47). Many people see nurses as compassionate caregivers, but the law doesn’t grant absolute protection for all free-willed acts of benevolence. If a nurse is asked to perform medical care on an individual outside of work in a non-emergency situation, he or she could be held liable if they injure that person. Although they may feel uncomfortable refusing to help, facing them in court could be much worse. As a nurse, advising them to pursue care from a professional who knows their medical history would be a smart thing to do.
Jessica knows somebody that had a cystectomy and is getting this procedure confused with a cystoscopy. Ectomy is a suffix, which means surgical removal, excision, and resection. Why would it be important for a Biller and Coder to know the difference between the two suffixes? Not only is it important for a Biller and Coder to know the differences between suffixes so the clinic is able to get reimbursed properly for services and avoid legal issues, but there are also ethical standards that have been put into place by the American Medical Association. If you fail to comply with proper documenting practices you could cause inappropriate payment increases or false insurance coverage or be skewing information to not comply with state or federal statutes and guidelines.
The facility evaluates right and wrong and determines if the situation is compliant with the code of ethics (American Medical Association, 1995). Providing exceptional customer service ensures consumers are treated with dignity and respect. Health care facilities experience several ethical issues that require the facility to evaluate and determine the best outcome for everyone involved, it is important for Smithsonian employees adhere to the code of ethics policy and procedures (American Medical Association, 1995). Health care ethical consideration may consist of language barriers, informed consents, and religious beliefs are a few situations that may happen in health care. Smithsonian desire is for all patient to be well informed of his or her care plan.
In this day and age when people's mantra is "I need my privacy", not many people are comfortable about having their entire medical history recorded and digitized for almost just anybody to see - in other words, incursion into people's privacy. EMRs can lead to loss of the human touch in health care. In the process of digitalization, the interpersonal aspect in health care may be lost. In handwritten hospital charts, doctors and other health care practitioners may write what they think and they feel based on their personal observations in their very own words. EMR is simply about ticking off boxes and crossing out things in electronic forms.
When guidelines are not followed, due to employees abusing their privileges, it places the hospital at risk. Another issue here is that the HIPPA laws is being violated, which was specifically placed to protect patient’s private information. HIPPA was established in 1996 to make it easier for people to keep health insurance, protect the privacy and security of health care information, as well as help the healthcare industry control administrative costs (“HIPPA,” 2013). Failure to comply with HIPPA accordingly will lead to civil and civic penalties. If someone knowingly and deliberately distributes or obtains patient information, they could face a fine
Lastly the Castor Collins company would not make any profit by offering any of their plans available to this company. Now that we have discussed the Castro Collins insurance company and what they have to offer we can see that being able to receive health insurance for the employees for two separate companies comes with risks. An insurance company does take into account the employees demographics, health risks and amount of annual premiums the organization will pay per person. A health insurance company will look into and investigate these conditions before they decide to offer health insurance to an organization. So staying healthy is an important part of obtaining health insurance for
Modifiers help with duplicate billing and unbundling of codes. The coder must understand professional courtesy and discounts to uninsured or low income patients. Professional courtesy is when the doctor may not charge for services to other doctors or their family. This is not allowed because health insurance deductibles and co-pays must be paid. When giving discounts the system used to determine who gets the discount should be documented in the compliance plan.
HIPAA PRIVACY RULE ASSIGNMENT HCA322: HEALTH CARE ETHICS AND MEDICAL LAW In health care, physicians and team members must comply with the HIPAA Privacy Rule when dealing with a patient. If the HIPAA Privacy Rule is somehow breached, a physician or a health care team member can be penalized. In certain situations, the penalty can be severe and the team member involved can lose their license. On top of losing a medical license, a hospital can also be fined and lose their business. This paper will help to analyze exactly what the HIPAA Privacy Rule means and what the consequences are if it is breached.
Quality Health Care in a Modern World Stephanie Jordan HCA 304 Instructor: Kori Novak October 15, 2011 Quality health care in today’s world consists of more than just a doctor or a nurse providing care to a patient; it is the combination of technology, management, training and the human aspect. The legal issues of providing the best health care are important because they involve not only protecting the patient but insuring that processes are put into place to change problem issues into stronger policies to protect the patient. Ethical issues come into play when a patient’s rights are violated or services are refused because of ability to pay. How do we build a strong community of health care? The first step is the role of the health
The privacy rule is a set of national standards for the protection of certain health information. Privacy rules are standards that deal with the use and disclosure of a person’s health information as well as standards for individual’s privacy rights to be able to understand and control their health information. The HIPPA privacy rules directly affect covered entities, health care clearinghouses, healthcare providers who transmit health information in electronic form. The goal of this rule is to introduce, and implement administrative simplifications in order to increase effectiveness of healthcare in the United States, protect health information of individual against access without consent or authorization, while allowing the flow of health information needed to provide and promote high quality healthcare as well as protect the public health and well being. Legislation Analysis Privacy Rules: The privacy requirements limit the release of patient information without the patient’s knowledge and consent beyond that required.