Final project how hipaa violations affect the medical billing process part one

Employer group health plan sponsors and the business associates that service them will be impacted by several modifications under the new rules, as described below. Business Associate Agreements The final rules make business associates, such as vendors that provide services to or on behalf of group health plans, directly liable for compliance with the Security Rule and certain standards under the Privacy Rule.

Final project how hipaa violations affect the medical billing process part one

These projects are generally the final part of an MBA program, so students should have a solid understanding of how business concepts are applied to the healthcare field.

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Some project ideas include the following. Methods of Increasing Preventative Care Measures Final projects of healthcare management MBA programs often examine an existing problem in the industry and suggest possible solutions based on the data.

A lack of access to preventative care affects an entire community and costs healthcare systems an exorbitant amount of money.

Emergency departments frequently see heart attacks, strokes, and other catastrophic events that could have been prevented with affordable medication and monitoring.

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Hospitals often absorb the cost of necessary surgeries and extended hospital stays for these patients without insurance or with minimal coverage. This project evaluates different plans for solving this problem.

Relationship Between Patient Care and Ability to Pay There have been cases in the past in which patients are turned away or given sub-par care due to their lack of resources or insurance. For this project, management students can do research to determine how often this happens in hospitals and emergency rooms.

With this data, they can also determine whether these actions violated any laws in a particular area and do an analysis on related policies in different healthcare systems.

Medical Talent Acquisition and Retention Adding a nationally-renowned physician will bring in more patients and increase revenue, but it can be just as important to keep current staff members.

This project idea explores the reasons professionals often leave positions as well as what would motivate them to stay.

Based on this data, students can suggest methods of improving company culture and employee benefits.

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Safety and Privacy Regulation Compliance Within this topic, MBA students can demonstrate their knowledge in a few different aspects of healthcare management including risk management, process planning, and legal issues.

From malpractice lawsuits to HIPAA violations, healthcare systems are vulnerable to a variety of financial risks. Plus, in this field, any error could lead to very serious consequences for patients.

After studying current healthcare regulations, MBA students can design their own policies for compliance or analyze existing procedures. Benefits and Problems with Hospital Ratings Managing the image of a healthcare facility involves a knowledge of the popular standardized rating systems including that by the Centers for Medicare and Medicaid Services.

For this project, students can evaluate the different rated data points used by a particular organization to determine the objectivity of the results.

Another angle is to discuss the effects of outcomes-based ratings including physicians choosing to only accept cases with minimal risk. Business-minded individuals with a passion for healthcare but not for the technical aspects of medicine can often find fulfillment in the administrative and management aspects of the field.

The final capstone project for an MBA in healthcare management program helps these individuals demonstrate their passion and expertise in a select area of healthcare.information and to standardize the reporting and billing processes for all health and medical-related information.

All hard copy and electronic forms, and reporting systems such as Each DHMH field business unit is required to identify at least one HIPAA trainer and one co-trainer/back-up trainer who are responsible for: DHMH Policy HIPAA defines a covered entity as a health plan; a health care provider, specifically a provider who conducts certain financial and administrative transactions electronically, (e.g., billing, funds transfer, and/or insurance claims); or a health care clearing house.

Final project how hipaa violations affect the medical billing process part one

FINAL PROJECT How HIPAA Violations Affect the Medical Billing Process Part Two The Health Insurance Portability and Accountability Act, or HIPAA, rules protect patient’s medical records and other important information.

It was put into place to protect patient privacy and also ensures privacy of all accumulated health information that belongs to the patient%(1).

AUTHORS AND CONTACTS Shawna has been a registered nurse RN since
Hipaa Influence Medical Billing Process - The Medical Coding Schools Lawmakers broadened the law to include the Privacy Rule which went into effect on April 14, This guideline describes the basic steps you must take to comply with the Privacy Rule.
Respond to this Question This white paper is ideal for executives and IT decision-makers seeking a primer as well as up-to-date information regarding hipaa compliance best practices and specific technology recommendations, including cloud-based hipaa compliant hosting options. Read below for an excerpt about what is a hipaa violation:

An important part of HIPAA is the minimum use standard, which mandates that healthcare providers use and disclose patient information in ways that are minimally necessary to accomplish the task.

For example, a billing clerk does not need access to a patient?s entire medical history to bill for a service rendered, says Hole-Curry.

Title II of the Health Insurance Portability and Accountability Act (HIPAA) has had broad implications in health care, including dentistry.

HIPAA is known for its privacy and security rules that protect the privacy of individual's health related information and regulate who has access to a patient's confidential medical information.

HIPAA affects the billing process by making sure that patient demographics are accurate and kept confidential.

Final project how hipaa violations affect the medical billing process part one
Medical Billing Hipaa Violations - Schools Medical Billing