Term
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Definition
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Term
| E-Health Information Management |
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Definition
| Electronic Transmission of health data |
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Term
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Definition
| Oraganization that create standards for EHR interoperability (between facilities) |
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Term
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Definition
| Systematized Nomenclature of Human & Voluntary Medicine responsible for standardizing terminology in documentation |
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Term
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Definition
| COBRA & Health Insurance Reform |
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Term
| HIPAA Title II deals with |
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Definition
| Administration Simplification to reduce administrative costs; Security & Privacy of EHR |
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Term
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Definition
| Independant organization that receives claims, performs software edits, and redistribute claims electronically to third parties |
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Term
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Definition
| Made of electronic transmission; internet, extranet, leased telephone or phonelines (fax modems), moving files via tape or disc |
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Term
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Definition
| Enforces Privacy and Security Rules |
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Term
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Definition
| may be a health care coverage carrier, health care clearinghouse or a health care provider. Transmits health information in electronic form with a transaction covered by HIPAA |
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Term
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Definition
| A person that performs or assists in the performing of a fuction or activity involving the use or disclosure of individually identifieable health information. Billing Company hired by a provider |
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Term
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Definition
| Person trained and licensed to provide care to a patient |
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Term
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Definition
| A person designated to help the provider remain in compliance by setting policies and procedures, training and managing staff regarding HIPAA and patient rights. Contact person for questions or complaints. |
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Term
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Definition
| Protects the computer and networking systems within the practice and implements protocols such as password assignment, firewalls, virus protection and contingency planning |
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Term
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Definition
| The condition of being secluded from the view of others |
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Term
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Definition
| is using discretion in keeping secret information |
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Term
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Definition
| the release, transfer, provisioin of access to, or divulging in any other manner of information outside of the entity holding the information. |
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Term
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Definition
| is the verbal or writtnagreement that gives approval to some action, situation or statement |
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Term
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Definition
| is NOT required before physicians use or disclose protected health information for treatment, payment or routine health care operations. |
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Term
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Definition
| Treatment, payment, or routine health care operations |
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Term
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Definition
| Protected Health Information |
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Term
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Definition
| individuals formal written permission to use or disclose their personal health information for other than treatment, payment or health care operations. (marketing, research) |
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Term
| Breach of Confidentiality |
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Definition
| Unauthorized release of confidential information |
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Term
| Confidentiality is waived when |
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Definition
| when the patient is a member of a managed care organization, has a communicable disease, medical device breaks, criminal investigation, records are subpeonaed, suspicious death, criminal activity |
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Term
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Definition
| is related to the treatment and progress of the patient |
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Term
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Definition
| ordinary facts unrelated to treatment including name, city of residence and dates of admission and discharge |
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Term
| Permitted Disclosures - NO authorization required by patient |
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Definition
| To patient, for treatment, for payment, health care operations, public purposes (disease, criminal, law enforcement, child abuse) and for Workers Compensation |
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Term
| Disclosures that required Patients Opportunity to Agree or Object to Disclosure of information |
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Definition
| Disclose PHI to persons involved with the patient |
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Term
| Disclosures requiring Authorization |
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Definition
| Psychotherapy, child's school for sports, to employer, insurer, fundraising or marketing |
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Term
| Office of Inspector General's mission |
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Definition
| to eliminate fraud, abuse and waste (efficiency) |
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Term
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Definition
| phantom billing for services or supplies not provided; alter fees on a claim form. When deception is used in a claim submission to obtain payment from the payer. Individuals knowingly, willfully and intentionally submit false information to benefit themselves. |
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Term
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Definition
| incidents or practices that are inconsistent with accepted sound medical business or fiscal practices. |
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Term
| Correct Coding Initiative |
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Definition
| NCCI Edits on CMS website |
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