32 terms

Law & Ethics Chapter 10

private or public healthcare entity that facilitates the processing of nonstandard electronic transactions into HIPAA transactions
Covered Entity
healthcare organization covered under HIPAA regulations
Covered Transactions
certain electronic transactions of healthcare information that are mandated under HIPAA
Employer Identification Number
number assigned to an employer for identification purposes
Employer Identifier Standard
a standard number based on an employer's tax ID number or EIN that is used for all electronic transmissions
Healthcare Plan
an individual or group plan that provides or pays for medical care
Healthcare Integrity and Protection Data Bank
a national source of reports of actions taken against healthcare practitioners, providers and vendors for noncompliance or fraudulent activities
Health Insurance Portability and Accountability Act
HIPAA, regulates the privacy of patients health information
HIPAA Defined Permissions
permission to use information based on the reason for knowing or use of the information
Medical Informatics
the use of communication and information in medical practice, research and education
Minimum Necessary Standard
the reasonable effort a health care provider uses to limit disclosure of patient information
Notice of Privacy Practices
written statement that details the providers privacy practices
Office of Civil Rights
the federal office that investigates violations of HIPAA
Privacy Rule
meant to ensure that there is security of electronic transfer of information and disclosure of only the necessary information
Protected Health Information
relates to past, present and future individually identifiable health information
penalties or fines
States Preemption
when the state privacy laws are stricter than the privacy standards established by HIPAA
the use of communications and information technologies to provide healthcare services to people at a distance
Treatment, Payment and Healthcare Operations
functions that a healthcare provider can perform
HIPAA 1996
the objective of this act is to combat fraud, abuse and waste in health care, promote medical savings accounts and simplify the administration of health insurance
Administrative Simplification
Title II of HIPAA affects confidentiality issues for health care providers, Title II is also known as...
life insurers, information systems vendors and universities are all covered under this
Fraud Alerts
these types of health care alerts are issued by the Inspector General of the Health and Human Services Department
these people who wish to obtain individually identifiable medical information must obtain a patient authorization that complies with the rules set by HIPAA
HIPAA does not allow complete disclosure of patient information by an...
violation of this is a federal criminal offense
Wireless Local Area Networks
used by physicians and nurses to access patient records from central databases and add patient observations and assessments to databases
the federal office known as Healthcare Integrity and Protection Data Center investigates violations of this...
original intent of this is to protect computerized medical records and billing and provide easier access of medical records for the patient
an exception to the release of information policy under HIPAA would allow information to be released to who investigating a crime
law stipulates that the patient may sue over privacy violations and may register a complaint to the government
signed authorizations and any agreements with patients restricting disclosure of PHI should be retained for a period of how many years