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MedLaw&Ethics HIPAA
HIPAA terms
| Question | Answer |
|---|---|
| A private or public healthcare entity that processes nonstandard electronic transactions into HIPAA transactions (billing co.) | Clearinghouse |
| Healthcare organizations covered under HIPAA that handle electronic PHI | Covered Entities |
| Providers, clearinghouses, billing companies | Examples of covered entities |
| A number assigned to an employer for purposes of identification (tax purposes) | Employer Identification Number (EIN) |
| A national data bank that collects and reports disclosures of actions taken against healthcare practitioners, providers and vendors for noncompliance and fraudulent activities | Healthcare Integrity and Protection Data Bank (HIPDB) |
| Regulates the privacy and security of patients health information, sets standards for transactions, and allows easier transfer of insurance for patients | Health Insurance Portability and Accountability Act (HIPAA) |
| Permission to use information based on the reason for knowing, or use of, the information | HIPAA-defined permissions |
| the application of communication and information to medical practice, research, and education | medical informatics |
| the provider must make a reasonable effort to limit the disclosure of patient information to only the minimum amount necessary to accomplish the purpose of the request | minimum necessary standard |
| a written statement the details the providers privacy practices | Notice of Privacy Practices (NPP) |
| the federal office that investigates violations of HIPAA | Office of Civil Rights |
| Title II of the HIPAA | Privacy Rule |
| individually identifiable information that relates to the physical or mental condition or the provision of health care to an individual | protected health information |
| occurs when the state privacy laws are stricter than the privacy standards established by HIPAA | State's pre-emption |
| the use of communications and information technologies to provide healthcare services to people at a distance | telemedicine |
| what the covered entity may use PHI for without the patient's authorization | TPO |
| a wireless system that is used by physicians and nurses to access patient information | Wireless Local Area Network (WLAN) |
| Stays within the covered entity and is used for purposes of the entity | Use of PHI |
| the covered entity releases PHI to a third party outside of the entity | Disclosure of PHI |
| Needed for TPO and does not need to be written | Consent |
| gives permission for release of PHI for reasons other than TPO, has to be written, signed and dated | Authorization |
| Reasons for disclosure of PHI that are a threat to public health, law enforcement, organ donations and workers compensation | Public interest |
| the removal of all individually identifiable information form a medical record | de-identify |
| allows a covered entity to disclose PHI without authorization | subpoena or court order |
| HIPAA approved code set for diagnoses and inpatient procedures | ICD-9-CM |
| HIPAA approved code set for outpatient procedures | CPT-4 |
Created by:
Kirkster
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