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Harmful conduct that results from errors in billing, |
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Demographic data/demographics, medical record number, physician name, & address. |
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- Administrative Safeguards |
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Defined by HIPAA/“Administrative actions to keep info safe" |
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AKA Stark Statutes. Pertain to physician referrals under Medicare and Medicaid and state that physicians or their immediate family members cannot have a financial relationship with an entity that is referring the patient. |
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Process of identifying the author. |
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Data/type of care,treatment |
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- Computerized Physician Order Entry |
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Allows a physician’s medication order to be directly linked to an insurance formulary and the patient’s pharmacy. |
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Allows or permits only authorized individuals to access medical information. |
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Healthcare provider, plan, or, clearinghouse. |
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Tools that offer assistance with clinical information when caregivers make complex decisions and can gather data & information from a variety of computer systems. |
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- Electronic Health Record System (EHRS) |
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Electronic patient record/ resides in a system specifically designed to support users by providing accessibility to complete & accurate data, alerts, reminders, clinical decision support systems, link to medical knowledge & other aides. |
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Practice of securing data by changing the original message in the text so it is unreadable. |
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e protected health information (electronic) |
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Federal law that prohibits fraudulent claims to the government. |
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- Health Care Clearinghouse |
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A company that performs billing functions. |
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both electronic and paper files |
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Systems work together through common standards. |
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A means to exchange (communicate) patient information. |
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Security levels allowing users access to only those portions of the record that are necessary for their job. |
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AKA Personal Data Assistant. |
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Protect the systems, equipment, and data from threats, intrusions, or even environmental hazards. |
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An individual’s right to control his or her personal health information, with the understanding that the information will not be disseminated without his/her permission. |
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A whistleblower protection statute where any individual with evidence of fraud against the government may file a claim. |
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Protections or safeguards (administrative, technical, or physical) to protect health information. |
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Provides standards for the electronic protected health information. |
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Broad term used to define a common process |
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AKA Anti-Referral Statutes. |
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AKA Uniform Data. Process of charting a patient’s information using drop down screens in the electronic health record. Facilitates the process of data collection by making it fast & easy. |
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Processes used to protect data and control entry into the system. I.e. authentication controls, encryption, decryption. |
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AKA Structured Data. Process of charting a patient’s information using drop down screens in the electronic health record. Facilitates the process of data collection by making it fast & easy. |
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