False Claims Act And HIPAA Regulations

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Financial Laws & Regulations Sherri Moché HSM340: Health Services Finance July 9, 2014 Professor John Jabbour Financial Laws & Regulations The healthcare industry is always changing, so it is important for the healthcare professional to be current on the many laws and regulations concerning healthcare today. The following is an overview of the knowledge needed in order to make sound financial decisions. This will be helpful for the healthcare organization, as well as for the patient. The False Claims Act and HIPAA regulations are very important to the healthcare professional because they provide information on how to spot a false claim, and handle patient confidentiality. Additionally, in the following is information on…show more content…
There are certain guidelines in which HIPAA must follow in regards to PHI. These guidelines safeguard against unauthorized personnel accessing a patients’ medical records, especially what to disclose in regards to electronic communication (i.e. faxes, emails). There are limitations to what a company can share about a patient’s medical record. In addition, businesses need to ascertain the relevancy of the information which is in the contract. The covered entities also need to ensure that everyone is in compliance with these…show more content…
82). The healthcare industry should appoint a ‘compliance officer’ to set up and implement a strategic plan for their employees. This appointed officer needs to be aware of the many rules and regulations which are associated with the healthcare field. Periodic meetings should be scheduled in order to monitor employee cooperation and to ensure that the laws are being enforced. Summary In conclusion, since the healthcare field is ever changing, the healthcare professional needs to stay current on the new laws and regulations. The healthcare personnel should be aware of these issues in order to make sound financial decisions regarding the healthcare industry. Knowledge of HIPAA and the False Claims Act is vitally important so the healthcare personnel can further educate the public. References Cleverley, W. O., & Cleverley, J. O., & Song, P. H. (2011). Essentials
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