Transcript title

HIPAA and ROI for Health Prof

Credits

3

Grading mode

Standard letter grades

Total contact hours

40

Lecture hours

20

Other hours

20

Recommended preparation

BA 214 or WR 121Z.

Course Description

Provides a focused review of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, Title II – Administrative Simplification provisions. Emphasizes standards and compliance requirements under the HIPAA Privacy Rule, Security Rule, Breach Notification Rule, and Enforcement Rule, along with a comprehensive study of Release of Information (ROI) practices. Content supports workforce readiness and aligns with competencies addressed in the American Health Information Management Association (AHIMA) ROI microcredential and national exam.

Course learning outcomes

1. Apply ethical, legal, and regulatory requirements (Health Insurance Portability and Accountability Act of 1996, Omnibus Rule, and state laws) to manage Protected Health Information (PHI) access, disclosure, authorization, and release of information.
2. Demonstrate competence in release of information by processing requests accurately, applying the “minimum necessary” standard, protecting sensitive data, and using safeguards to ensure confidentiality.
3. Analyze and apply health information management operations that support compliance, including record retention, chart completion, request prioritization, quality review, fee schedules, and compliance plan participation.
4. Communicate effectively with patients, providers, and external requestors by explaining privacy and disclosure requirements, using professional language, and maintaining confidentiality in complex situations.

Content outline

1. Introduction to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, Title II - Administrative Simplification Provisions.
2. Analysis of HIPAA Title II, Administrative Simplification, Privacy Rule.
3. Analysis of HIPAA Title II, Administrative Simplification, Breach Notification Rule.
4. Analysis of HIPAA Title II, Administrative Simplification, Security Rule.
5. Analysis of HIPAA Title II, Administrative Simplification, Enforcement Rule.
6. Release of information standards and practices.

Required materials

Required textbook. Computer and reliable internet access. Portable storage device (e.g., USB drive).