Health Insurance Portability Act Of 1996

Two forms guide the Medical Power Of Attorney: the “Living Will” and “Advance Medical Directive” and clearly indicates what course of action the patient would want taken in medical circumstances. Several states unite the Living Will and Durable Power of Attorney for healthcare into an "Advance Health Care

Week 5 Discussion thread Week 5 Discussion Question What are the reasons for establishing a personal health record? To keep a record of all healthcare that is created by a medical provider. This information is important for all providers that are involved in a patient’s care. It also helps for reimbursements and if the services that were rendered were medically necessary. A personal health record also helps a patient to keep track of his or her information to ensure that it is all accurate.

Healthcare providers and organizations are obligated and bound to protect patient confidentiality by laws and regulations. Patient information may only be disclosed to those directly involved in the patient’s care or those the patient identifies as able to receive the information. The HIPAA Act of 1996 is the federal law mandating healthcare organizations and clinicians to safeguard patient’s medical information. This law corresponds with the Health Information Technology for Economic and Clinical Health Act to include security standards for protecting electronic health information. The healthcare organization is legally responsible for establishing procedures to prevent data

Code Sec. 74.102 (a). In general, if a healthcare provider complies with the Panel’s requirements, then the provider is usually protected by the “informed consent” doctrine. In a way, after an education regarding the risks, the patient “assumes the risks” of undergoing the procedure/treatment, and releases the provider from liability. But how far does this protection extend?

An Advance directive serves as an important set of documents for any individual to have but even more so, for older adults who may potentially be at an even greater risk of hospitalization. Every competent adult has the legal right to be informed of the purpose, benefits, risks, and alternatives of any medical treatment to be given, along with the right to refuse any medical procedures (American Cancer Society, 2015). Advance directive allows for choices regarding medical care to be within a patient’s control and for ease in decision making of circumstances, where unwanted medical treatments and procedures would be used in effort to preserve life at any cost. This legal document also helps to alleviate the burden potentially felt by a patient’s family. As seen with the legal case of Terri Schiavo, a young woman who at 27 years old lived in a persistent vegetative state as a result of cardiac arrest, went through a publicized legal battle between her husband and family to determine whether to discontinue the use of tube feeding (Annas, 2005, p. 2).

The electronic transactions that are covered by the rules are: Claims, Payment, Claim Status, Eligibility, Referral Certification and Coordination of Benefits. HIPAA may refer to code sets as medical codes or nonmedical codes. Typically maintained by professional organizations or other organizations.

Billing 1 Week 2 DB Discuss the importance of knowing the processes and procedures used for receiving payment for services rendered under the contract provisions. It’s extremely important to understand both the process and procedures of securing payment for medical services under a managed care contract agreement. The process for receiving payment for services begins when the patient makes their initial appointment with a provider. The front office staff that registers the patient begins this process. During registration the patient provides their demographic and insurance policy information.

According to the United States Department of Health and Human Services the Health Insurance Portability and Accountability Act was created in 1996 to protect patient’s information as it is being used to create a higher quality of care for the individual. HIPAAs biggest aspect is the creation and management of electronic medical transactions. When we think of HIPAA we normally think mainly about patient documentation, but HIPAA includes coding. The Medical Coding and Billing Organization tells us that HIPAA’s effect covers to almost every part of the medical billing process, from how records are kept and retrieved to how codes are used in generating claims. Ethics in Medical Coding is the same ethics that cover everything else.

Because the severity of cystic fibrosis may vary from person to person, patients work closely with their doctors and have a treatment tailored to their own unique circumstances. According to the National Heart, Lung, and Blood Institute, the goals of cystic fibrosis treatment is “preventing and controlling lung infections, loosening and removing thick, sticky mucus from the lungs, preventing or treating blockages in the intestines, providing enough nutrition, and preventing dehydration” (INSERT NHLB CITATION HERE). In the traditional cystic fibrosis care model; it is recommended that a patient visit a cystic fibrosis care center at least quarterly during the year. At the care center, respiratory cultures are obtained, dual-energy c-ray absorptiometry is performed, chest x-rays, lab work for blood, and a complete spirometry evaluation is done (INSERT LIVE LONGER ARTICLE CITATION). Patients with cystic fibrosis might also partake in chest physical therapy, which is therapy in which your chest and back are pounded constantly with a device or hands in order to loosen up the mucus in the lungs so that the mucus can be coughed out.

The primary care level of service focuses on a general health provider who will help examine the patient and if need be refer them to a specialist for further evaluation. An example of this consortium would be a local family care physician office. Secondary care is specialized physicians who focus on one specific type of medicine. An example of this continuum would be an orthopedic, GI, ENT ect. This type of physician

b) Access control mechanism for medical information systems and their processing facilities must be established by respective management(s). i. Access control for Medical Data, Financial Data, Data Centers, information systems, patient’s records room, employee records room or any

Susan Mckinney Week 3 MOS 1 Discussion Thread What measures can be taken to guarantee the security of EHRs? So many things can be done to insure the safety of patients Electronic Health Records (EHR). In order to ensure their protection HIPAA has instituted the Privacy and Security Rules that pertain to the safeguard of the Administrative, Physical, and Technical aspect to a patients EHRs. This insures that your provider puts into place measurements that guard against any unauthorized use of a patients PHI. Administrative Safeguards: HIPAA requires providers to have policies and procedures that are in place that protect the patients security, privacy and confidentiality.