o Referral certification and authorization o First report of injury o Health claims attachments o Other transactions that the Secretary of the Department of Health and Human Services may prescribe by regulation • Covered Entities – A Home Health Agency is a covered entity. • Business Associates o Those who do not work for the Agency but who would have access to the patient’s/client’s protected health information (PHI). o A general rule is if the Agency has a relationship with a non-employee that involves PHI for purposes other than treatment, then a business associate relationship may exist. The Administrative Simplification (A/S) requirements for healthcare providers have been divided into three components: • Transactions Rule o The basic intent is to establish a comprehensive set of standards for the electronic transmission of health information. Electronic transmission includes using: • Internet • Extranet (information is accessible only to collaborating parties) • Leased lines • Email • Texting • Private networks • Social networks • Transmissions that are physically moved from one location to another using magnetic tape, disk, or compact disk • Privacy Rule o The Privacy Rule is intended to give individuals a level of protection of their individually identifiable health information and to provide more control over how their health information is used and disclosed. The protected health information (PHI) is electronic, paper, or oral information related to an individual’s health condition that is found in: • Patient/client medical records • Patient/client billing records
