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vocab

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
abuse   actions inconsistent with accepted practices  
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ANSI ASC X12N 837   variable-length file format used to bill institutions  
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confidentiality   restricting patient information access to those with proper authorization  
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civil law   laws not classified as criminal  
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deposition   legal proceeding during which a party answers questions under oath (but not in open court)  
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EDI   electronic data interchange - computer-to-computer exchange of data between provider and payer  
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federal register   legal newspaper published every business day by the National Archives and Records Administration  
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informed consent   physicians must give patients all information about a procedure, including risks and alternatives to the procedure  
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NCCI   national correct coding initiative, promotes correct coding methods  
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NDC   national drug code -maintain by the food and drug administration; identifies prescription drugs and come over the counter products  
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NPI   national provider identifier - unique identifier to be assigned to health care providers as and 8- or possibly 10- character alphanumeric identifier  
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PHI   protected health information - any patient information that includes identifiers that could be used to identify the patient  
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DHHS   department of human health services - conducts investigations for fraud  
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RAC   recovery audit contractor - finds and corrects improper medicare payments paid to health care providers in fee-for-service medicare  
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subpoena   an order of the court that requires a witness to appear at a particular time and place to testify  
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transmittal   letter provides the recipient with a specific context in which to place the larger document and simultaneously gives the sender a permanent record of having sent the material  
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stark physician self-referral law   prohibits physicians from referring medicare patients to clinical laboratory services in which the physicians or their family member has a financial ownership/investment.  
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standard of care   the amount and type of care a reasonable prudent person would provide, given the same training and circumstances  
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subpoena duces tecum   requires documents to be produced  
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malpractice   medical negligence that results in a patient being harmed in some way  
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three types of malpractice   malfeasance - wrong treatment misfeasance - treatment performed incorrectly nonfeasance - failing to preform treatment  
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security rule   HIPAA standards and safeguards that protect health information collected, maintained, used, or transmitted electronically  
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fraud   intentional deception or misrepresentation that could result in an unauthorized payment  
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privileged communication   private information shared between a patient and healthcare provider  
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tort   wrongful act that leads to damages sustained by another  
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release of information    
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Created by: Mika42016
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