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14 Cards in this Set
- Front
- Back
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Business associates |
A person or organization that performs a function or activity on behalf of a covered entity but is not part of the covered entity itself. They just adhere to HIPAA standards in order to do business with a covered entity |
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Clearinghouse |
A company that handles electronic transactions for providers such as submitting claims using HIPAA formats and may also manage electronic medical records |
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Consolidated omnibus budget reconciliation act |
Cobra stands for what |
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Cobra |
An amendment to title 1 of HIPAA that gives enployess the right to continue health coverage as a private payer for a limited period of time once they leave a job |
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Covered entity |
A health plan,a healthcare clearing house, or a health care provider who transmits any health information in electronic form in connection with a HIPAA transaction |
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Direct provider |
A health care provider who has a direct treatment relationship with a patient such as a physician or therapist |
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Group health plan |
Medical insurance offered to employees and paid for in part or in full by an employer |
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Health insurance portability and accountability act of 1996 |
The federal legislation covering rules regarding the health care industry specifically how it is administered and the rights of patients in regard to health care coverage and privacy |
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Health plan |
Any individual or group plan that provides or pays in medical care |
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Indirect provider |
A health care provider is a person or business that has an indirect treatment relationship with the patient such as a laboratory |
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Preemption |
The rule that HIPAA rules supersede state laws except when HIPAA deems a state law necessary to prevent fraud and abuse or when the state law is more restrictive than the HIPAA rule |
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Provider |
People or businesss that furnish bill or are paid for health care in the normal course of business. Under HIPAA a covered provider is one who submits electronic administrative and financial transactions |
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Title 1 health insurance reform |
The portion of the HIPAA law concerned with health insurance reform. The main purpose is to ensure the continuation of health coverage when employees change jobs. It also entitles people who leave a job to continue their health insurance coverage as a private payer for a limited period of time under cobra |
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Title 2 administrative simplification |
Portion of the HIPAA law the rules in this section cover administrative, financial, and case management policies and procedures. It contains strict requirements for the uniform transfer of electronic health data and covers rules of patient confidentiality |
