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GuntermanINS Ch 2
HIPAA, HITECH & Medical Records
| Question | Answer |
|---|---|
| Law under the Administrative Simplification Provisions of HIPAA regulating the use and disclosure of pt's protected health information | HIPAA Privacy Rule |
| Document signed by a patient that permits release of medical information under the specific stated conditions | Authorization |
| The principle that individually identifiable health information should be disclosed only to the extent needed to support the purpose of the disclosure | Minimum necessary standards |
| A person or organization that performs a function or activity for a covered entity but is not part of its workforce | Business associate |
| A company that offers providers, for a fee, the service of receiving electronic or paper claims, checking and preparing them for processing, and transmitting them in proper data format to the correct carriers | Clearinghouse |
| A HIPAA mandated document that presents a covered entity's principles and procedure related to the protection of pt's protected health information | Notice of Privacy Practices |
| A coding system used to encode elements of data | Code set |
| Law under the Administrative Simplification provisions of HIPAA requireing covered entities to establish administrative, physical, and technical safeguards to protect the confidentiality, integreity, adn availability of health information. | HIPAA security rule |
| Under HIPAA a health plan healthcare clearinghouse or healthcare or healthcare provider who transmits any health information in electronic form in conection with a HIPAA transaction | Covered entity |
| The systematic, logical, and consistent recording of a patient's health status; history, examinations, tests, results of treatment, and observations-in chronological order in a patient's medical record. | documentation |
| the expertise reasonably expected of a medical professional | medical standards of care |
| The provider owns the actual medical records, but the information in the record belongs to | the patient |
| When a provider injures a patient due to failure to follow medical standards of care it is called | malpractice |
| Evaluation and management of services include | the patient's chief complaint, the medical history, and the physical exam results |
| The federal agency that runs Medicare and Medicaid | CMS-Centers for Medicare and Medicaid Services |
| The laws to tighten the HIPAA Privacy Rule | HITECH Act |
| HIPAA Law of 1996 was designed to | uncover fraud and abuse, ensure health insurance coverage for workers and their families, protect peoples' PHI |
| Under HIPAA, if a provider doesn't send claims electronically or employ another firm to do so, they provider may not be a what | covered entity |
| HIPAA identifies 3 types of covered entities, what are they? | Health plans, clearinghouses, and providers |
| A vendor that does business with a covered entity is called | business associate |
| EDI means | electronic data interchange |
| The HIPAA rules that protect PHI is called the | Privacy Rule |
| When personal identifiers have been removed, PHI is called | de-identified |
Created by:
monicagunterman