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PHM1140 De More5

PHM1140 Law & Ethics for Pharmacy Technicians, HIPPA, Chapter 5, De More

QuestionAnswer
Compliance program guidelines HIPPA-related privacy training, security regulations designed to focus on, correct and maintain good healthcare practice
Disclosure transferring information, releasing information, providing access to information or divulging information in any manner
Electronic Data Interchange (EDI) a set of standards for structuring electronic information intended to be exchanged between different entities
Electronic medical records (EMR) preferred method of record storage (over paper records) because their electronic electronic format can be accessed more quickly and takes less room to store
Encryption Transforming information via an algorithm to make it unreadable to anyone who does not possess the decryption information required to read it
Extranet A private network that uses Internet protocols, network connections, and sometimes telecommunication devices to share information with outside entities
Medical code sets sets of alphanumeric codes used for encoding medical conditions, diseases, procedures and other information
Notice of Privacy Practices (NOPP) A document that explains to patients how their PHI may be used or disclosed
Protected Health Information (PHI) All stored health information that relates to a past, present or future physical or mental health condition
Office of the Inspector General (OIG) Governmental office that investigates various organizations including healthcare organizations to assure integrity and efficiency in their operations. Prosecutes fraud and abuse while overseeing Medicare & Medicaid.
Security Rule A HIPPA-related regulation the specifies how PHI is protected on computer networks, in internet, the extranet, disks and other storage media.
Treatment, payment and healthcare options (TPHCO) This concerns PHI that may be shared in order to provide treatment, process payment and operate the medical business
Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 Allow employees leaving a job to elect to continue the previous employer's health coverage for a limited time; must pay the premium themselves; modified by Title I or HIPPA
Privacy Rule of 2003 Pharmacies increased the controls over which they manage and store patient information due to passage of this HIPPA Rule.
Discarded Patient Information (DPI) must be properly destroyed by licensed company, and all electronic media must be wiped of all data so no trace remains.
Office for Civil Rights Complains against handling of PHI can be made here
ICD-9-CM medical code set for identifying medical diseases and conditions
HCPCS medical code set for items supplies and non-physician services
CPT-4 medical code set for medical procedures and services
ICD Volume 3 codes medical code set for inpatient hospital services
NDC codes for drug products
CDT-4 medical code set for dental services
Department of Justice (DOJ) prosecutes criminal violations (re: HIPPA enforcement)
Centers for Medicare and Medicaid Services (CMS) Enforce non-privacy standards, Electronic Health Care Transaction and Code Set Rule (TCS)/National Employer Identifier Rule (EIN) and rules that relate to national identifiers. (re: HIPPA enforcement)
Created by: MrsAFlaherty
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