Shared Flashcard Set

Details

Chapter 3
Regulatory Requirements
15
Health Care
Undergraduate 4
06/16/2014

Additional Health Care Flashcards

 


 

Cards

Term
Health Insurance Portability and Accountability Act (HIPPA)
Definition
A law created in 1996 to provide a standard set of rules that all covered entities must follow to protect patient health information and to help healthcare providers transition from paper to electronic health records.
Term
Healthcare Clearinghouse
Definition
A business that receives healthcare information and translates that information into a standardized format to be sent to a health plan provider. Healthcare clearinghouse is sometimes called a billing service. Basically, a healthcare clearinghouse is a middle person processes healthcare information.
Term
HIPPA version 5010
Definition
HIPPA mandated a standard format for electronic claims transactions. This standard was updated with the functional needs of the healthcare industry.
Term
ICD-9
Definition
HIPPA mandated a standard format for electronic provider and diagnostic codes. The current standard has limitations that restrict the full use of EMR/EHR software.
Term
ICD-10
Definition
HIPPA mandated a standard electronic format for providers and diagnostic codes. The new standard is intended to grow with the functional needs of the healthcare industry.
Term
Electronic Protected Health Information (e-PHI)
Definition
Hippa protects the electronic information that can be used to identify an individual. e-PHI is information created, used, or disclosed about a patient while providing healthcare.
Term
Meaningful use
Definition
The goals of meaningful use are to help healthcare providers know more about their patients, make better decisions and save money by using HIT in a meaningful way.
Term
Eligible Provider
Definition
Hospitals or professionals participating in incentive programs must meet a meaningful use criteria to be eligible to receive incentive money.
Term
Public Health Record
Definition
Researchers need access to health records to analyze data. For this reason a public health record is made available for the collection of public health data in an anonymous manner.
Term
Private Health Record
Definition
A health record created and maintained by an individual. Sometimes called a personal health record.
Term
Legal Health Record
Definition
Health organizations must retain a health record of patients for use by the patient or legal services.
Term
Waiver of liability
Definition
A contract used to protect healthcare entities from being inappropriately responsible or sued for harm or debt
Term
Business associate agreement (BAA)
Definition
A contract used between healthcare entities and third parties to establish a mutual understanding of safeguards of e-PHI.
Term
Service-level Agreement (SLA)
Definition
Contracts used between healthcare entities and third parties to establish how e-PHI is shared and used. An SLA also establishes expectations of service provided.
Term
Memorandum of Understanding (MOU)
Definition
Contracts are sometimes necessary within an organization between departments or personnel for mutual understanding of the safeguards of e-PHI
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