulting in fallout in nearly every area of life. Or worse, patients may lose their savings or have their credit destroyed if they become victims of fraud.
In 2017, popular insurance company Aetna accidentally revealed the HIV status of about 12,000 people. The company sent out letters to inform patients that they would now be allowed to fill their HIV medication at a local pharmacy after lawsuits against Aetna in 2014 and 2015 alleged that requiring patients to use a mail-order pharmacy denied them the right to consult in-person with a pharmacist about their HIV medication.
Unfortunately, these letters displayed the fact that they were taking HIV drugs for treatment or pre-exposure prophylaxis through the clear window of the envelope. Patients reported that due to the stigma that still surrounds HIV, having their status revealed to the public in such a tangible way caused significant financial and emotional damages. In early 2018, Aetna settled for $17 million.
Dental practices take in a great deal of personal information from patients, including full names, social security numbers, insurance policy ID numbers, and credit card information. This data can be used to commit financial fraud, identity theft, or insurance fraud. Additionally, genetic and biometric information is also contained in electronic health records, which if accessed by unauthorized parties, can be used to defraud or otherwise harm the patient. HIPAA laws intend to keep the sensitive personal health information (PHI) of patients from being accessed by anyone who doesn't explicitly need or have rights to.
There are several ways you can educate your dental practice staff about HIPAA laws:
HIPAA guidelines are essential for all types of dental practices, from general dentistry to oral surgery. Make sure your staff fully understand why HIPAA is important, what HIPAA is designed to do, and how your dental practice can best facilitate the protection of personal health information with their help.
Treloar & Heisel is a premier financial services provider to dental and medical professionals across the country. We assist thousands of clients from residency to practice and through retirement with a comprehensive suite of financial services, custom-tailored advice, and a strong national network focused on delivering the highest level of service.
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Treloar & Heisel, LLC. and its divisions do not offer data security or legal advice. Please consult a professional concerning these topics.