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Chapter 8
privacy, security, and fraud
| Term | Definition |
|---|---|
| Privacy | Freedom from unauthorized intrusion |
| State Preemption | If a state's privacy laws are stricter than HIPPA privacy standards, the state laws take precedence. |
| Protected Health information (PHI) | Information that contains one or more patient identifiers |
| De-identify | To remove from health care transactions all information that identifies patients. |
| Permission | A reason under HIPPA for disclosing patient information |
| Covered Entities | Health care providers and clearinghouses that transmit HIPPA transactions electronically, and must comply with HIPPA standards and rules |
| Limited data set | Protected health information from which certain patient identifiers have been removed. |
| Electronic medical record (EMR) | contains all patient medical records for one practice |
| Electronic Health record (EHR) | comprehensive record than the EMR, focusing on the total health of the patient and traveling with the patient. |
| Breach | any unauthorized acquisition, access, use , or disclosure of personal health information which compromises the security or privacy of such information |
| Firewalls | Hardware, software, or both designed to prevent unauthorized persons from accessing electronic information. |
| Encryption | The scrambling or encoding of information before sending it electronically. |
| Health information technology for economic and clinical health act (HITECH) | A section of the american recovery and reinvestment act (ARRA) that strengthened certain HIPPA privacy and security provisions. |
| American recovery and reinvestment act (ARRA) | A 2009 act that made substantive change to HIPPA'S privacy and security regulations. |
| Federal false claims act | a law that allows for individuals to bring civil actions on behalf of the U.S government, under a provision of the law called "qui tam" -"to bring an action for the king and for oneself" |
| Federal Anti-Kickback Law | Prohibits knowingly and willfully receiving or paying anything of value to influence the referral of federal health care program business. |
| Stark Law | 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. |
| Criminal Health care fraud statute | a section of the united states code that prohibits fraud against any health care benefit program. |
Created by:
Chani1711
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