SSheikh Chapter 1 & 2

5. method of converting a message into encoded text
7. prior authorization from a payer
8. organization that pays for health insurance directly and setup a fund from which to pay
10. case in which relator accuses another party of fraud
12. Health plan, clearinghouse who transmits any health information in electronic form
13. a fixed prepayment to a medical provider
14. behavior at work

1. organization work for covered entities but not for themselves
2. impermissible use of PHI that could pose significant risk to the affected person
3. protect people private health information, uncover fraud and abuse
4. permits patient to receive medical services from non-network providers
6. person who makes an accusation of fraud or abuse
9. moral values
11. Failure to use professional skill when giving medical service and resulting in injury
12. high deductable with a medical savings plan