Laws Flashcards
Genetic Information Non-discrimination Act (GINA)
GINA, health insurers cannot use an individual’s genetic information to set eligibility requirements, establish insurance premiums, or request certain genetic tests. In addition, employers cannot request, require, or purchase genetic information about an employee or family member, and they cannot use an individual’s genetic information in decisions about job hiring, firing, assignments, or promotions.
SNOMED-CT codes
The Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) was created by the College of American Pathologists (CAP) to represent medical terminology in EHRs.
NANDA Taxonomy terms
Labels for many health problems in the functional health domain are found in the NANDA taxonomy terms (International Taxonomy of Nursing Diagnoses), which is expanded and updated every 2 years. NANDA taxonomy terms, which is revised every 2-3 years.
These patterns provide a framework for thinking about the problems that nurses have always managed independently, and represent the universal health behavior patterns of all humans, regardless of culture, sex, age, or economic status.
UCD-10 CM codes
Diagnoses, in addition to interventions, must be recorded. ICD-10-CM codes provide the lists of reimbursable diagnoses.
Current Procedural Terminology (CPT) codes
Interventions must be based on or derived from diagnoses. A situation should never arise in which the provider intervenes without explicit reasons for doing so. CPT codes provide the therapeutic intervention codes that must be recorded in each patient’s electronic health record (EHR).
research process
Assessing, planning, implementing, and evaluating:
also the order of decision-making for the pediatric nurse practitioner in performing a health history, and then outlining a plan and providing care.
Quality improvement
Quality improvement programs use patient outcome measures as indicators of the quality and health of the program. Goals include improvement in quality of care, decreased complications and hospitalizations, and improved patient satisfaction and outcomes
V-code
V-codes are modifiers that indicate the reason for a health care visit, but cannot be used for procedures.
DRG
DRG, or Diagnosis Related Group, is a statistical system of classifying inpatient stays into groups for the purpose of payment.
Patient protection and affordable care act (ACA)
The ACA prevents private insurance companies from denying claims based on preexisting conditions. If an individual has a preexisting condition, there must be 6 months (not 12) of no insurance before becoming eligible for health insurance. In addition, patients who have life-threatening conditions and have a life expectancy of fewer than 6 months (not 12) are eligible for hospice care without having to forgo potentially curative care.
SMS and joint commission
The Joint Commission has banned the use of SMS for transmitting confidential health information
section 504
Section 504 of the Rehabilitation Act of 1973 prevents discrimination, and also provides safeguards and support through reasonable accommodations in the school settings (such as ramps, assistive technology, and special seating arrangements).
Education of All Handicapped Children Act (Public Law 94-142)
Public Law 94-142 mandates appropriate education for all school-age children with developmental disabilities in the least restrictive environment.
free and appropriate public education (FAPE)
FAPE is a component of the IDEA and mandates that schools allow any child who needs specialized education services to receive them free of charge.
