QBrawley Chap1&2

1. An impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of PHI and also that could pose significant risk of financial,reputational, or other harm to the affected person.
2. A method of scrambling transmitted data so it cannot be deciphered without the use of a confidential process or key.
3. under HIPAA, a health plan, clearinghouse, or provider who transmits any health information in electronic form in connection with a HIPAA pensation programs, property and casualty programs,or disability insurance programs.
6. An organization that assumes the risks of paying for health insurance directly and sets up a fund from which to pay.
10. Type of medical insurance that combines a high deductible health plan with a medical savings plan that covers some out of pocket expenses.
12. Federal agency within the Department of Health and Human Services that runs Medicare, Medicaid, clinical laboratories and other government health programs.
13. Person who makes an accusation of fraud or abuse in a qui tam case. NPI, Under HIPAA, unique ten digit identifier assigned to each provider by the National Provider System.

1. A person or organization that performs a function or activity for a covered entity but is not part of its workforce.
4. Prior authorization from a payer for services to be provieded; if preauthorization is not received, the charge is usually not covered.
5. Failure to use an acceptable level of professional skill when giving medical services that results in injury or harm to a patient.
7. Standards of professional behavior.
8. Electronic data interchange
9. Record of all charges, payments, and adjustments made on a particular patient's account.
11. In HMOs,plan that permits patients to receive medical services from non network providers; this choice requires a larger patient payment than visits with ntwork providers.