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privacy

freedom from unauthorized intrusion

1

health insurance portability and accountability act (HIPAA)

a federal law passed in 1996 to protect privacy and other health care rights for patients. the act helps workers keep continuous health insurance coverage for themselves and their dependents when they change jobs, and protects confidential medical information from unauthorized disclosure and/or use. it was also intended to help curb the rising cost of health care fraud and abuse

2

covered entities

health care providers and clearing houses that transmit HIPAA transactions electronically, and must comply with HIPAA standards and rules

3

covered transactions

electronic exchanges of information between two covered- entity business partners using HIPAA- mandated transaction standards

4

designated record set

records maintained by or for a HIPAA- covered entity

5

notice of privacy practices (NPP)

a written document detailing a health care provider's privacy practices

6

protected health information (PHI)

information that contains one or more patient identifiers

7

de- identity

to remove from health care transactions all information that identifies patients

8

state preemption

if a state's privacy laws are stricter then HIPAA privacy standards, the state laws take precedence

9

treatment, payment, and health care operations (TPO)

a HIPAA term for qualified providers, disclosure of PHI to obtain reimbursement, and activities and transactions among entities. treatment means that a health care provider can provide care; payment means that a provider can disclose PHI to be reimbursed; health care operations refers to HIPAA- approved activities and transactions

10

standard

a general requirement under HIPAA

11

rule

a document that includes the HIPAA standards or requirements

12

transaction

transmission of information between two parties for financial or administrative activities

13

code set

under HIPAA, terms that provide for uniformity and simplification of health care billing and record keeping

14

electronic transmission

the sending of information from one network- connected computer to another

15

electronic data interchange (EDI)

the use of uniform electronic network protocols to transfer business information between organizations via computer networks

16

permission

a reason under HIPAA for disclosing patient information

17

limited data set

protected health information from which certain patient identifiers have been removed

18

security

policies and procedures that protect PHI from unauthorized access

19

firewalls

hardware, software, or both designed to prevent unauthorized persons from accessing electronic information

20

encryption

the scrambling or encoding of information before sending it electronically

21

verification

the requirement under HIPAA to verify any request as legitimate before protected health information is released

22

minimum necessary

term referring to the limited mount of patient information that may be disclosed, depending on circumstances