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| Incedents or practices, not usually considered fraudulent, that are inconsistent with accpeted sound medical business or fiscal practices. |
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| Under the HIPAA privacy rule, an individual's formal, written permission to use or disclose his or her personally identifiable health information for purposes other than treatment, payment or health care options. |
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| Breach of confidential communication |
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| unauthorized release of information about the patient |
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| Correct Coding Initiative |
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| An independent organization that receives insurance claims form a physician's office, performs software edits, and redistributes the claims electronically to various insurance carriers. |
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| Clinical Laboratory Improvement Amendments |
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| A process of meeting regulations, recommendations, and exceptions of federal and statre agencies that pay for health care services and regulate the industry |
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| A management plan composed of policies and procedures to accomplish uniformity, consistency and coformity in medical record keeping that fulfills offical requirements. |
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| Confidential Communication |
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| a privelges communication that may be disclosed only with hte patient's permission. |
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| an entity that transmits health informatino in electronic form in connection with a transaction covered by HIPAA. |
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| Current Procedural Terminology |
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| The release, transfer, provision of access to, or divulging in any other manner of information outside the entity holding the information. |
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| Electronic Data Interchange |
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| e-health information management (E-HIM) |
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| a term coined by the American Health Information Management Association's eHealth Task Force to describe any and all transactions in which health care information is accessedd, processed, stored, and tranferred using electronic technologies. |
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| The mode of electronic transmission(internet, fax, phone lines, ect.) |
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| a willful act by an employee of taking possession of an employer's money. |
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| an intentional misrepresentation of the facts to deceive or mislead another. |
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| Healthcare Common Procedure Coding System |
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| Human Immunodeficiency Virus |
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Term
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Definition
| International Classification of Diseases, Ninth Revision, Clinical Modification |
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Term
| Individually identifiable health information (IIHI) |
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Definition
| any part of an individual's health information including demographic information collected from the individual that is created or received by a covered entity. |
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| Nonprivileged information |
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Definition
| information consisting of ordinary facts unrelated to the treatment of the patient. the patient's authorization is not required to disclose the data unless the record is on a specialty hospital or in a special service unit of a general hospital such as a psychiatric unit. |
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| Notice of privacy practices (NPP) |
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Definition
| Under HIPAA a document given to the patient at the first visit or at enrollment explaining the individual's rights and the physician's legal duties in regard to protected health information. |
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| Billing for services not performed. |
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| Privacy Officer/Privacy Official |
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| an individual designated to help the provider remain in compliance by setting policies and procedures in place, and by training and managing the staff regarding HIPAA and patient rights; usually the contact person for questions and complaints. |
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Term
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Definition
| Data related to the treatment and progress of the patient that can be released only when written authorization of the patient is seen for an E?M service. |
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| Protected health information (PHI) |
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Definition
| any data that identify an individual and describe his or her health status, age, sex, ethnicity, or other demographic characteristics, whether or not that information is stored or transmitted electronically. |
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| a person who protects the computer and networking systems within the practice and implements protocols such as password assignment, backup procedures, firewalls, virus protection, and contingency planning for emergencies. |
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| a complex technical issue not within the scope of the health care provider's role;refers to instances when state law takes precedence over federal law. |
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| the transmission of information between two parties to carry out financial or administrative activities related to health care. |
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| the sharing, employment application,utilization, examination, or analysis of individually identifiable health information (IIHI) within an organization that holds such information. |
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| beside, alongside, abnormal |
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| both, both sides, around, about |
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