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Affordable Care Act
HIPAA
Acronym Alley
HITECH
Hodge Podge
100
The full (and formal) name of the healthcare insurance law passed by Congress in 2010
What is the Patient Protection and Affordable Care Act
100
The maximum annual fine to businesses, institutions or providers for HIPAA violations
What is $1.5M
100
EP
What is Eligible Provider
100
The legislative act offering financial incentives for meeting meaningful use of electronic health records standards
What is the American Recovery and Reinvestment Act of 2009?
100
The last date a RAC request letter could be issued to providers
February 21, 2014
200
The concept that health care reform legislation requires most individuals to obtain acceptable health insurance coverage or pay a penalty, beginning in 2014.
What is Individual Mandate
200
If doctors are located in different states, and they consult on the care of a patient, they are considered this. (Hint: Focus on HIPAA stakeholder/trading partner terms.)
What is a Covered Entity
200
HVBP
What is Hospital Value-Based Purchasing (Definition: Quality incentive program built on the Hospital Inpatient Quality Reporting (IQR) measure reporting infrastructure as a nxt step in promoting higher quality care for Medicare beneficiaries. Pays for care that rewards better value, patient outcomes, and innovations, instead of just volume of services.)
200
The name of the entity that oversees EHR certification
What is the ONC
200
Accountable Care Organizations (ACOs) are an effort to base reimbursement on this (rather than on actual services provided)
What is performance
300
30 hours/week
What is the average number of hours worked per week to be considered a full time employee under ACA
300
The number of days a covered entity must post a breach notification on their website, in print media, and with local media
What is 90 days
300
SRA
What is Security Risk Assessment
300
The term for required capabilities that eligible hospitals and providers must achieve in order to meet meaningful use requirements
What is core
300
Percentage decrease in reimbursement Physicians who do not satisfactorily complete participation in the PQRS program will eventually experience
What is 2.0 percent
400
The 2014 penalty for non-compliance with the Individual Mandate
What is $95
400
Percentage of HIPAA complaints reported for South Carolina to the ONC that were not a violation from April 14, 2003 through December 31, 2013
What is 15 percent
400
PSI
What is/are Patient Safety Indicators (Definition: a set of indicators providing information on potential in hospital complications and adverse events following surgeries, procedures, and childbirth.)
400
Number of menu capabilities Hospitals and eligible providers must choose from to be MU stage 2 compliant
What is five out of ten
400
The provision of the healthcare reform law of 2012 the Supreme Court made optional in June 2012. (Hint: Some states have opted out.)
What is Medicaid expansion?
500
Credits are available for people with incomes above Medicaid eligibility and below this percent of the federal poverty level who are not eligible for or offered other acceptable coverage.
What is 400
500
Percentage of HIPAA complaints reported for South Carolina to the ONC that ended in corrective action from April 14, 2003 through December 31, 2013 (most recent period of data available)
What is 28 percent
500
OHCA
What is Organized Health Care Arrangement (Definition: an arrangement or relationship, recognized in the HIPAA privacy rules, that allows two or more Covered Entities (CE) who participate in joint activities to share protected health information (PHI) about their patients in order to manage and benefit their joint operations. In order to qualify as an OHCA, the legally separate CE's must be clinically or operationally integrated and share PHI for the joint management and operation of the arrangement. Also, individuals must expect that these arrangements are integrated and share information to manage their operations."
500
The percentage of patients who must have online access to their health information to meet stage 2 MU attestation
What is 50 percent
500
Federal law that requires employers to compensate employees for on-call time when that time is spent for the employer's benefit and the employee cannot effectively use the time for his or her own purposes
What is FLSA (Fair Labor Standards Act)