D-Codes
Previously, HCPCS Level II has contained a set of codes with a high-order value of "D" to identify some dental procedures. The final HIPAA transactions and code sets rule states that these D-codes will be dropped from the HCPCS, and that, under HIPAA, CDT codes will be used to identify all dental procedures.
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Data Aggregation
With respect to protected health information created or received by a business associate in its capacity as the business associate of a covered entity, the combining of such protected health information by the business associate with the protected health information received by the business associate in its capacity as a business associate of another covered entity, to permit data analyses that relate to the health care operations of the respective covered entities.
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Data Condition
The rule that describes the circumstances under which a covered entity must use a particular data element or segment. [45 CFR 162.103]
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Data Content
All the data elements and code sets inherent to a transaction, and not related to the format of the transaction. Data elements that are related to the format are not data content. [45 CFR 162.103]
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Data Content Committee (DCC)
See Designated Data Content Committee.
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Data Council
A coordinating body within HHS that has high-level responsibility for overseeing the implementation of the A/S provisions of HIPAA.
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Data Dictionary (DD)
A document or system that characterizes the data content of a system.
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Data Element
The smallest named unit of information in a transaction. [45 CFR 162.103]
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Data Interchange Standards Association (DISA)
A body that provides administrative services to X12 and several other standards-related groups.
Related Terms: X-12
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Data Mapping
The process of matching one set of data elements or individual code values to their closest equivalents in another set of them.
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Data Model
A conceptual model of the information needed to support a business function or process.
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Data Set
A semantically meaningful unit of information exchanged between two parties to a transaction. [45 CFR 162.103]
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Data Standards Maintenance Organizations (DSMO)
An organization designated by the Secretary under 162.910(a). [45 CFR 162.103]
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De-identification
The removal of any individually identifiable data that may allow someone to connect the data in question with a specific person.
The Office of Civil Rights gives this clarification:
There are no restrictions on the use or disclosure of de-identified health information. De-identified health information neither identifies nor provides a reasonable basis to identify an individual. There are two ways to de-identify information; either:
a formal determination by a qualified statistician; or the removal of specified identifiers of the individual and of the individual’s relatives, household members, and employers is required, and is adequate only if the covered entity has no actual knowledge that the remaining information could be used to identify the individual
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Dental Content Committee
An organization, hosted by the American Dental Association, that maintains the data content specifications for dental billing. The Dental Content Committee has a formal consultative role under HIPAA for all transactions affecting dental health care services.
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Descriptor
The text defining a code. [45 CFR 162.103]
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Designated Code Set
A medical or administrative code set which HHS has designated for use in one or more of the HIPAA standards.
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Designated DCC
See Designated Data Content Committee
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Designated Data Content Committee
(or Designated DCC)
An organization which HHS has designated for oversight of the business data content of one or more of the HIPAA-mandated transaction standards.
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Designated Record Set
- A group of records maintained by or for a covered entity that is:
- The medical records and billing records about individuals maintained by or for a covered health care provider;
- The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or
- Used, in whole or in part, by or for the covered entity to make decisions about individuals.
- For purposes of this paragraph, the term record means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity.
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Designated Standard
A standard which HHS has designated for use under the authority provided by HIPAA.
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Designated Standard Maintenance Organization (DSMO)
An organization designated by the Secretary under 162.910(a). [45 CFR 162.103]
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Digital Imaging and Communications in Medicine (DICOM)
A standard for communicating images, such as xrays, in a digitized form. This standard could become part of the claim attachments standards.
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Direct Data Entry (DDE)
The direct entry of data (for example, using dumb terminals or web browsers) that is immediately transmitted into a health plan's computer.
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Direct Treatment Relationship
A treatment relationship between an individual and a health care provider that is not an indirect treatment relationship.
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Discloses to Public Health Activities
General Public Health Activities.
The Privacy Rule permits covered entities to disclose protected health information, without authorization, to public health authorities who are legally authorized to receive such reports for the purpose of preventing or controlling disease, injury, or disability. This would include, for example, the reporting of a disease or injury; reporting vital events, such as births or deaths; and conducting public health surveillance, investigations, or interventions. See 45 CFR 164.512(b)(1)(i). Also, covered entities may, at the direction of a public health authority, disclose protected health information to a foreign government agency that is acting in collaboration with a public health authority. See 45 CFR 164.512(b (1)(i). Covered entities who are also a public health authority may use, as well as disclose, protected health information for these public health purposes. See 45 CFR 164.512(b)(2).
A “public health authority” is an agency or authority of the United States government, a State, a territory, a political subdivision of a State or territory, or Indian tribe that is responsible for public health matters as part of its official mandate, as well as a person or entity acting under a grant of authority from, or under a contract with, a public health agency. See 45 CFR 164.501. Examples of a public health authority include State and local health departments, the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention, and the Occupational Safety and Health Administration (OSHA).
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Disclosure
The release, transfer, provision of access to, or divulging in any other manner of information outside the entity holding the information.
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Draft Standard for Trial Use (DSTU)
An archaic term for any X12 standard that has been approved since the most recent release of X12 American National Standards. The current equivalent term is X12 Standard.
Related Terms: X-12
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