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10 Cards in this Set

  • Front
  • Back

Three Groups to which HIPAA Regulations Apply

Healthcare providers, health plans, and healthcare clearinghouses

Protected Health Information (PHI)

Any individually identifiable health information

Identifiable Information

Data about a specific person

De-Identified Information

Information stripped of data that may identify an individual

Limited Data Set

Middle ground between identifiable and de-identified information (for example, geographic data; dates relating to an individual; unique identifying numbers, characteristics, or codes other than those listed under individual identifiers)

Treatment

The provision of healthcare and related services

Payment

The activities of healthcare providers to obtain payment or be reimbursed for their services and the activities of a health plan to obtain premiums, to fulfill their coverage responsibilities and provide benefits under the plan, and to obtain or provide reimbursement for the provision of healthcare

Healthcare Operations

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 payment

Patient information that's considered confidential

Patients' room number (in hospital), their diagnosis, the medications they’re taking, treatments, test results and findings

Confidentiality Exceptions to the Privacy Rule for Other Public Health Activities

Child abuse/neglect, product or activity regulated by the FDA, persons at risk of contracting or spreading a disease, and workplace medical surveillance (limited)