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Law & Ethics
Ch.8 Privacy, Security & Fraud
Terms/Definitions |
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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. |