what is HIPAA Violations? what does HIPAA Violations law in healthcare regulate?


What is a HIPAA violation

HIPAA Violations is a set of rules established by the US Department of Health and Human Services to secure patients’ healthcare information and ensure that they have the  resources for it. These laws regulate how businesses create, maintain, and transfer protected health information. Any data file containing patient health information is considered PHI.

When an organization associate refuses to fulfill any aspect of HIPAA Violations it is considered a HIPAA breach. The privacy rule, the security rule, and the breach notification rule are the three basic standards that regulate how we should manage personal health information under HIPAA. Any breach of these regulations is a HIPAA violation, which must be resolved quickly.

  • Privacy rule

When HIPAA Violations is mentioned, most people immediately think of the privacy rules. The HIPAA privacy rule defines a covered firm. It also explains what PHI is, when organizations can use or reveal PHI, and how users can control their health data. Unfortunately, it’s all too simple to know how to break a private restriction, so all healthcare workers should be well-versed in the rules around protected health information. For example, organizations cannot share the users’ health information without their permission.

  • Security rule

This rule establishes guidelines for securing electronically protected health information (e-PHI). To reduce any risks that could compromise the privacy, accuracy, or availability of e-PHI, organizations must undertake a risk evaluation and develop a risk management plan. To keep PHI secure, all organizations expected to follow HIPAA Violations laws must have operational, architectural, and technology protections. HIPAA violations occur when e-PHI is not protected.

  • Breach notification rules

This regulation requires eligible companies and their affiliates to notify any data breaches within 60 days of learning of the incident. HIPAA Violations standards define unauthorized access of PHI as a data breach. If a breach occurs, healthcare companies must tell any affected people, submit a form to HHS, and inform the authorities. 

HIPAA Violations That Are Most Frequent

Here are some frequent HIPAA violations to be aware of to keep your business compliant.

  • Unencrypted Data

When devices holding personal health information, or PHI, are lost or stolen, the risk of data falling into the wrong hands is substantial. HIPAA Violations requires that devices be encrypted to offer a second layer of protection to your data to avoid this type of HIPAA infringement. These are needed for devices at rest, which is equipment that stores data on hard disks and flash memory. Information is still safe and cannot be retrieved quickly in the event of loss or incorrect disposal. 

  • Accused of hacking.

Being attacked is a terrible occurrence that can occur to anyone, but it is also an example of a HIPAA Violations. However, this does not absolve anyone of responsibility because there are steps that may be taken to stop it from happening again. Updating antivirus programs, encrypting data, and generating strong passwords are just a few.

  • Records that have been improperly disposed of

PHI that has become outdated, no longer expected, or unusable should be disposed of correctly. They can do it in various ways to safeguard patient privacy, including ripping, burning, pulping, or grinding the records, rendering them illegible and unintelligible. They cannot discard the documents in easily accessible public locations, such as trash cans or recycling centers. As a result, sensitive data can readily be leaked and utilized for malicious reasons, posing a significant violation of privacy. 

  • Unauthorized sharing of data

Healthcare information is easily communicated, whether intentionally or unintentionally. For example, it’s relatively uncommon to witness healthcare staff casually addressing these patients at work. It can also take the shape of data being shared with patients’ family members, which may appear innocent at first glance. On the other hand, this material should only be shared with approved personnel and considered behind closed doors.

  • Failure to disclose a violation

HIPAA Violations infractions can happen at work regardless of how experienced or seasoned personnel are. Employees and organizations may be unwilling to disclose them because these transgressions can cause significant harm and have far-reaching consequences. When HIPAA rules are broken in the workplace, and the security or privacy of protected health information is affected, the employee’s supervisor or HIPAA officer must be alerted. Once a problem has been reported, one must take critical action to correct it and minimize additional damage. The Department of Health requires notification with comprehensive documentation within ten days of a data breach. In addition, you must notify affected individuals of a data breach within 60 days.

  • Failure to conduct a risk evaluation

Another example of a HIPAA violation is the failure to notice threats to the privacy of PHI. To recognize and document threats to PHI, HIPAA requires covered organizations and their business associates to complete a detailed risk assessment. This involves thorough research and aids in the detection of weaknesses and the enhancement of information security. Performing a risk evaluation will spare you a lot of hassles, such as those caused by previous HIPAA violations like hacking and data breaches. 

Different types of HIPAA violations and penalties.

HIPAA Violations infractions are classified as either civil or criminal. Therefore, fines, corrective action plans, and jail time are possible penalties.

1. Civil penalties

In most situations, civil penalties are imposed because the criminal was ignorant that they were violating HIPAA.

The penalties start from:

  • If individuals were unaware that they were breaking HIPAA guidelines, they might be fined $100.
  • If an individual had legitimate grounds for their actions and were not “purposely careless,” they would face a minimum fine of $1,000.
  • A minimum penalty of $10,000 if an individual acted with intentional disregard but worked to correct the problem afterward.
  • If someone behaved with intentional neglect and then failed to rectify the problem, they might face a minimum fine of $50,000.

2. Criminal penalties

People who knowingly collect or use PHI without permission are usually subject to criminal penalties.

  • Tier 1: Accessing and releasing PHI without authority or without permission — up to one year in prison and a $50,000 fine.
  • Tier 2: Falsely acquiring PHI — up to five years in prison and a $100,000 fine
  • Tier 3: Acquiring PHI for personal gain or malicious purpose carries a penalty of up to ten years in prison and a $250,000 fine.

How are HIPAA violations identified?

HIPAA violations are identified through two steps.

  • Self-reporting violations

While HIPAA allows for exceptions for organizations that correct infractions within 30 days, disclosing any suspected HIPAA violations right away is critical. Organizations can fix the problem and protect themselves from greater liability by reporting any accidental or intentional violations.

If you suspect your company is breaking HIPAA, you should contact your data protection officer. Your data protection officer will determine the best course of action in this case and will seek to correct the HIPAA breach.

  • Building a HIPAA Audit Program

Establishing an audit program to guarantee your entire firm follows HIPAA guidelines is the best approach to avoid violations. In addition, any healthcare provider or HIPAA-covered entity that comes into contact with medical records should have a compliance procedure to safeguard the company from legal implications.

How to Avoid HIPAA Violations

  • Examining medical records without a license or permission:

       Ensure that patient health records are only accessible for consultation, financing, or healthcare activities.

  • Not conducting a risk assessment across the entire organization:

        Execute HIPAA risk evaluations regularly to identify areas where PHI is at risk.

  • Security risks are not being addressed.

        Ensure that eliminating any risks detected during audits is a top priority.

  • People are being denied access to their medical records.

       Focus on providing people with immediate access to their medical records upon request.

  • Improper access control measures for ePHI:

       Ensure that users have access to electronically secured health data (ePHI).

  • Releasing PHI improperly

     When PHI is no longer needed, it must be safely destroyed.

How to improve HIPAA Violations compliance?

For organizations that handle protected health information, non-compliance with HIPAA is not an option. even though trying to keep up with rapidly changing technology and regulatory requirements is challenging.

You may ensure that you are not in breach of HIPAA by using a single platform to:

  • Developing HIPAA security and privacy policies
  • Employees are being educated on HIPAA rules and best practices.
  • Maintaining a list of vendors who have access to PHI
  • Assuring that your business partners protect PHI
  • Increasing and tracking your HIPAA protection



Inability to implement a risk assessment and internal audit is a HIPAA violation, according to the rule. If you are a covered entity or a company that handles medical information for the general public, it is your obligation to follow the HIPAA guidelines. When medical records are given to a third party in situations like personal injury, ensure that they are HIPAA compliant.

KloudLearn is a centralized learning platform that enables firms to provide their employees with engaging and interactive training. You can develop training. courses by using our powerful course design tools. Offer your employees points, badges, and rewards to motivate and engage them.

Schedule a demo with Kloudlearn to take your compliance training to the next level. 


What information can be shared without violating HIPAA?

Under HIPAA, health information such as diagnostics, medication, statistics, medical test results, prescription information, national identity numbers, and demographic data such as birth dates, gender, and contact information is recognized as protected health information.

What violates HIPAA on social media?

Sharing verbal information about a patient with unauthorized individuals, even if the patient's identity is not revealed, is a HIPAA violation. Likewise, sharing pictures or any other type of PHI without a patient's written consent is unlawful.

What are the four primary rules of HIPAA?

The four primary elements of the HIPAA security rule requirements and implementation were established to identify essential security safeguards that aid in compliance. Physical fitness Management and administration: Technical information procedures and policies

Which of the following is a privacy breach?

Unauthorized access to the collection, use, or disclosure of personal information constitutes a privacy breach. An example of a privacy breach occurs when a patient or customer's personal information is leaked.

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