Unit 3 Medical Terms Flashcards
Under the Health insurance Portability Accountability Act (HIPAA) privacy rule, AN INDIVIDUALS FORMAL, WRITTEN PERMISSION TO USE OR DISCLOSE HIS OR HER PERSONAL IDENTIFIABLE health information for purposes other than treatment, payment, or health care operations.
Authorization
A DOCUMENT signed by the patient that is needed for use and disclosure of protected health information that is not included in any existing consent form agreements.
Authorization form
Breach means ‘breaking or violation of a law agreement.’ in the context of the medical office, it means the unauthorized release of information about the patient.
Breach of confidential communication
A PERSON who, on behalf of the covered entity, performs or assists in the performance of a function or activity involving the use or disclosure of individually identifiable health information, including claims processing or administration, data analysis, process or administration, utilization review, quality assurance, billing, benefit management, practice management, and repricing.
Business associate
An independent organization that receives insurance claims from a HealthCare organization or physicians office, performs software edits, and redistributes the claims electronically to various insurance carriers.
Cleainghouse
A privileged COMMUNICATION that may be disclosed only with the patient’s permission
Confidential communication
The state of treating privately or secretly, and not disclosing to other individuals or for public knowledge, the patients conversations or medical records.
Confidentiality
A verbal or written agreement that gives APPROVAL to some action, situation, or statement
Consent
An ENTITY that transmits health information in electronic form in connection with a transaction covered by the Health insurance portability and Accountability act (HIPAA)
(Health coverage such as Bluecross/blue shield
Covered entity
The release, transfer, provision of access to, or divulging in any other manner of information outside the entity holding the information
Disclosure
The mode of electronic transmission (for example, internet, extranet, lease phone or dial- up phone lines, fax modems)
Electronic media
Regulation that became effective in 2013 under the health insurance portability and accountability act (HIPAA) that modified privacy and security rules for covered entities and their business associates.
HIPAA Omnibus Rule
For a breach of privacy under the health insurance portability and accountability act (HIPAA), this means to alleviate the severity, reduce, or make mild and harmful effects of such violation.
Mitigation
Information consisting of ordinary facts unrelated to the treatment of the patient. The patients authorization is not required to disclose the date unless the record is in a specialty hospital or in a special service unit of a general hospital, such as the psychiatric unit.
Non Privileged information
Illness or injuries by the patient BEFORE enrollment in an insurance plan
pre-existing condition
The condition of being secluded from the presence or view of others.
Privacy
An individual designated to help the provider remain in compliance by setting policies and procedures and by training and managing the staff regarding Health Insurance Portability and Accountability Act (HIPAA) and patient rights; usually the contact person for questions and complaints
Privacy officer/ privacy official
Date related tot he treatment and progress of the patient that can be released only when written authorization of the patient or guardian is obtained
Privileged information
Any data that identify an individual and describe his or her health status, age, sex, ethnicity, or other demographic characteristics, whether or not that information is stored or transmitted electronically.
Protected health information
Notes recorded in any medium by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separate from the rest of the individuals medical records
Psychotherapy notes
Health insurance portability and accountability act (HIPAA) regulations related to the security of electronic protected health information (ePHI) that, along with regulations related to electronic transactions and code sets, privacy, and enforcement, compose the administrative simplification provisions
Security Rule
The transmission of information between two parties to carry out financial or administrative activities related to health care
Transaction
Incidents or business practices not usually considered fraudulent, that are inconsistent with accepted sound medical business or fiscal practices
Abuse
A system and objective review of transaction
Auditing
