medicolegal issues and the pharmacy
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each of the black spaces below before clicking
on it to display the answer.
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| The main federal government agency responsible for health care | The Centers for Medicare and Medicaid Services (CMS)
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| Taking reasonable safeguards to protect PHI from incidental disclosure | Minimum Necessary Standard
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| Pharmacies must give each patient a notice of privacy practices at this time | First contact or encounter
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| Patients must sign this in order for a covered entity to release PHI | Authorization
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| This kind of information may be used or disclosed for any purpose | De-identified health information
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| The mandated code set for diagnoses under the HIPAA TCS standards | ICD-9-CM
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| The ICD-9-CM uses these diagnosis codes to permit reporting the most specific diagnosis possible | Fourth and fifth level diagnosis codes
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| This enables physicians to submit prescriptions electronically | E-prescribing
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| This act prohibits a prescription drug plan from providing mail-order coverage without also providing non-mail-order prescription benefits | Prescription Equity Act of 1997
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| An action that misuses money that the government has allocated. It is illegal because taxpayers' dollars are misspent. | Abuse
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| The number of Americans who benefit from Medicaid and Medicare programs | 90 Million
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| The first comprehensive federal protection for the privacy of health information | HIPAA Privacy Rule
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| A court request for a witness to bring certain evidence | Subpoena duces tecum
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| The process of encoding information in such a way that only the person with the key can decode it | Encryption
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| This requires covered entities to establish safeguards to protect PHI | HIPAA Security Rule
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| The National Provider Identifier is made up of this many numbers | Nine numbers and a check digit
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| The legislation that provided seniors and individuals with disabilities access to prescription drug plans with more choices and better benefits under Medicare | Medicare Prescription Drug Improvement and Modernization Act of 2003
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| The federal government recovered this much money in fraud related judgments and settlements with companies and individuals | $2.2 billion
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| This entity has the task of detecting health care fraud and abuse and enforcing all laws relating to them | Office of the Inspector General (OIG)
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| A type of law that states that an employer is responsible for an employee's actions | Respondeat superior
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| This act was designed to protect peoples' private health information and uncover fraud and abuse | HIPAA - Health Insurance Portability and Accountability Act of 1996
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| In HIPAA terms, agencies that must comply with the law in order to do business with covered entities. This includes law firms, accountants, and collection agencies | Business Associates
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| Medication and billing records a pharmacy maintains | Designated Record Set
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| This is the HIPAA standard for the identification of providers when filing claims and other transactions | National Provider Identifier (NPI)
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| An act of deception used to take advantage of another person | Fraud
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| Medical records that are stored in the pharmacy are legal documents that belong to the pharmacy, but the information belongs to whom? | The patient
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| The pharmacy cannot withhold the information in a medical record from the patient except in this case | Providing it would be detrimental to a patient's health
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| Organizations that electronically transmit any information that is protected under HIPAA | Covered entities
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| Individually identifiable health information that is transmitted or maintained by electronic media (name, address, birth date, phone number, etc) | Protected Health Information (PHI)
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| Document explaining how patients' protected health information may be used and describing their rights | Notice of Privacy Practices (NPP)
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| A computer based record of patient health information. It can automatically generate a complete record of patient encounters. | Electronic Health Record (EHR)
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| States may restrict this on premiums and other charges to patients | Price increases
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