Test 5 Part 21 Flashcards
__________ requires employers to report work-related fatalities, injuries, and illnesses
Federal occupational safety and health regulation
_________ may be required to release medical information relevant to fatality, injury, or illness to appropriate authorities per state law as well
Healthcare facilities
Database containing information about a disease or condition
Used for a broad range of purposes in public health and medicine, from evaluating patient care to monitoring defective devices
May be required by federal or state laws
Common requirement is that data submitted to the registry be maintained in a confidential manner and identity of the patient be protected from disclosure
Clinical, Disease, and Outcome-Based Registries
Medicare expanded its coverage Implantable Cardiac Defibrillators (ICDs) to eligible Medicare beneficiaries in _____.
2005
Every hospital that seeks reimbursement for _____ must participate in _____ registry
Implantable Cardiac Defibrillators (ICDs)
Type of \_\_\_\_\_\_\_ determines what patient information is reported Cancer registry Trauma registry Immunization Birth defects Diabetes Implant Transplant Qualified Clinical Data Registries
registry
_________ may disclose PHI to public health entities even if law does not specifically require the disclosure, if the disclosure is for the purpose of
Preventing or controlling disease, injury, or disability, including, but not limited to, the reporting of disease, injury, vital events such as birth or death, and the conduct of public health surveillance, public health investigations, and public health interventions; or, at the direction of a public health authority, to an official of a foreign government agency that is acting in collaboration with a public health authority
Covered entities
Refers to adherence to federal statutes and regulations designed to
1) Prevent unjust financial enrichment
2) Patient privacy breaches by healthcare providers or organizations
Compliance
A false representation of fact
A failure to disclose a fact that is material (relevant) to a healthcare transaction
Damage to another party that reasonably relies on the misrepresentation or failure to disclose
Fraud
Inconsistent handling of sound fiscal, business, or medical practices resulting in
Unnecessary costs to the program
Improper payment
Services that fail to meet professionally recognized standards of care or are medically unnecessary
Services that directly or indirectly result in adverse patient outcomes or delays in appropriate diagnosis or treatment
Abuse