Medical Insurance Chapter 2

Front 1

Complete and comprehensive documentation is important to show that physicians have followed?

Back 1

Medical standards of care

Front 2

Medical standards of care?

Back 2

State-specified performance measures for the delivery of health care

Front 3

Retention schedule

Back 3

Policy of handling and storage of patient's medical records

Front 4

What does CMS stand for?

Back 4

Center's for medicare and medicaid services

Front 5

Center's for medicare and medicaid services?

Back 5

Federal agency that runs medicare, medicaid, and other government health programs

Front 6

HIPAA?

Back 6

Heath insurance portability and accountability act- regulations for electronic data, exposing fraud and protecting PHI

Front 7

HITECH act

Back 7

Health information technology for electronic and clinical health- promotes the adoption of health information technology

Front 8

Covered entity (CE)

Back 8

Health plan, clearinghouse, or provider that transmits any health information in electronic form

Front 9

Business associates (BA)

Back 9

Person or organization that performs a function or activity for a covered entity

Front 10

Electronic data interchange (EDI)

Back 10

Computer-to-computer exchange of data in a standardized format

Front 11

Affordable care act (ACA)

Back 11

Health system that introduces significant benefits for patients

Front 12

Protected health information (PHI)

Back 12

Identifiable health information transmitted by electronic media

Front 13

Treatment, payment, and health care operations (TPO)

Back 13

Reasons for sharing patient information without authorization

Front 14

Minimum necessary standard

Back 14

Minimum information released that is needed

Front 15

Designated record set (DRS)

Back 15

Covered entity's records that contain protected health information

Front 16

Notice of privacy practices (NPP)

Back 16

Explains how the patient's PHI may be used and describes their rights

Front 17

Authorization

Back 17

Document signed by patient to permit release of medical information

Front 18

Exceptions for not needing a authorization?

Back 18

Workers' compensation

Court orders

Stautory reports

Research

Self-pay request

Front 19

Encryption

Back 19

Converting a message into encoded text

Front 20

Breach?

Back 20

Disclosing PHI that could pose significant risj to the affected person

Front 21

HIPAA electronic health care transaction and code sets (TCS)

Back 21

Rule of electronic exchange of health information

Front 22

Code set

Back 22

Alphabetic and/or numeric representations for data

Front 23

National provider identifier (NPI)

Back 23

Unique ten-digit identifier assigned to each provider

Front 24

Fraud

Back 24

Intentionally misrepresents facts to receive a benefit illegally

Front 25

Abuse

Back 25

An action that misuses money that the government has given

Front 26

Office for civil rights (OCR)

Back 26

Enforces HIPAA privacy act

Front 27

Office of e-health standards and services (OESS)

Back 27

Enforces that other HIPAA standards

Front 28

Office of the inspector general (OIG)

Back 28

Investigates and prosecutes fraud

Front 29

Department of justice (DOJ)

Back 29

Handles criminal violations under HIPAA standards

Front 30

Compliance of plan

Back 30

Medical practice's written plan for complying with regulations