Test Flashcards

1
Q

Amendment

A

That the data is in dispute or further clarification while retaining the original information

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2
Q

Authorization

A

Must obtain with pt agreement for the disclosure of medical records

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3
Q

Breach of confidentiality

A

Violating the law by releasing privileged or private information or to an individual without a valid authorization 

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4
Q

Business associate (BA)

A

A person or organization that performs a function or activity on behalf of a covered entity,  but it’s not a part of the covered entities workforce 

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5
Q

Clinical laboratory
Improvement act

A

States that clinical laboratories may provide clinical laboratory test records and reports only to “authorized persons” as defined primarily by state law.

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6
Q

Consent

A

A general document that may be required for treatment, payment or healthcare operations related uses.

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7
Q

Correction

A

Altering or replacing the original document 

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8
Q

Covered entities

A

Includes health plans, health care clearinghouses, and health care providers (hospitals) that transmit any health information in electronic form in connection with a transaction covered in the HIPAA Transaction Rule.

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9
Q

Designated record set

A

Defined as a group of records maintained by or for a covered entity that includes the medical and billing records and any other record that documents decisions made about individuals such as enrollment, payment, claims adjudication, case management records for a health plan, pre-procedure questionnaires or records from other facilities used in the treatment of a patient.

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10
Q

Disclosure

A

The release, transfer, or access to information outside the entity holding the information.

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11
Q

HIPPA

A

Health Insurance Portability and Accountability Act of 1996

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12
Q

Individually Identifiable Health Information (IIHI)

A

Information that is a subset of health information, including demographic information collected from an individual, in the past, present and future where there is reasonable belief that the information can be used to identify the individual (telephone number, zip code, etc.

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13
Q

Minimum necessary standard

A

Requires covered entities to make reasonable efforts to limit protected health information to the minimum necessary to accomplish the intended purpose of the use, disclosure, or r

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14
Q

Nonroutine disclosure

A

A disclosure for any purpose other than treatment, payment or healthcare operations (

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15
Q

Notice of privacy practices 

A

How the covered entity may use and disclose protected health information about an individual. The Notice of Privacy Practices must also include a description of the types of uses and disclosures that require patient authorization, must be displayed or posted on a healthcare facility’s website and must be signed by patients upon their first visit to a physician.

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16
Q

OCR

A

Office of Civil Rights is the Health and Human Services entity responsible for enforcing the HIPAA Privacy Rule.

17
Q

Protected health information 

A

Means individually identifiable health information. Examples: Names, addresses, zip codes, admission & discharge dates, birth date, telephone and fax numbers, e-mail addresses, Social Security number, Medical Record Num

18
Q

Psychotherapy notes

A

Notes of a mental health professional about counseling sessions that are maintained separate and apart from the regular health record. These notes are protected under HIPAA and can’t be disclosed without special authorization.

19
Q

Qualified protective order

A

Prohibits uses or disclosure for other purposes and requires return or destruction of medical records

20
Q

Restriction

A

Right of an individual (patient) to request restriction of uses and disclosures of either certain components of his/her protected health information or to certain individuals.

21
Q

Subpoena by satisfactory assurance

A

Upon request by a health oversight committee or law enforcement agency/official, a covered entity must temporarily suspend a patient’s right to receive an accounting of disclosures to a health oversight agency or law enforcement offic

22
Q

Treatment, Payment, and Operations (TPO)

A

Treatment” generally means the provision, coordination, or management of health care and related services among health care providers or by a health care provider with a third party

23
Q

Healthcare operations

A

Are certain administrative, financial, legal and quality improvement activities of a covered entity that are necessary to run its business and to support the core functions of treatment and paymen

24
Q

Conservators

A
25
Q

Court orders

A

A court order is signed by a judge and if facility received this court order they will not need an authorization form to release records. They will just released a Records.