Patients, Providers, and Third-Party Payers-
Textbook: Fremgen, B. F. (2014). Medical law and ethics (5th ed.). Upper Saddle River, NJ: Pearson.
Instructions: Please ensure to substantiate your response with scholarly sources and also a personal account of your own experience in the work place. Cite and reference work! Must be 150 to 175 word count.
1. Read Chapter4 and discuss what you found the least interesting. See Chapter 4 attached.
2. For chapter 4, discuss your thoughts on the Marion and the pacemaker case.
3. Read Chapter 5 and discuss what you found the interesting. See Chapter 5 attached
4. Read the Patient Rights page on the U.S. National Library of Medicine: Medline Plus website.
https://www.nlm.nih.gov/medlineplus/patientrights.html
5. Read the A Guide to Informed Consent- Information Sheet page on the U.S. Food and Drug Administration website.
http://www.fda.gov/regulatoryinformation/guidances/ucm126431.htm
6. Read and discuss your take on the Understanding Health Information Privacy page on the U.S. Department of Health & Human Services website. http://www.hhs.gov/hipaa/index.html
7. Watch the "Informed Consent: What Are Your Rights? Part I" video
8. Review the "Provider and Third-Party Payor Obligations: Medicaid Third-Party Billing, Payment & Enforcement" presentation from the Office of Medicaid Inspector General. https://www.omig.ny.gov/images/stories/Webinar/tpl_%20pi_webinar102010v2.pdf
9. What information is required to be presented to the patient in the informed consent process? How would you, as a health care manager/administrator, be able to assess a patient's understanding of what he or she is being told?
10. Physician Choice to Treat: Does it surprise you to find out that physicians have the right to select the patients they wish to treat?
11. Types of Consent and Payers: Complete the chart.
|
Identify 3 Third-Party Payers
|
Describe third-party payer (20- to 45- words)
|
Describe the legal issues that regulate the third-party payers (45- to 90-words).
|
Describe an applicable law that regulates the third-party payers (45- to 90- words).
|
Describe the impact that the legal issue and applicable laws have on the third-party payers (45- to 90- words).
|
|
1
|
|
|
|
|
|
2.
|
|
|
|
|
12. Research the following health care regulations and select one regulation to focus on for the written assignment:
• HITECH Act
• Occupational Safety and Health Act of 1970
• False Claims Act
• Anti-Kickback Statute
• Stark Law (Physician Self-Referral Law)
• Human Subject Research
Write a 700- to 1,050-word paper that summarizes your health care regulation selection. Include the following:
• Identify selected health care regulation.
• Describe the reason for your selection.
• Identify 5 key points from your research.
Attachment:- Chapter 4&5.rar