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The importance of legal counsel on HIPAA compliance teams

Written by Tshedimoso Makhene | Oct 5, 2024 2:48:07 PM

Legal counsel in the compliance team is key to understanding HIPAA regulations and addressing potential legal issues. The advisor guarantees that all compliance operations adhere to federal and state laws while offering insights into intricate regulatory affairs.

 

Understanding HIPAA regulations

HIPAA mandates the protection of patient information and sets stringent requirements for healthcare organizations to safeguard this data. The law covers various aspects, including privacy, security, and breach notification rules. While these regulations are designed to protect patient information, their complexity can be daunting. 

A legal advisor on the compliance team has the expertise to interpret HIPAA regulations accurately and ensures that all compliance activities align with federal and state laws. The role prevents misunderstandings or misinterpretations of the law, which can lead to non-compliance and potential legal repercussions.

See also: HIPAA Compliant Email: The Definitive Guide

 

Law firms

Law firms can support HIPAA compliance teams, especially for organizations that lack in-house legal counsel. These firms bring specialized expertise in healthcare law, offering deep insights into the complexities of HIPAA regulations and related state laws. According to Thomson Reuters, “Law firms are commonly asked to help covered entities and business associates assess their compliance with HIPAA's privacy, security, and breach notification requirements.” These assessments can form part of the covered entity’s proactive internal risk assessments or as a risk assessment enforced by the Department of Health and Human Services (HHS).

By partnering with a law firm, healthcare organizations can access tailored legal guidance on developing and implementing compliance strategies, interpreting regulatory changes, and handling legal challenges such as data breaches or compliance audits.

 

Navigating Federal and State Laws

In addition to HIPAA, healthcare organizations must comply with various state laws that may impose additional requirements or offer different levels of protection for patient information. The interplay between federal and state laws can be complicated, and it’s not uncommon for organizations to struggle with understanding which laws take precedence.

Legal counsel helps navigate this intricate legal framework by providing clear guidance on complying with federal and state regulations. They ensure that the organizations are HIPAA compliant and adhere to any state-specific requirements, reducing the risk of legal disputes and penalties.

 

Guidance on complex regulatory matters

HIPAA compliance requires organizations to implement complex regulatory requirements that can vary depending on the nature of the organization and the services it provides. The legal counsel guides the compliance team through these complexities.

Whether it’s interpreting new regulations, advising on best practices for data protection, or ensuring that the organization’s policies and procedures are up-to-date, legal counsel provides the expertise needed to maintain compliance. They also work closely with other compliance team members, such as the compliance officer and IT security, to develop a comprehensive compliance strategy that addresses all potential legal and regulatory risks.

Related: The first step in HIPAA compliance

 

FAQs

What qualifications should legal counsel have to be effective in a HIPAA compliance role?

Legal counsel must have expertise in healthcare law, particularly in HIPAA and related regulations. A strong background in regulatory compliance, data privacy, and experience working with healthcare organizations are also essential.

 

What role does legal counsel play in responding to a data breach?

When a data breach occurs, the legal counsel assists in assessing the breach's scope, advising on mandatory notifications, and ensuring that the organization follows all legal protocols to minimize liability. They also provide guidance on the legal implications of the breach and can represent the organization in any subsequent legal actions.