tci Medicare Compliance & Reimbursement - 2024 Issue Q2

Toolkit: To Notify Or Not To Notify — That Is The Question

Follow this decision tree to determine breach reporting. Practices often struggle with determining if a potential breach of protected health information (PHI) requires notification. Oftentimes the size and scope of the violation necessitates the who, what, when, where, and why of HIPAA breach reporting. Read on for expert advice on breach notification protocols. Use this breach-notification decision tree, provided by Jim Sheldon-Dean, founder and director of compliance services for Lewis Creek Systems, LLC in Charlotte, Vermont. 1. Was there acquisition, access, use, or disclosure of PHI in violation of the Privacy Rule? a. NO: Not a breach; Document the...

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