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The Health Insurance Portability and Accountability Act (HIPAA) lays out three rules for protecting patient health information, namely: The Privacy Rule. The Security Rule. The Breach Notification Rule.
The receiving party or its representatives may be required by oral questions (i.e., testimony), interrogatories, or other requests for documents in legal proceedings, subpoenas, civil investigative demands, or similar processes, to disclose confidential information.
A covered entity must disclose protected health information in only two situations: (a) to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information; and (b) to HHS when it is undertaking a compliance investigation or
Under the Privacy Rule, there are only two situations in which a covered entity must disclose PHI: 1) when a person requests access to his or her PHI, and 2) when a person requests that their PHI be sent directly to a third party.
The Provider Self-Disclosure Protocol (SDP) was created in 1998 so that individuals and entities subject to Civil Monetary Penalties can voluntarily disclose self-discovered evidence of potential fraud.
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