Regulatory and Privacy
This 5 letter acronym is the federal law that protects patient health information.
What is HIPAA (Health Insurance Portability and Accountability Act)?
This refers to following proper medical standards when caring for patients, including staying within your training and license.
What is Scope of Practice?
This process involves reviewing documentation, billing, or operations to ensure rules and policies are being followed.
What is an Audit?
This term describes information that can identify a patient, such as name, DOB, or medical record number.
What is Protected Health Information (PHI)?
This term refers to obtaining a patient’s permission before performing a procedure or treatment.
What is informed consent?
This is the action taken after an audit to fix identified issues and prevent them from happening again.
What is a corrective action plan?
If a patient's information is accidentally shared with the wrong person, this is called a privacy __.
What is a breach?
This term means the patient’s chart must clearly show why a test, treatment, procedure, or service was clinically needed.
What is medical necessity?
This five-letter word happens when services are intentionally billed to insurance but were never actually provided to the patient.
What is fraud?