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Discussion 1:
- Required readings:
- Rinehart-Thompson LA. Chapter 3: Privacy and confidentiality. In Laurinda Beebe Harman and Frances Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.75-94). Burlington, MA: Jones & Bartlett Learning. 2017.
- Anderson B, Hardin JM. Chapter 4: Data analytics. In Laurinda Beebe Harman and Frances Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.94-118). Burlington, MA: Jones & Bartlett Learning. 2017.
- View the following Lecture/Voice over PowerPoint:
- Lecture 02 – HIPAA privacy rule , confidentiality, and data analytics
Discussion Question 1: Create your initial post on the DQ 3 Discussion Board in response to the following questions. Post all responses with a referenced rationale and scholarly support.
- Discuss how the HIM professional serves as the patient advocate in relation to HIPAA and HITECH policy initiatives.
- Discuss the ethical considerations related to the management of health data repositories and the differences in data captured in both structured and unstructured forms.
Discussion 2:
- Required readings:
- Rinehart-Thompson LA. Chapter 5: Compliance, fraud and abuse. In Laurinda Beebe Harman and Frances H. Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.119-143). Burlington, MA: Jones & Bartlett Learning. 2017.
- Holtzman l, Holtzman R. Chapter 6: Coding. In Laurinda Beebe Harman and Frances H.Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.145-182). Burlington, MA: Jones & Bartlett Learning. 2017.
- Suggested readings:
- Banarescu, A. Detecting and Preventing Fraud with Data Analytics. Procedia Economics and Finance, 2015; 32:1827-1836.
- View the following Lecture/Voice over PowerPoint:
- Lecture 03 – Compliance, fraud, abuse and coding
Discussion Question 2: Create your initial post on the DQ 4 Discussion Board in response to the following questions. Post all responses with a referenced rationale and scholarly support.
- Explain your interpretation of the False Claims Act and discuss the importance of that Act when it comes to decision-making about policies and procedures around billing data.
Consider the medical executive staff’s request to change the data to up-code encounters from the past month to make up for the reimbursement deficit on the quarterly financials.
