Chapter 5 Flashcards
Protected Health Information. (PHI)
Any Information that can link a patient to health records
Confidentiality
The protection of patient I formation from unauthorized use or disclosure
Security
The safekeeping of patient Information
Consent
A general document that gives permission for something to happen
Authorization
An authorization stipulates which PHI should be disclosed and to whom
Privacy
An Individuals rights go keep healthcare information from being disclosed to others.
Covered entities
A health Insurance plan, a healthcare clearinghouse , and a healthcare provider.
Minimum necessary standard
The PHI that is disclosed must be the minimum necessary to accomplish the purpose of the request
Encryption
The process of transmitting text security over open networks
Fraud in billing practices
An intentional deception or misrepresentation that someone makes that could result in an unauthorized payment
Abuse in billing practices
Actions that are Inconsistent with accepted, sound medical, business or fiscal practices that could result in improper payments
Upcoding
Selecting codes at a higher level than is justified by the patients medical record for the purpose of increasing the reimbursement
ePHI
Electronic protected health Information
HIPPA
Health Insurance portability and accountability act
OIG
Office of inspector general
