1 An employer with an employee with a job related injury can access confidential medical records without their consent. Yes, just files pertaining to the incident. I am sure that the employer, with his choice a physician and evidently his insurance reps all the medical knowledge they have would aid the employee and that is why the HIPPA privacy rule would not apply. The ramifications of this lack of privacy could only in my humble opinion switch the scales of justice in the employer’s favor. 2 Your ability to choose your own doctor for treatment related to a work-related injury covered by workers’ compensation depends on the state where your claim is filed. I thought I remembered years ago that North Carolina had a predestination of personal
In the health care business, there are certain standards and laws that have been put in place to protect our patients and their personal health information. When a health care facility fails to protect their patient’s confidential information, the US Government may get involved and facilities may be forced to pay huge sums of money in fines, and risk damaging their reputation.
The split-department situation will have a huge effect on my efficiency as a manager. It will put my planning, delegation, and execution skills to the test. Both facilities need to be run smoothly as far as patient care, management, technology, and expenses go but because I won’t be able to monitor both places at once I will have to rely heavily on the staff I’m working with. Making sure everyone is competent and knows all aspects of the job is a must. I need to make sure me being absent from a location doesn’t cause a melt down with either company.
In this case study, I would say Bill is violating two laws: HIPAA (Health Insurance Portability and Accountability Act) and Contract Law. The reason Bill was in strict violation of HIPAA was because he was disclosing personal information of trauma patients to his attorney friend Anna in exchange for compensation. Personal information or Protected Health Information (PHI) refers to any health data that relates to a patient’s medical condition, how the patient is receiving health care services, the amount of services provided, and how the patient pays for these services, whether it be by insurance or self-payments (Buchbinder & Shanks, 2012, pg. 140). In the case study, Bill’s employer was required to sign a Business Associate Agreement with the hospital, which vouched that Bill would abide by the hospital’s HIPAA policies. Since Bill was disclosing protected health information to Anna, he not only was in violation with his company, but if he were to get caught, this could be a potential lawsuit for his company under the Contract Law. The agreement between the hospital and Bill’s employer was that he would follow their HIPAA policies, in which Bill’s employer vouched that he would. Bill did not abide by the hospital’s HIPAA policies; therefore, a contract law was broken. Not only was Bill in violation of certain laws, but Anna was in violation of Rule 7.2: Advertising, under the American Bar Association. This rule states that “A lawyer shall not give anything of value
How would Ed’s blood help protect him from a foreign invader such as the one now in his system?
(Dietrich, 2015), discussed that new regulations have caused many Certified Public Accountants (CPAs) to become subject to patient health care data security rules under HIPAA. When providing consulting services to a healthcare organization or assisting with revenue cycle, CPAs should try to limit their liability by minimizing exposure to health care data and establish an engagement letter to ensure the healthcare organization is liable if patient health care data is unnecessarily provided to the CPA. Under HIPAA, electronic information must be protected during electronic exchange, technically protected against unauthorized access, and physically protected against unauthorized access
1. Mrs. Smith had a pregnancy test. Mr. Smith called Mrs. Smith’s physician and requested a copy of Mrs. Smith’s test results. Can/Should the physician release the results of the pregnancy test to Mr. Smith over the phone? (Use law and ethics to defend your answer) Why or why not?
Partners Healthcare is considering the introduction of real assets into the organization’s portfolio. The analysis will demonstrate the effects of having one risky asset and one risk-free asset in a portfolio. Our analysis will also show that the introduction of real assets can decrease the risk of the hospital’s portfolio. Each hospital in the healthcare system can determine the appropriate portfolio mix based on their desired expected level of return and risk they are willing to accept.
HIPPA is the law to protect health information communicated in any manner. It states the privacy and security regulations on the rights and standards of the patient. It also defined the penalties for those who fail to protect the individual’s identifiable health information. The information on patient’s name, diagnosis, important activities for the shift and room number are all included in the HIPPA privacy rule. HIPPA privacy rule part § 162.1002 Medical data code sets. (i) Prevention. (ii) Diagnosis. (iii) Treatment. (iv)
Three landmark pieces of legislation have been enacted within the last forty years; ERISA, COBRA and HIPAA. Each one of these laws was created to foster development and improvement in the welfare of the wage earners, job seekers, and retirees of the United States. The mainstays of these three pieces of legislation are to improve working conditions; to add advanced opportunities for profitable employment, protect employees, and to assure work related benefits and rights.
Partners Healthcare had established several financial resources pools, such as the short-term pool (STP) and the LTP, so that they can satisfy different needs of the several hospitals in the network. In more detail, the STP was invested with very high-quality, short-term fixed-income financial instruments. The average maturity of these instruments is about one to two years. STP is always treated as the risk-free part of the hospitals’ holdings. On the other hand, the LTP is thought as the risky part of holdings. It consists of different forms of equity and a smaller fixed-income part.
1. Using the historical data as a guide (Exhibit 6.1), construct a pro forma (forecasted) profit and loss statement for the clinic's average month for all of 2010 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit?
HIPPA is a rule that helps protects a patient’s privacy when it comes to their health or medical information. It is also known as a security rule that helps in protecting electronic health information as well. As in the health care patient safety and confidentiality is an important rule to follow at all times. A standard of HIPPA is privacy. When it comes to privacy it is meant by protecting a patient’s medical information in any form needs to be controlled at all times. It is a rule that is balanced and used to protect the disclosure of the patient’s health information that is needed for patient care and treatment. It is important that any person working in the health care setting is aware of this rule as it is important to follow when
Disclosing confidential patient information without patient consent can happen in the health care field quite often and is the basis for many cases brought against health care facilities. There are many ways confidential information gets into the wrong hands and this paper explores some of those ways and how that can be prevented.
The privacy rule applies to personal health information in any form, electronic or paper, which includes the entire medical record. Individuals have full access to their information, can limit who can gain access to his or her records, can request changes to their medical record if there’s any reason they suspect that the information isn't accurate. In addition, the private information shared is kept to the minimal amount needed. Also, the patients have the privilege to decide whether or not to release their protected health information or PHI for purposes unrelated to any treatments or payment issues, such as research project. (Krager & Krager, 2008) HIPAA implemented specific code sets for diagnosis and procedures to be used in all transactions. Covered entities must adhere to the content and format requirements of each standard. (Center for Medicare and Medicaid Services, n.d)The security rule supplements the privacy rule; it deals specifically with electronic PHI or ePHI. It applies to covered entities that transmit health information in electronically. The Security Rule requires covered entities to keep appropriate
If you are in the healthcare industry, you have probably heard some rumblings about the Health Insurance Portability and Accountability Act of 1996, coolly referred to as HIPAA. The word is your medical practice will have to be HIPAA compliant by April 2003, but you're not exactly sure what this act mandates or how to accomplish it. In very basic terms, HIPAA has two primary components to which hospitals, health plans, healthcare "clearinghouses," and healthcare providers must conform: 1) Administrative simplification, which calls for use of the same computer language industry-wide; 2) Privacy protection, which requires healthcare providers to take reasonable measures to protect patients' written, oral, and