Chapter 4: Healthcare Laws

• Step by step directions: Procedures
• The electronic exchange of information between two agencies to accomplish financial or administrative healthcare activities: Electronic Transaction
• An organization that accepts the claim data from the provider reformats the data to meet the specifications outlined by the insurance plan, and submits the claim: Claims Clearinghouse
• A system designed to use characters (i.e., numbers and letters) to represent something like a medical procedure or disease: Coding System
• Written principles that provide goals for the employees and the facility: Policies
• Being free from unwanted intrusion: Privacy
• The top priority: Precedence
• A legally protected right of patients: Confidentiality
• The disclosing of private facts without the consent of the individual: Invasion Of Privacy
• Conforms to nationally recognized standards and contains health-related information about a specific patient; it can be created, managed, and consulted by authorized clinicians and staff from more than one healthcare organization: Electronic Health Record (EHR)
• Individually identifiable health information stored or transmitted by covered entities or business associates: Protected Health Information
• Protected health information that has had all of the direct patient identifiers removed: Limited Data Set
• Reasons that the health information can be released: Permission
• Healthcare providers, health (insurance) plans, and claims clearinghouses that transmit protected health information electronically: Covered Entities
• A form that must be completed by the patient before information can be shared with another person, also called authorization to disclose form: Disclosure Authorization
• To remove all direct patient identifiers from the PHI information: De-identify
• A form that must be completed by the patient before the patient records can be transferred: Record Release Form
• A person or business that provides a service to a covered entity that involves access to PHI: Business Associate
• Safeguards that include a security officer who is responsible for creating and carrying out security policies and procedures: Administrative Safeguards
• Safeguards that include facility, workstation, and device security: Physical Safeguards
• Disclosure of protected health information, without a reason or permission, which compromises the security or privacy of the information: Breach
• Leaving a place; exit route: Egress
• Diseases spread from person to person by either direct contact or indirect contact: Communicable Diseases
• An action that purposely harms another person: Abuse
• Written instructions about healthcare decisions in case a person is unable to make them: Advance Directives
• Faliure to provide proper attention or care to another person: Neglect
• The act of using another person for one's own advantage: Exploitation
• Communication that cannot be disclosed without authorization of the person involved; includes provider-patient and lawyer-client communications: Privileged communication
• People between the ages of 18 and 64 who have a mental or physical impairment that prevents them from doing normal activities or protecting themselves: Dependent Adults
• Getting back at others for something they did to you: Retaliation
• Any financial interest, personal or professional activity, or obligation that impacts a person's objectivity when performing the job: Conflict Of Interest
• Punishment inflicted on someone as vengeance for a wrong or criminal act; the act of taking revenge: Retribution
• A deceitful action that causes another to give up something of value: Fraud
• The employer can end employment at any time for any reason: Employment-at-will
• Legal reason for firing an employee: Just Cause
• The employer did not have just cause for firing the employee: Wrongful Termination
• Unfair treatment of another person based on the person's age, gender(sex), ethnicity, sexual orientation, disability, marital status, or other selective factors: Discrimination
• Continued, unwanted, and annoying actions done to another person: Harrasment
• A person (usually an employee) who reports a violation of the law within the organization; the person reports the information to the public or to a person in authority: Whistleblower
• If your state's confidentiality laws are stricter than the federal laws, the state laws need to be followed. This is known as: State preemption