HIPAA Certify Individual

HIPAA for Health Plans: Privacy and Security for Payer Staff

45 min
6 sections
12 quiz questions
HIPAA training built specifically for health plan employees. Covers the rules that apply to payers and not to providers: the genetic information underwriting prohibition, the plan sponsor firewall, confidential communication requests, plan-specific Notice of Privacy Practices requirements, and business associate oversight across the vendor chain. For claims, enrollment, underwriting, utilization management, appeals, and compliance staff at Medicare Advantage organizations, Part D sponsors, commercial insurers, TPAs, and Medicaid managed care plans.

Course Content

  • 1

    Health Plans Are a Different Kind of Covered Entity

    7 min

  • 2

    Genetic Information and the Underwriting Prohibition

    8 min

  • 3

    The Plan Sponsor Firewall

    8 min

  • 4

    Member Rights and Plan-Specific Notice Requirements

    8 min

  • 5

    Business Associates and the Vendor Chain

    7 min

  • 6

    Minimum Necessary, Security, and Everyday Payer Scenarios

    7 min

What You'll Learn

  • Core HIPAA regulations and requirements
  • Protected Health Information (PHI) handling
  • Privacy and security best practices
  • Breach notification procedures
  • Real-world scenarios and applications
  • Compliance documentation requirements
Administrative Safeguards Physical Safeguards Technical Safeguards Access Controls Encryption Mobile Devices Laptops & Workstations Email Security Cloud Storage Social Media Telehealth Platforms USB & Portable Media Remote Access / VPN Printers & Copiers Policies & Procedures Documentation Requirements Audit Preparation Incident Response Sanctions & Discipline Training Documentation Compliance Monitoring ePHI (Electronic) Paper Records Minimum Necessary De-identification Limited Data Sets Designated Record Set PHI in Photos & Video Right to Access Right to Amend Right to Accounting Right to Restrict Right to Confidential Communications Front Desk / Check-In Phone Conversations Family & Visitors Law Enforcement Requests Media Inquiries Workers' Compensation Public Health Reporting Research Uses Marketing & Fundraising Minors & Guardians Unauthorized Access Waiting Room Break Room Parking Lot / Public Areas Home Office / Remote Work Conference Rooms Shared Workstations
$19.99
one-time payment
  • 90-day access to complete
  • Professional certificate included
  • Unlimited quiz retakes
  • Mobile-friendly access
  • Instant access after payment

Secure payment via Stripe

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