![]() Government programs that contribute towards healthcareĪ business associate is nothing but a subcontractor or a vendor who has the access to protected health information (PHI).Pharmacies, nursing homes, home healthcare agencies, or hospitals.Insurance companies, health plans, HMOs.Dental and doctors’ offices, clinics, psychologists.Here’s a complete list of entities that come under covered entities. In fact, schools and employers that handle the PHI in order to enroll their employees and students in any sort of health plan also fall under the definition of a Health Plan. Health plans include the health insurance companies, company health plans, HMOs, Medicare & Medicaid. The healthcare providers usually include doctors, clinics, dentists, psychologists, nursing homes, pharmacies, chiropractors, and last but not the least, the hospitals. Department of Health & Human Services ( HHS), healthcare providers, health plans, and healthcare clearinghouses fall under the covered entities. ![]() And hopefully, you as a healthcare app developer will be able to use the below-mentioned information as a reference while you are determining if all the information that you are collecting for your digital health solution fall under PHI or not.īefore we proceed further to talk about the definition of PHI, what information constitutes PHI and what doesn’t, let’s first understand two major definitions under HIPAA and those are – Business Associates and Covered Entities.Ī covered entity is basically a person who provides treatment, payment, as well as the operations in the healthcare sector. ![]() Through this post, we hope to provide a clearer picture of what exactly is PHI or Protected Health Information and what is not considered PHI. And in today’s era of wearables, genetic sequencing, health apps, and much more, getting a proper and precise definition of PHI can be quite difficult to understand, especially for the developers who are trying to parse or figure out whether they need to be HIPAA compliant or not. Therefore, everything related to this act was penned down for mostly an analog world of physical X-rays and even paper files. The Health Insurance Portability and Accountability Act (HIPAA) was filed or rather written 20 years ago when smartphones were a distant reality. Protected Health Information (PHI) is basically the personally identifiable health information that is protected and regulated by the Health Insurance Portability and Accountability Act, better known as HIPAA.
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