Chapter 3 Key Terms Flashcards
Learn the definitions of the Key Terms used within the Healthcare and IT world
Breach Notification Rule
Requires covered entities to notify affected individuals, the HSS secretary, and possibly the media when protected health information (PHI) has been breached
Business Associate Agreement (BAA)
A contract used between healthcare entities and third parties to establish a mutual understanding of safeguards of e-PHI
Covered Entity
Heath Insurance Portability and Accountability Act (HIPAA) is designed to protect heath information used by health insurance plan providers, healthcare clearinghouses and other providers. These three entities are classified as covered entities. Basically, a covered entity is anyone or any organization required to submit to HIPAA rules
Electronic Protected Health Information (e-PHI)
HIPAA protects the electronic information that can be used to identify an individual. e-PHI is information created, used, or disclosed about a patient while providing healthcare
Eligible Provider
Hospitals or professionals participating in incentive programs must meet meaningful use criteria to be eligible to receive incentive money
Enforcement Rule
Establishes penalties for violations to HIPAA rules and procedures following a violation, such as investigations and hearings
Health Insurance Portability and Accountability Act (HIPPAA)
A law created in 1996 to provide a standard set of rules that all covered entities must follow to protect patient health information and to help healthcare providers transition from paper to electronic health records
Healthcare Clearinghouse
A business that receives healthcare information and translates that information into a standardized format to be sent to a health plan provider. A healthcare clearinghouse is sometimes called a billing service. Basically, a healthcare clearinghouse is a middle person that processes healthcare information
ICD 9
HIPAA mandated a standard format for electronic provider and diagnostic codes. The current standard has limitations that restrict the full use of EMR/ HER software
ICD 10
HIPAA mandated a standard electronic format for provider and diagnostic codes. The new standard is intended to grow with the functional needs of the healthcare industry
Legal Heath Record
Health organizations must retain a health record of patients for use by the patient or legal service
Meaningful Use
The goals of meaningful use are to help healthcare providers know more about their patients, make better decisions, and save money by using HIT in a meaningful way
Memorandum of Understanding (MOU)
Contracts are sometimes necessary within an organization between departments or personnel for mutual understanding of the safeguards of e-PHI
Privacy Rule
Establishes national standards to protect individuals’ health information whenever a covered entity accesses this information. This rule establishes safeguards to regulate who can access e-PHI and the reasons why someone needs to access e-PHI
Private Health Record
Researchers need access to health records to analyze data. For this reason a public health record is made available for the collection of public health data in an anonymous manner
