Show:
ACRONYMS
MEDICARE & MEDICAID
HIPAA
ACCREDITATION AND PAYMENT
STANDARDS AND
THE LAW
100
CMS
What is the Center for Medicare and Medicaid?
100
Companies that contract with CMS to handle claims, processing, payments, and inquiries for a region or state.
What is a fiscal intermediary?
100
This organization has the power to enforce HIPAA security standards.
What is CMS?
100
A facility with CAP or JCAHO accreditation is also considered to be in compliance with these.
What are CMS Conditions of Participation (CoP)?
100
This regulates nursing staff, facility operations, patient records, and medical staff.
What is the state (law)?
200
CoP
What are the Conditions of Participation for Medicare and Medicaid?
200
Poor, blind, or pregnant
Who is covered by Medicaid?
200
This entity enforces the HIPAA Privacy Rule.
What is the Office of Civil Rights (OCR)?
200
This group accredits medical laboratories.
What is the College of American Pathologists (CAP)?
200
Physical safeguards, administrative safeguards, and technical safeguards comprise these.
What are the HIPAA security standards?
300
ePHI
What is protected health information in electronic form?
300
Age 65 and older, those with kidney failure, persons with disabilities
Who is covered by Medicare?
300
This requires the patient’s permission to disclose PHI.
What is an authorization?
300
Under HIPAA Privacy Rule, a healthcare provider may disclose PHI without patient authorization in these cases?
What are for treatment, payment, and healthcare operations (TPO)?
300
This is necessary to have for those who prescribe, dispense, and administer drugs, and those who operate a hospital pharmacy.
What is a license?
400
HIPAA
What is the Health Insurance Portability and Accountability Act?
400
If a facility meets the requirements of the Joint Commission, Medicare considers it having met the COP requirements, and grants this status.
What is deemed?
400
Health plans, clearinghouses, and healthcare providers, to name a few
What are covered entities?
400
A system developed to pay a fixed amount for inpatient stays based on the type of case rather than the length of the stay?
What is a prospective payment system?
400
This Privacy Rule standard limits unnecessary or inappropriate access to and disclosure of PHI beyond what is necessary.
What is the minimum necessary standard?
500
JCAHO
What is the Joint Commission on the Accreditation of Healthcare Organizations?
500
The year Medicare and Medicaid began.
What is 1965?
500
Health plans, clearinghouses, and healthcare provider entities are covered by this part of HIPAA law.
What is the Administrative Simplification subsection?
500
Accreditation for organizations providing behavioral health, occupational, and physical therapy services is granted by this group.
What is Commission on Accreditation of Rehabilitation Facilities (CARF)?
500
HIPAA was passed in 1996 by this government body.
What is Congress?