Vocab 1
Confidentiality
in the medical setting refers to “the principle of keeping secure and secret from others, information given by or about an individual in the course of a professional relationship,”1 and it is the right of every patient, even after death.
Chart
An alphanumeric code that pertains to a specific person or group of persons, which is used to access a locked information system.
Password
At the same time, the Privacy Rule is balanced so that it permits the disclosure of personal health information needed for patient care and other important purposes.
PHI ( Protected Health Information)
refers to a missed patient appointment wherein the patient was scheduled, did not appear for the appointments, and made no prior contact with the clinic staff.
No Show
A provider’s use of a combination of paper and electronic medical records during the transition phase to EMR.
Hybrid Record
A federal law that allows persons to qualify immediately for comparable health insurance coverage when they change their employment relationships. HIPAA also seeks to establish standardized mechanisms for electronic data interchange (EDI), security, and confidentiality of all healthcare-related data.
HIPAA: Health Insurance Portability and Accountability Act of 1996
refers to the process of providers entering and sending treatment instructions – including medication, laboratory, and radiology orders – via a computer application rather than paper, fax, or telephone.
Computerized provider order entry (CPOE)
An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
Encounter
a secure online website that gives patients convenient, 24-hour access to personal health information from anywhere with an Internet connection.
patient portal
Formulary
A listing of prescription drugs established by a particular health plan which includes both brand name and generic drugs. It typically lists covered, preferred and lower cost drugs.
A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible
Copayment
is defined as any deliberate and dishonest act committed with the knowledge that it could result in an unauthorized benefit to the person committing the act or someone else who is similarly not entitled to the benefit.
Fraud
PFSH
administrative, physical and technical.
Safeguards
Deductibles
Annual amounts required to be paid by the insured under a health insurance plan before benefits become payable.
severe and sudden in onset. This could describe anything from a broken bone to an asthma attack.
A condition
Acute condition
anyone who provides treatment, payment and operations in healthcare. Covered Entities Include: Doctor's office, dental offices, clinics, psychologists, Nursing home, pharmacy, hospital or home healthcare agency. Health plans, insurance companies, HMOs.
covered entity
The implicit or explicit agreement to medical or surgical treatment or physical examination.
Consent
the person held accountable for the patient's bill. •
Guarantor
what is defined by HIPAA as the "release, transfer, provision of access to, or divulging in any manner of information outside the entity holding the information." In the CANDOR process, disclosure means communicating with patients, families, and caregivers concerning a CANDOR event.
Disclosure
is a health information technology, provides clinicians, staff, patients, or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care.
CDSS
the movement of patients through a healthcare facility. It involves the medical care, physical resources, and internal systems needed to get patients from the point of admission to the point of discharge while maintaining quality and patient/provider satisfaction
Patient flow
is a type of software program used to operate medical and healthcare practices.
Practice management software (PMS)
a person or entity that performs certain functions or activities that involve the use or disclosure of protected health information on behalf of, or provides services to, a covered entity.
Business Associate