Glossary

Under HIPAA, this is all of the required data elements for a particular standard based on a specific implementation specification. An entity creating a transaction is free to include whatever data any receiver might want or need. The recipient is free to ignore any portion of the data that is not needed to conduct their part of the associated business transaction, unless the inessential data is needed for coordination of benefits.

Under HIPAA, this is a transaction that complies with the applicable HIPAA standard.

Under HIPAA, this is a health plan, a health care clearinghouse, or a health care provider who transmits any health information in electronic form in connection with a HIPAA transaction.

Under HIPAA, this is a health plan with annual receipts of $5 million or less.

Under HIPAA, this is a group of related data elements in a transaction.

Under HIPAA, this is a change adopted by the Secretary, through regulation, to a standard or an implementation specification.

Under HIPAA this is a list of any entities that have received personally identifiable health care information for uses unrelated to treatment and payment.

Under §1864 of the Act, CMS has entered into agreements with agencies of State governments, typically the agency that licenses health facilities within the State Health Departments, to conduct surveys of Medicare participating providers and suppliers for purposes of determining compliance with Medicare requirements for participation in the Medicare program.

Treatment of injury and disease by mechanical means, such as heat, light, exercise, and massage.

Treasury notes and bonds guaranteed by the federal government, and cash held by the trust funds for investment purposes.