| A | B |
| abandonment | discontinuing medical care to a patient without proper notification |
| advanced directive | set of instructions that outline what type of care patient wants and does not want in the event he/she can no longer make these decisions |
| annotating | preparing a letter for another person to respond to by highlighting or underlining materials or actions being requested |
| assault | an act that cause the victim to fear he will be harmed |
| authorization | written permission of patient ot disclose protected health information |
| battery | actual physical contact of a person without his permission |
| breach of confidentiality | improper release of protected health information (PHI) |
| buffer period | allows time to catch up if some appointments run over |
| civil law | concerned with obligations, responsibilities, and disputes between individuals & organizations |
| compliance | following standards, rules and regulations used to assess and manage risks |
| contract | legally binding agreement between two parties |
| criminal law | involves crime against the state |
| cross-references | used to direct a filer to s specific medical recored that may be filed under more than one name |
| disclosure | the release, transfer or provision of access to protected health information |
| incidental disclosures | occur as a byproduct of an otherwise permissible use or disclosure |
| insurance portability | provide continuous insurance covedrage for people when they change or lose a job |
| matrix | used to determine when a provider is unavailable for patient visits |
| medical malpractice | poor or inadequate medical care or a medical mistake that causes harm |
| period of retention | rules about how long a facility is required to keep inactive and closed medical records |
| pre-authorization | insurance companies will not pay for certain nonessesntial medical services & referrals to specialists that have not been pre-approved |
| pre-certification | pre-authorization, notification before a hoospital admits a patient that the service will be covered |
| privacy rule | patient's right to use of protected health information |
| protected health information (PHI) | any health information about a patient |
| purging | process of sorting through old or inactive files to be sent to storage |
| role based access control (RBAC) | an approach to restricting system access to authorized users |
| stature of limitations | rules about how long a facility is required to keep medical records of deceased individuals |
| subpoena | legally binding request for records or documents |
| tickler file | allows for time-sensitive documents to be filed according to future date on which document is needed |
| worker's right to know | employee has right to understand what they are working with |