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PHM1140 De More5
PHM1140 Law & Ethics for Pharmacy Technicians, HIPPA, Chapter 5, De More
Question | Answer |
---|---|
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) |