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53 Cards in this Set
- Front
- Back
code set
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Under HIPAA, terms that provide for uniformity and simplification of health care billing and record keeping.
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covered entities
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Health care providers and clearinghouses that transmit HIPAA transactions electronically, and must comply with HIPAA standards and rules.
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covered transaction
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Electronic exchanges of information between two covered-entity business partners using HIPAA-mandated transaction standards.
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de-identify
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To remove all information that identifies patients from health care transactions.
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designated record test
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Records maintained by or for a HIPAA-covered entity.
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electonic data interchange(EDI)
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The use of uniform electronic protocols to transfer business information between organizations via computer networks.
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electronic transmission
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The sending of information from one network-connected computer to another.
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encryption
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The scrambling or encoding of information before sending it electronically.
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firewalls
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Hardware, software, or both designed to prevent unauthorized persons from accessing electronic information.
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limited data set
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Protected health information from which certain specified, direct identifiers of individuals have been removed.
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minimum necessary
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Term referring to the limited amount of patient information that may be disclosed, depending on circumstances.
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treatment, payment, and health care operations (TPO)
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A HIPAA term for qualified providers, disclosure of PHI to obtain reimbursement, and activities and transactions among entities. Treatment means that a health care provider can provide care; payment means that a provider can disclose PHI to be reimbursed; health care operations refers to HIPAA-approved activities and transactions.
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permission
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Reasons under HIPAA for disclosing patient information.
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privacy
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Freedom from unauthorized intrusion.
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protected health information (PHI)
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Information that contains one or more patient identifiers.
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rule
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A document that includes the HIPAA standards or requirements.
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security
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The use of policies and procedures to protect electronic information from unauthorized access.
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standard
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A general requirement under HIPAA.
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state preemption
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If a state's privacy laws are stricter than HIPAA privacy standards, state laws take precedence.
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transaction
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Transmission of information between two parties for financial or administrative activities.
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verification
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The requirement under HIPAA that a patient's identity be verified before protected health information is released.
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administer
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To instill a drug into the body of a patient.
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amendments to the older american act
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A 1987 federal act that defines elder abuse, neglect, and exploitation, but does not deal with enforcement.
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autopsy
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A postmortem examination to determine the cause of death or to obtain physiological evidence, as in the case of a suspicious death.
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Child Abuse Prevention and Treatment Act
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A federal law passed in 1974 requiring physicians to report cases of child abuse and to try to prevent future cases.
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Controlled Substances Act
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The federal law giving authority to the Drug Enforcement Administration to regulate the sale and use of drugs.
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coroner
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A public official who investigates and holds inquests over those who die from unknown or violent causes; he or she may or may not be a physician, depending upon state law.
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dispense
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To deliver controlled substances in some type of bottle, box, or other container to a patient.
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Drug Enforcement Administration (DEA)
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A branch of the U.S. Department of Justice that regulates the sale and use of drugs.
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Food and Drug Administration (FDA)
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A federal agency within the Department of Health and Human Services that oversees drug quality and standardization and must approve drugs before they are released for public use
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forensics
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A division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, and accidents.
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medical examiner
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A physician who investigates suspicious or unexplained deaths.
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National Childhood Vaccine Injury Act
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A federal law passed in 1986 that created a no-fault compensation program for citizens injured or killed by vaccines, as an alternative to suing vaccine manufacturers and providers.
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National Vaccine Injury Compensation Program (VICP)
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A no-fault federal system of compensation for individuals or families of individuals injured by childhood vaccination.
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prescribe
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To issue a medical prescription for a patient.
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Unborn Victims of VIolence Act
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Also called Laci and Conner's Act, a federal law passed in 2004 that provides for the prosecution of anyone who causes injury to or the death of a fetus in utero.
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vital statistics
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Numbers collected for the population of live births, deaths, fetal deaths, marriages, divorces, induced terminations of pregnancy, and any change in civil status that occurs during an individual's lifetime.
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affirmative action
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Programs that use goals and quotas to provide preferential treatment for minority persons determined to have been underutilized in the past.
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Chemical Hygiene Plan
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The Standard for Occupational Exposures to Hazardous Chemicals in Laboratories, which clarifies the handling of hazardous chemicals in medical laboratories.
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Clinical Laboratory Improvement Act (CLIA)
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Also called Clinical Laboratory Improvement Amendments. Federal statutes passed in 1988 that established minimum quality standards for all laboratory testing.
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discrimination
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Prejudiced or prejudicial outlook, action, or treatment.
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employment-at-will
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A concept of employment whereby either the employer or the employee can end the employment at any time, for any reason.
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General Duty Clause
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A section of the Hazard Communication Standard which states that any equipment that may pose a health risk must be specified as a hazard.
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Hazard Communication Standard (HCS)
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An OSHA standard intended to increase health care practitioners' awareness of risks, to improve work practices and appropriate use of personal protective equipment, and to reduce injuries and illnesses in the workplace.
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just cause
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An employer's legal reason for firing an employee
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Medical Waste Tracking Act
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The federal law that authorizes OSHA to inspect hazardous medical wastes and to cite offices for unsafe or unhealthy practices regarding these wastes.
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Occupational Exposure to Bloodborne Pathogen Standard
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An OSHA regulation designed to protect health care workers from the risk of exposure to bloodborne pathogens
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Occupational Safety and Health Administration (OSHA)
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Established by the Occupational Safety and Health Act of 1970, it enforces compulsory standards for health and safety in the workplace.
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public policy
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The common law concept of wrongful discharge when an employee has acted for the "common good."
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right-to-know laws
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State laws that allow employees access to information about toxic or hazardous substances, employer duties, employee rights, and other workplace health and safety issues.
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surety bond
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A type of insurance that allows employers, if covered, to collect up to the specified amount of the bond if an employee embezzles or otherwise absconds with business funds.
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workers' compensation
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A form of insurance established by federal and state statutes that provides reimbursement for workers who are injured on the job.
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wrongful discharge
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A concept established by precedent that says an employer risks litigation if he or she does not have just cause for firing an employee.
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