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Healthcare Law & Order
Quality & Quantity
100

This 1972 act establishes a comprehensive regulatory scheme for the protection of substance abuse patient health information.

What is Drug Abuse Prevention, Treatment, and Rehabilitation Act?

100

A method used to convert PHI into indecipherable strings of characters and giving access only to approved staff. Helps against security breaches and unauthorized access.

What is Encryption?

100

Aside from complaining directly to the covered entity for failing to comply with the Privacy Rule, individuals may also report the violation to this federal department.

What is the DHHS?

100

This type of review consists of in-house monitoring of the quality and cost of providing services and are implemented in the standards of accreditation adopted by the Joint Commission and state laws.

What is a Utilization Review?

200

This act was put in place to strengthen U.S security measures through the prevention, deterring and punishment of terrorists acts within the United States and around the world. This act also assists law enforcement in identifying and disrupting fraudulent money laundering activities by encouraging law enforcement, regulators, and financial institutions to share information.

What is the USA Patriot Act?

200

Notes of a conversation recorded by a mental health professional during a private counseling session. One of the few exceptions of information that the Privacy Rule does not extend to.

What are Psychotherapy Notes?

200

These organizations review a company's operations to ensure that the company is conducting business in a manner that is consistent with national standards. Major examples include the NCQA, CARF, and the Joint Commission.

What is an Accreditation Organization?

200

This organized system of health care contains multiple HIPAA covered entity participants that hold themselves out to the public as participating in a joint arrangement.

What is an Organized Healthcare Arrangement (OHCA)?

300

This provision of a statute or regulation specifies that certain conduct will be deemed not to violate a given rule. This protects a staff member from discipline by the Board and retaliation, suspension, termination, discipline, or discrimination from the employer for invoking this in good faith.


What is the Safe Harbor Act?

300

Under U.S. Law, this is any information about health status, provision of health care, or payment for health care that is created or collected by a Covered Entity, and can be linked to a specific individual.

Names, DOB, address, SSN, dates of admission & discharge or any other type of identifiable information fall under this category.

What is PHI (Protected Health Information)?

300

These sets of laws state that any diagnosis, prognosis and treatment should always be confidential when it comes to the patient receiving treatment. Furthermore, any person or program that releases information in violation of the privacy act is subject to criminal charges.

What are Federal substance abuse confidentiality laws?

300

This group of health quality experts, clinicians, and consumers are organized to improve the quality of care delivered to people with Medicare.

What is a Quality Improvement Organization (QIO)?

400

This 2009 act is a part of the American Recovery & Reinvestment Act to promote the adoption and meaningful use of health information technology.

Subtitle D of this act also addresses the privacy and security concerns associated with the electronic transmission of health information through several provisions that strengthen the civil and criminal enforcement of the HIPAA rules.

What is the HITECH Act?

400

This unique identification number for covered health care providers is a 10 digit identifier. The numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty, and they must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.

What is a National Standard Healthcare Provider Identifier?

400

One of 5 HIPAA Titles, this one prevents health care fraud abuse through the establishment of national standards for electronic health care transactions and national identifiers for providers, employers, and health insurance plans.

What is Title II of HIPAA (Administrative Simplification Rules)?