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Law & Ethics

Ch.8 Privacy, Security & Fraud

Terms/Definitions
American Recovery and Reinvestment Act (ARRA)
Breach
Covered Entities (CE)
Criminal Health Care Fraud Statute
De-Identify
Federal Anti-Kickback Law
Federal False Claims Act
Health Information Technology for Economic and Clinical Health Act (HITECH)
Health Insurance Portability and Accountability Act (HIPAA) of 1996
Limited Data Set
Notice of Privacy Practices
Privileged Communication
Protected Health Information (PHI)
Stark Law
State Preemption
A 2009 act that made substantive change to HIPAA's privacy and security regulations
Any unauthorized acquisition, access, use, or disclosure of personal health information that compromises the security or privacy of such information
Health care providers and clearinghouses that transmit HIPAA transactions electronically, and must comply with HIPAA standards and rules
A section of the U.S. Code that prohibits fraud against any health care benefit program
To remove from health care transactions all information that identifies patients
Prohibits knowingly and willfully receiving or paying anything of value to influence the referral of federal health care program business
A law that allows for individuals to bring civil actions on behalf of the U.S. government for false claims made to the federal government, under a provision of the law called qui tam (from Latin meaning “to bring an action for the king and for oneself”).
A section of the American Recovery and Reinvestment Act (ARRA) that strengthened certain HIPAA privacy and security provisions.
Protected health information from which certain patient identifiers have been removed.
A list provided by all covered entities that demonstrates adherence to HIPAA's privacy practices rules.
Information held confidential within a protected relationship.
Information that contains one or more patient identifiers.
Prohibits physicians or their family members who own health care facilities from referring patients to those entities if the federal government, under Medicare or Medicaid, will pay for treatment.
If a state’s privacy laws are stricter than HIPAA privacy standards, state laws take precedence.
A federal law passed in 1996 to protect privacy and other health care rights for patients.
Created by: scazee2
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