HIPAA terms
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| A private or public healthcare entity that processes nonstandard electronic transactions into HIPAA transactions (billing co.) | Clearinghouse
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| Healthcare organizations covered under HIPAA that handle electronic PHI | Covered Entities
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| Providers, clearinghouses, billing companies | Examples of covered entities
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| A number assigned to an employer for purposes of identification (tax purposes) | Employer Identification Number (EIN)
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| 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)
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| 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)
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| Permission to use information based on the reason for knowing, or use of, the information | HIPAA-defined permissions
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| the application of communication and information to medical practice, research, and education | medical informatics
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| 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
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| a written statement the details the providers privacy practices | Notice of Privacy Practices (NPP)
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| the federal office that investigates violations of HIPAA | Office of Civil Rights
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| Title II of the HIPAA | Privacy Rule
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| individually identifiable information that relates to the physical or mental condition or the provision of health care to an individual | protected health information
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| occurs when the state privacy laws are stricter than the privacy standards established by HIPAA | State's pre-emption
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| the use of communications and information technologies to provide healthcare services to people at a distance | telemedicine
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| what the covered entity may use PHI for without the patient's authorization | TPO
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| a wireless system that is used by physicians and nurses to access patient information | Wireless Local Area Network (WLAN)
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| Stays within the covered entity and is used for purposes of the entity | Use of PHI
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| the covered entity releases PHI to a third party outside of the entity | Disclosure of PHI
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| Needed for TPO and does not need to be written | Consent
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| gives permission for release of PHI for reasons other than TPO, has to be written, signed and dated | Authorization
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| Reasons for disclosure of PHI that are a threat to public health, law enforcement, organ donations and workers compensation | Public interest
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| the removal of all individually identifiable information form a medical record | de-identify
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| allows a covered entity to disclose PHI without authorization | subpoena or court order
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| HIPAA approved code set for diagnoses and inpatient procedures | ICD-9-CM
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| HIPAA approved code set for outpatient procedures | CPT-4
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