Chapter 8 Privacy Law and HIPAA Flashcards Preview

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Flashcards in Chapter 8 Privacy Law and HIPAA Deck (11)
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freedom from unauthorized intrusion


American Recovery and Reinvestment Act

- changes to HIPAA privacy and security regulations
- Changes in HIPAA enforcement
- Changes that address health information held by either covered entities or business associates not expressly covered by HIPPA
- changes relevant to HIPAA administration, and studies, reports, and educational initiatives related to health care


Health Insurance Portability and Accountability (HIPPA)

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 rising cost of health care fraud and abuse.


covered entities

Health care providers and clearinghouses that transmit HIPPA transactions electronically and must comply with HIPAA standards and rules


covered transactions

Electronic exchanges of information between two covered-entity business partners using HIPAA-mandated transactions standards


designated record set

Records maintained by or for a HIPAA covered entity


Notice of Privacy Practices (NPP)

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


Protected health information (PHI)

Information that contains one or more patient identifiers.



To remove from health care transactions all information that identifies patients


state preemption

If state's privacy laws are stricter than HIPAA privacy standards, the state laws take precedence.


treat, 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 care; payment means that a provider can disclosure PHI to be reimbursed; health care operations refers to HIPAA approved activities and transactions.