Glossary
AcronymsTerm | Definition Sort descending |
---|---|
PROGRAM SAFEGUARD CONTRACTOR | A contractor hired under this SOW. |
DATA COUNCIL | A coordinating body within HHS that has high-level responsibility for overseeing the implementation of the A/S provisions of HIPAA. |
CONSENT AND AUTHORIZATION (BASIC RULE) | A covered entity may use or disclose PHI only:
|
HYBRID ENTITY | A covered entity whose covered functions are not its primary functions. |
HIPAA DATA DICTIONARY OR HIPAA DD | A data dictionary that defines and cross-references the contents of all X12 transactions included in the HIPAA mandate. It is maintained by X12N/TG3. |
DETERMINATION | A decision made to either pay in full, pay in part, or deny a claim. (See also Initial Claim Determination.) |
OVERPAYMENT ASSESSMENT | A decision that an incorrect amount of money has been paid for Medicare services and a determination of what that amount is. |
ADVANCE COVERAGE DECISION | A decision that your Private Fee-for-Service Plan makes on whether or not it will pay for a certain service. |
DATA CONDITION | A description of the circumstances in which certain data is required. |
INTERMEDIARY/PROGRAM SAFEGUARD CONTRACTOR DETERMINATION | A determination as defined in 42 CFR §405.1801 under the definition for Intermediary Determination. |