Chapter 7 Law & Ethics Health Terms

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code set

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Any set of codes used to encode health care data elements.

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covered entities

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Health care providers and clearinghouses that transmit HIPAA transactions electronically.

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covered transaction

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Electronic exchanges of information between two covered-entity business partners using HIPAA-mandated transaction standards.

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designated record set

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Includes records maintained by or for a covered entity.

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electronic data interchange

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The use of uniform electronic network protocols to transfer business information between organizations.

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electronic transmission

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Sending information over electronic networks.

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encryption

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Coded information that cannot be read until it is decoded.

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firewalls

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Hardware or software designed to prevent unauthorized access to electronic information.

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Health Insurance Portability and Accountability Acct (HIPAA)

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Federal law passed in 1996 to protect privacy and other health care rights for patients.

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limited data set

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Protected health information from which certain patient identifiers have been removed.

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minimum necessary

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The limited amount of patient information to be disclosed depending on circumstances.

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Notice of Privacy Practices (NPP)

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A written document detailing a health care provider's privacy practices.

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permissions

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A reason for each use and disclosure of patient information.

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privacy

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Freedom from unauthorized intrusion.

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Protected Health Information (PHI)

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Information that contains one or more patient identifiers.

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rule

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Document that includes the standards.

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security

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Policies and procedures used to protect electronic information from unauthorized access.

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standard

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A general HIPAA requirement.

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state preemption

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If a state's privacy laws are stricter than HIPAA privacy standards, the state laws take precedence.

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transaction

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Transmission of information between two parties for financial or administrative activities.

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treatment, payment, and healthcare operations (TPO)

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Treatment means that a health care provider can provide care; payment means that a provider can disclose PHI to be reimbursed; healthcare operation refers to HIPAA-approved activities and transactions.

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verification

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Verify the identificatio of anyone requesting patient information.