7 AAC 166.900 - Definitions
In AS 18.23.300-18.23.325 and this chapter, unless the context requires otherwise,
(1)
"billing" has the meaning given "payment" in
45 C.F.R.
164.501;
(2) "department" means the Department of
Health and Social Services;
(3)
"electronic health information" means an individual's information located on an
HIE, including an individual's individually identifiable heath information;
AS
18.23.300;
(4) "governing body" means the governing body
of the designee under
(5) "health
care provider" has the meaning given in
45 C.F.R.
160.103;
(6) "health plan" has the meaning given in
45 C.F.R.
160.103;
(7) "HIE" means an electronic health
information exchange;
(8) "HIE
participant" means an entity or facility that has paid a participation fee to
an HIE and signed a participation agreement with the HIE;
(9) "HIE system" means the system of
statewide electronic HIEs established under
AS
18.23.300;
(10) "individually identifiable health
information" means information, including demographic information collected
from an individual, that
(A) is created or
received by a health care provider or health plan; and
(B) relates to the past, present, or future
physical or mental health or condition of an individual, the provision of
health care to an individual, or the past, present, or future payment for the
provision of health care to an individual, and
(i) that identifies the individual; or
(ii) with respect to which there
is a reasonable basis to believe the information can be used to identify the
individual;
(11) "treatment" means
(A) the provision, coordination, or
management of health care and related services by one or more health care
providers, including the coordination or management of health care by a health
care provider with a third party, consultation between health care providers
relating to a patient, or the referral of a patient for health care from one
health care provider to another;
(B) health care operations related to patient
care and safety, to be limited to the following:
(i) case management and care coordination;
(ii) an HIE participant contacting
health care providers and the HIE participant's own patients with information
about treatment alternatives; and
(iii) resolution of HIE-related grievances;
(C) reporting on
clinical quality measures or other measures related to demonstrating meaningful
use under 45 C.F.R. Part 170 to the United States Department of Health and
Human Services, Centers for Medicare and Medicaid Services (CMS); and
(D) public health reporting
required by law.
Notes
Authority:AS 18.23.300
AS 18.23.305
AS 18.23.310
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