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Assignment

Introduction To Consent and Documentation

Documentation of patient consent to provide care, to disclose (or not disclose) information and other issues provide the necessary proof of compliance.

Objectives

To successfully complete this learning unit, you will be expected to:

Determine situations where consent is required.
Identify each type of written consent.
Determine the qualifications for a compliance officer.
Set internal policies for acquiring patient consent.
Establish a process to handle release of information.

Discussion

Answer the following questions

1. Discuss the importance of the idea that everyone should complete an advance directive
2. Discuss the issue of super confidentiality

Case Study Assignment

Include a response to the following case study:

Case study on page 75 of your textbook. (This is the first case study in the chapter and is titled "Chapter Case Study." It starts with: "Calls to Blue Cross Blue Shield Michigan's (BCBSM) Anti-Fraud Hotline led to an . . .")

Your paper must address the following:

Address problem of the case decision
A thorough analysis including resources
Detailed comprehensive realistic recommendation
Supplements with extensive compelling evidence from legitimate sources
Sources cited correctly in the body of the case and reference page

Chapter Case Study

"July 28, 2003: A physician from Minneapolis, MN, agreed to pay $53,400 to resolve his liability under the CMP [Civil Monetary Penalties] provision applicable to violations of a provider's assignment agreement. By accepting assignment for all covered services, a participating provider agrees that he or she will not collect from Medicare beneficiary more than applicable deductible and coinsurance for covered services."
"The OIG alleged that the physician created a program whereby the physician's patients were asked to sign a yearly contract and pay a yearly fee for services that the physician characterized as ‘not covered' by Medicare. The OIG further alleged that because at least some of the services described in the contract were actually covered and reimbursable by Medicare, each contract presented to the Medicare patients constituted a request for payment other than the coinsurance and applicable deductible for covered services. In violation of these terms of the physician's assignment agreement. In addition to payment of the settlement amount, the physician agreed not to request similar payments from beneficiaries in the future." (http://www.oig.hhs.gov).

Attachment:- Notes.rar

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