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- What are two ways a healthcare provider could violate the HIPAA law, and what are alternative actions the healthcare provider could use to protect client confidentiality?What is the impact of the Anti-Kickback Statute on healthcare reimbursement and referralsWhat are the provisions of the False Claims Act in healthcare reimbursements?
- Explain how the ACA could impact an organization’s strategic decision making and financial performance regarding healthcare reimbursement.Describe three contract services that a health information department would use, and how the contract services could be used.Select the Health Insurance Portability and Accountability Act (HIPAA) requirements that specify how health care information is stored and accessed in the electronic health record (EHR) A Paper back up of all EHR information as safeguards B Technical safeguards C Risk management safeguards D Physical safeguards E Designates a set number of employees with access to EHR F Administrative safeguards
- Describe the various sources of funding beyond third-party reimbursement from which the various types of healthcare facilities can benefitDescribe what a compliance program is and explain the value of a compliance program for a healthcare facility and what the need for the compliance officer’s full authority?What are the three common regulatory requirements for federal, state, and third-party health insurance payers
- what you think the challenges may be in the implementation of CQI in health care.Describe how health insurance participation may or may not contribute to a denial and how can it be communicated with the insurance company when filing an appeal.The Patient Protection and Affordable Care Act limits the extent to which insurers may consider age in establishing rates. The result is higher premiums for younger insureds and lower premiums for older insureds. Is this a good result?