health care entity definition
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- Health care entity-an organization that provides health care services in a setting that is not otherwise licensed by the state. Health care entity includes any of the following which are not part of another licensed facility, including: Outpatient surgery centers, cardiac care centers, or kidney dialysis centers.
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Â» Foundation Text Â« Covered Entities. Covered entities are defined in the HIPAA rules as (1) health plans, (2) health care clearinghouses, and (3) health care providers who electronically transmit any health information in connection with transactions for which HHS has adopted standards.
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- As distinguished from a medical record. The health care record is the service provider's care data collection and processing tool as well as the documentation of care in a broader sense.
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Health Insurance Portability and Accountability Act These rules apply to covered entities as defined by HIPAA and the HHS. Covered entities include health plans, health care clearinghouses, such as billing services and community health information systems, and health care providers that transmit health care data in a way that is regulated by HIPAA.itle II of HIPAA, known as the Administrative Simplification (AS) provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers.
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- Family and Medical Leave Act Advisor Glossary of Terms Used in the FMLA. Health care provider means: 1  The Act defines “health care provider” as: 2  A doctor of medicine or osteopathy who is authorized to practice medicine or surgery (as appropriate) by the State in which the doctor practices; or.
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Glossary of Dental Clinical and Administrative Terms entity. 1  Something that exists as a particular and discrete unit: Persons and corporations are equivalent entities under the law. 2  The fact of existence; being. 3  The existence of something considered apart from its properties.
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- Individual Health Care Provider – Health care providers who are human beings. These providers are considered entity type code 1. Examples are physicians, dentists, nurses, chiropractors, pharmacists and physical therapists.
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29 CFR 825.125 - Definition of health care provider. Health care provider means: The Act defines “health care provider” as: A doctor of medicine or osteopathy who is authorized to practice medicine or surgery (as appropriate) by the State in which the doctor practices; or Any other person determined by the Secretary to be capable of providing health care services.
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- A typical insurance form with pills. The health care industry, or medical industry, is an aggregation of sectors within the economic system that provides goods and services to treat patients with curative, preventive, rehabilitative, and palliative care. Health economy is another term used to describe this field.
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- E. “Prepaid limited health service organization” means any corporation, partnership or. other entity that, in return for a prepayment, undertakes to provide or arrange for. the provision of one or more limited health services to enrollees.
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- Health maintenance organization. A health maintenance organization is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals and other entities in the United States and acts as a liaison with health care providers on a prepaid basis.
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- 1 As a hybrid entity, the applicable HIPAA compliance obligations only apply to the university’s designated health care components. 2  The designated health care components include: 3  Any component that meets the definition of covered entity if it were a separate legal entity;
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Health care A health system, also sometimes referred to as health care system or healthcare system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations.
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Accountable Care Organization Accountable Care Organization. A group of health care providers who give coordinated care, chronic disease management, and thereby improve the quality of care patients get. The organization's payment is tied to achieving health care quality goals and outcomes that result in cost savings. Back to Glossary Index.
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- Below is a summary of the care coordination provisions in SB 26 related to ACEs. To access the version of the bill as it passed both houses of the General Assembly (the enrolled version), click here. Page numbers refer to pages in the enrolled version. Medicaid Accountable Care Entities (ACEs) (pp. 514 – 517) The legislation creates a new type of entity to coordinate health care under Medicaid, referred to as an Accountable Care Entity (ACE).
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Â§164.105 Organizational requirements. (i) Legally separate covered entities may designate themselves (including any health care component of such covered entity) as a single affiliated covered entity, for purposes of this subpart, if all of the covered entities designated are under common ownership or control.
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Covered Entity (Health Care) Law and Legal Definition The US Health Insurance Portability and Accountability Act (HIPAA) defines covered entity as health plans, health care clearing houses, and health care providers who electronically transmit health information in connection with transactions concerning billing and payment for services or insurance coverage.he US Health Insurance Portability and Accountability Act (HIPAA) defines covered entity as health plans, health care clearing houses, and health care providers who electronically transmit health information in connection with transactions concerning billing and payment for services or insurance coverage.
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HIPAA Frequently Asked Questions For example, hospitals, academic medical centers, physicians, and other health care providers who electronically transmit claims transaction information directly or through an intermediary to a health plan are covered entities.Covered entities can be institutions, organizations, or persons.esearch components of a hybrid entity that function as health care providers and conduct certain standard electronic transactions must be included in the hybrid entity s health care component(s) and be subject to the Privacy Rule.
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Health care Health system. A health system, also sometimes referred to as health care system or healthcare system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations.
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health care health care. n. The prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical and allied health professions. Of or relating to health care: the health care industry.
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Accountable Care Organization Accountable Care Organization A group of health care providers who give coordinated care, chronic disease management, and thereby improve the quality of care patients get. The organization's payment is tied to achieving health care quality goals and outcomes that result in cost savings.
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legal entity legal entity. An association, corporation, partnership, proprietorship, trust, or individual that has legal standing in the eyes of law. A legal entity has legal capacity to enter into agreements or contracts, assume obligations, incur and pay debts, sue and be sued in its own right, and to be held responsible for its actions.
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- For example, hospitals, academic medical centers, physicians, and other health care providers who electronically transmit claims transaction information directly or through an intermediary to a health plan are covered entities.Covered entities can be institutions, organizations, or persons.overed Entities. Covered entities are defined in the HIPAA rules as (1) health plans, (2) health care clearinghouses, and (3) health care providers who electronically transmit any health information in connection with transactions for which HHS has adopted standards.
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The Definition of Health Care Operations GET EMAIL UPDATES. This field is for validation purposes and should be left unchanged. The Definition of Covered Entity. This posting is one of several that outline the HITECH privacy provisions of the American Recovery and Reinvestment Act that President Obama signed into law on Tuesday, February 17, 2009, in Denver, CO. Here, we reproduce the definitions that appear in Subtitle D—Privacy, Section 13400.
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- For example, hospitals, academic medical centers, physicians, and other health care providers who electronically transmit claims transaction information directly or through an intermediary to a health plan are covered entities. Covered entities can be institutions, organizations, or persons.