HIPAA - Answers Health Insurance Portability and Accountability Act
HIPAA provides consumers with - Answers protected privacy and confidentiality of health information
HIPAA GOALS - Answers protection of health information, simplify claims,greater access to health
insurance when changing jobs, protect communication of health information, requiring standard unique
employer identifier codes
PHI - Answers Protected Health Information
what is PHI - Answers personal health information, information that can be linked to a particular
individual by name, code or number
covered entity - Answers anyone required to follow HIPAA's requirements, Health care providers
insurance companies, and insurance clearinghouses are covered entities
clearinghouse - Answers a company that receives, reviews, sends, and manages insurance claims for
physicians
legally required disclosures do not require Pt authorization, these include - Answers VS, child/elderly
abuse or maltreatment, emergencies, ID of deceased body, cause of death, public health needs, judicial
proceeding, law enforcement concerns, national defense and security
the medical record is - Answers general Pt information that should be kept separate from clinical
the medical record electronic or manual should be - Answers easily retrievable, kept in an orderly
manner, complete, legible, accurate, concise
the categories of information found in a medical record are - Answers subjective and objective
subjective - Answers what the patient says, qualitative or opinion-based
objective - Answers what the health professional observes, quantitative, it can be measured, tested,
observed, and is fact-based information
SH - Answers social history
SH is - Answers information about the Pt including demographics and social information
FH - Answers family history
FH is - Answers information about the patient's blood relatives
PMH - Answers past medical history
PMH is - Answers information about Pt pervious medical problems and conditions