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HIT 160 > FINAL > Flashcards

FINAL Flashcards

1
Q

breach of data over this number means press release needs to be sent out

A

500

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2
Q

privacy rule protects any format. true or false?

A

true

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3
Q

administrative safeguards: name 3

A 
policies
procedures
security management process
risk analyses
security  officer
security awareness & training
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4
Q

locked doors are an example of what type of privacy safeguard?

A

physical

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5
Q

what are examples of technical safeguards to protect privacy?

A

passwords and encryption

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6
Q

privacy is

A

WHAT is protected

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7
Q

security is

A

HOW info is protected

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8
Q

Why is HIPAA important?

A

portability

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9
Q

title II fraud and abuse components

A
  • administrative simplification
  • transaction and code sets
  • national provider identifier (NPI)
  • privacy* to protect PHI
  • security*
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10
Q

who are covered entities under HIPAA

A

healthcare providers
healthcare plans
clearinghouses

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11
Q

what do clearinghouses do?

A

make sure claims are clean

& complete, send bad claims back to provider, send good claims to third party payer

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12
Q

how to protect PHI

A

consent
authorization
min. necessary info

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13
Q

only ___ should work with blanket authorization

A

physicians

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14
Q

what are patients’ rights regarding PHI

A

ask for copy, have corrections made (not omissions), report of when and why info shared

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15
Q

people can charge a reasonable amount to provide records. true or false?

A

true

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16
Q

data is ___ while ___ is usable & meaningful data

A

raw

information

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17
Q

4 parts of medicare

A

A-inpt. hospital care
B-outpt
C-medicare advantage (optional, replaces A, B, and D)
D-Rx

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18
Q

most important function of health record

A

store patient health information

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19
Q

hospitals have ___ status

A

deemed

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20
Q 
4 entities for rules/reg
A
B
C
L
A

accreditation
bylaws
certification (conditions of participation)
licensure (state/gov’t)

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21
Q

consent is given for

A

TPO

treatment, payment, operations

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22
Q

authorization is for TPO. T/F?

A

false, authorization is for anything beyond TPO, like ROI

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23
Q

CAHIIM

A

accredits colleges

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24
Q

___ registry has people with severe injuries

A

trauma

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25
Q

physician index

A

list of pts by ID

26
Q

authorization has to have ___

A

expiration date because otherwise ROI would be forever

27
Q

name some secondary uses of data

A
  • research
  • quality, performance, pt. safety
  • population health reporting
  • administrative
28
Q

what is HIT’s most important role?

A

make sure data is complete, accurate, standardized (data dictionary)

29
Q

people ___ need to give additional consent to be in index/registry

A

do not, because TPO covers it

30
Q

indexes are smaller/larger than registries?

A

smaller, facility-based, examples are MPI or disease registry of a hospital

31
Q

what is the legal term for no consent for treatment given?

A

battery

32
Q

aggregated data is ___

A

deidentified

33
Q

what’s the primary data source?

A

health record

34
Q

MDS

A

long term care

35
Q

HEDIS

A

insurance plans, administrative claims, health record review data

36
Q

joint commission’s data set

A

ORYX

37
Q

what data set do they use in the ER?

A

DEEDS

38
Q

which data set for home health

A

OASIS

39
Q

Which data set for inpatient, like hospital

A

UHDDS

40
Q

which data set for outpt?

A

UACDS

41
Q

Data fields and data definitions are common in ___

A

data dictionary

42
Q

what is it called if a facility gets to take medicare patients

A

deemed status

43
Q

consent is for ___ while authorization is for ___

A

TPO;

ROI

44
Q

What are ICD-10-CM AND ICD-PCS used for?

A

reimbursement

45
Q

SNOMED-CT

A

150,000 TERMS; Language so everyone can speak to one another

46
Q

CPT

A

procedures for outpt

47
Q

what is the formal approval process for academic programs called?

A

accreditation

48
Q

what is the formal process for conferring a HIM credential

A

certification

49
Q

what is access control?

A

identifying which data employees should have a right to use

50
Q

aiding in billing and reimbursement is a ___ fcn of health record

A

secondary

51
Q

third-party payers and government policymakers are ___ users of the health record

A

institutional

52
Q

___ is a software program that tracks every access to data in the system

A

audit trail

53
Q

___ is required of hospitals by states to provide healthcare

A

licensure

54
Q

___ is not documented in the acute-care (urgent care) health record

A

immunizations

55
Q

when does pt have the opportunity to agree or object?

A

when court order received

56
Q

___ is used to describe expected data values

A

data precision

57
Q

in long-term care, the care plan is dependent on data from

A

MDS version 3.0

58
Q

a consumer interested in comparing performance of health plans should review data from

A

HEDIS

59
Q

If you take part of a data set and put it together to form a statistic, the data is

A

aggregated

60
Q

what are the four main sources of documentation standards?

A

Accreditation
Bylaws
Certification
Licensure

HIT 160 (1 decks)

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