Chapter 1, Problem 8CR

In recent years, each years' Medicare tax receipts have been sufficient to cover that year's services on behalf of enrollees. True False

Give written answer with explanation and conclusion

Clinical Documentation Guidelines may be set by various licensing and regulatory agencies, as well as provided as guidelines by professional associations. For the purpose of this discussion, compare and contrast guidelines provided by CMS, NCQA, and AHIMA. You may use the links below for your convenience:  CMS: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CERTMedRecDoc-FactSheet-ICN909160.pdfLinks to an external site. NCQA: https://www.ncqa.org/wp-content/uploads/2018/07/20180110_Guidelines_Medical_Record_Documentation.pdf Links to an external site.  AHIMA: Read documentation guidelines in Fahrenholz, Chapter 2https://campus.ahima.org/campus/courses/CB/course_docs/HDCS/HDCS_V3_C2_FunctionsHealthRecord.pdf

Describe three contract services that a health information department would use, and how the contract services could be used.

What is the purpose of A Patient’s Bill of Rights and Patient Care Partnership and who is the sponsor of each?

provide some differences between Medicare and Medicaid eligibility guidelines. What are some differences in the enrollment processes? Do you think these two should be separate, or just one universal healthcare? Support your answer.

How does health Insurance Portability and Accountability Act (HIPAA) facilitate electronic transactions? A Gives providers access to a centralized patient database B Gives covered providers unique identifiers to use with coding system C Allows anyone with computer access to file claims D Generates paper reports as a back up system

Describe the four parts to Medicare and why they are important to healthcare organizations.

The federal Medicare program will only reimburse (pay) for services performed by health professionals who are licensed to practice and certified to participate in the Medicare program.  Let's say someone files a lawsuit arguing that this federal law allowing only licensed and certified health professionals to be paid through the Medicare program discriminates against people who don't have medical training, and therefore violates the Equal Protection Clause of the 5th Amendment? Which of the following best explains how a court would rule in such a case?