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The Connection Between Financial Institutions and the New HIPAA Rules

A debate exists as to what extent, if any, HIPAA applies to financial institutions. Three main areas of banking are deemed to warrant the inclusion and understanding of HIPAA as it is currently defined.

  • 1. The Privacy Rule applies to financial institutions that provide health care benefits to its employees, regardless of whether the Bank offers a self-insured plan with active oversight by management or a fully insured health plan where management has limited involvement in health care costs. On behalf of the financial institutions, they are particularly susceptible to HIPAA violations brought forth by bank employees who are knowledgeable about privacy rights and will use their knowledge as the basis for bringing claims and litigation against employers.
  • 2. Another issue is deciding whether actions taken by the Bank constitutes them becoming a business associate. A “business associate” performs a function or activity for a HIPAA covered entity that involves the use of or disclosure of protected health information on the entity’s patients or members. If the financial institution becomes a business associate, the HIPAA Privacy Rule requires the health care customer to enter into a contractual relationship with the associate (banking institution). The agreement imposes a number of privacy restrictions on the bank with regards to handling sensitive patient information they may receive from health care companies who are also bank customers.

    The financial institution should evaluate the wide range of services they provide to determine whether or not these services constitute them performing a “business associate” function. If the bank receives no patient information from the customer or simply processes checks received from the customer’s patients which may include their name, address, telephone number, this would seem to be encompassed under Section 1179 and merely an incidental part of the services that are extended to all customers, regardless of what type of business venture they are involved in. The issue of HIPAA arises when banks take extra steps in performing services for a health care institution. This could include matching claims to receipts and collection efforts performed on delinquent claims.
  • 3. The last component analyzes whether or not the financial institutions will feel pressure from their customer base to conform to HIPAA restrictions even if the bank is not legally obligated to comply with the rules and regulations. Banks must evaluate their customers and become educated with the HIPAA requirements so that employees will possess the ability to answer any questions that may arise and/or act upon new business opportunities that clients in the health care industry may have to offer. A good way to ease the minds of health care companies that do business with your institution is to provide information concerning one’s policies and procedures on the privacy and security of customer information.

More information regarding HIPAA can be found here on the website is manned by the US Department of Health and Human Services.

 

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