RULES AND REGULATIONS TO HEALTH CARE

Write ;400 ;words ;that ;respond ;to ;the ;following ;questions ;with ;your ;thoughts, ;ideas, ;and ;comments. ;This ;will ;be ;the ;foundation ;for ;future ;discussions ;by ;your ;classmates. ;Be ;substantive ;and ;clear, ;and ;use ;examples ;to ;reinforce ;your ;ideas. ;

For ;this ;assignment, ;you ;will ;review ;the ;Health ;Information ;Portability ;and ;Accountability ;Act ;(HIPAA) ;policies ;and ;regulations. ;HIPAA ;is ;a ;series ;of ;government ;regulations ;defining ;private, ;confidential ;medical ;information. ;These ;regulations ;dictate ;who ;can ;use ;and ;transmit ;medical ;information. ;The ;clinic ;policy ;states ;that ;you ;are ;required ;to ;explain ;the ;HIPAA ;policy ;to ;the ;patient, ;obtain ;his ;or ;her ;signature ;after ;you ;answer ;any ;questions, ;and ;give ;a ;copy ;of ;the ;document ;to ;the ;patient.

Discuss ;the ;following:

· ;What ;are ;the ;rules ;and ;regulations ;that ;pertain ;to ;the ;health ;care ;organizations? ;

· ;Should ;there ;be ;mandatory ;training ;on ;HIPAA ;rules ;and ;regulations ;and ;a ;competency ;test? ;Why, ;or ;why ;not? ;

Project ;2 ;DUE ;3/14

Draft ;(Project ;3 ;is ;the ;Final ;Draft)

In ;this ;assignment, ;you ;will ;develop ;a ;training ;manual ;that ;will ;be ;utilized ;for ;training ;new ;employees ;(certified ;medical ;administrative ;assistants ;[CMAAs]) ;who ;join ;the ;clinic. ;8 ;pages; ;APA ;format. ;

Physicians ;are ;hiring ;more ;CMAAs ;to ;help ;manage ;the ;increasing ;complexities ;of ;patient ;care ;and ;practice ;management, ;while ;also ;helping ;to ;implement ;cost-effectiveness ;and ;efficiency. ;The ;responsibilities ;of ;a ;CMAA ;can ;be ;tailored ;to ;the ;needs ;of ;the ;practice. ;You ;will ;manage ;front-office ;functions, ;manage ;patient ;flow, ;and ;handle ;a ;wide ;range ;of ;tasks ;that ;have ;been ;discussed ;in ;the ;past ;few ;weeks. ;As ;a ;CMAA, ;you ;may ;convey ;clinical ;information ;on ;behalf ;of ;the ;physician ;and ;follow ;clinical ;protocol ;when ;speaking ;with ;patients, ;but ;you ;cannot ;exercise ;independent ;medical ;judgments. ;You ;will ;also ;help ;to ;optimize ;patient ;flow, ;enabling ;the ;physician ;to ;see ;more ;patients ;with ;efficiency, ;all ;while ;following ;your ;State’s ;scope ;of ;practice ;and ;working ;under ;the ;supervision ;of ;a ;licensed ;physician. ;

The ;project ;deliverables ;are ;as ;follows:

· ;Training ;Manual ;

o ;Title ;page ;

§ ;Course ;number ;and ;name

§ ;Project ;name

§ ;Your ;name

§ ;Date ;

o ;The ;training ;manual ;should ;include ;the ;following ;topics: ;

§ ;An ;introduction ;to ;the ;health ;care ;system

§ ;The ;organization’s ;structure

§ ;The ;process ;of ;checking ;patients ;in ;and ;out

§ ;Scheduling ;patients

§ ;Various ;community ;and ;patient ;resources

§ ;Processes ;for ;how ;to ;interact ;with ;patients

§ ;Health ;insurance ;plans

§ ;Financial ;procedures ;related ;to ;the ;policies ;of ;the ;organization

§ ;Clean ;claims

§ ;Financial ;procedures ;related ;to ;the ;organization’s ;cash ;flow

§ ;Billing ;policy ;and ;procedures

§ ;Protecting ;patients’ ;privacy

§ ;Accounting ;and ;bookkeeping ;procedures ;and ;processes

§ ;Office ;procedures ;for ;various ;forms ;of ;documentation ;(release ;of ;information, ;electronic ;health ;record)

§ ;Health ;Insurance ;Portability ;and ;Accountability ;Act ;(HIPAA) ;rules ;and ;regulations

§ ;HIPAA ;forms

§ ;Advance ;directives

§ ;Medical ;record ;responsibilities

§ ;Obtaining ;patient ;demographics ;and ;insurance ;information

§ ;Receive, ;triage, ;and ;route ;phone ;calls

§ ;Review ;records ;for ;medical ;necessity

§ ;Release ;of ;information ;guidelines ;

Project ;3 ;FINAL ;PROJECT ;DUE ;3/16

This ;final ;draft ;represents ;Part ;1 ;and ;Part ;2 ;of ;the ;Key ;Assignment. ;You ;should ;treat ;it ;as ;a ;finished ;document ;in ;terms ;of ;grammar, ;formatting, ;references, ;all ;necessary ;sections, ;and ;complete ;content. ;

Training ;Manual

In ;this ;assignment, ;you ;will ;develop ;a ;training ;manual ;that ;will ;be ;utilized ;for ;training ;new ;employees ;(certified ;medical ;administrative ;assistants ;[CMAAs]) ;who ;join ;the ;clinic.

Physicians ;are ;hiring ;more ;CMAAs ;to ;help ;manage ;the ;increasing ;complexities ;of ;patient ;care ;and ;practice ;management, ;while ;also ;helping ;to ;implement ;cost-effectiveness ;and ;efficiency. ;Your ;responsibilities ;as ;a ;CMAA ;can ;be ;tailored ;to ;the ;needs ;of ;the ;practice. ;You ;will ;manage ;front-office ;functions, ;manage ;patient ;flow, ;and ;handle ;a ;wide ;range ;of ;tasks ;that ;have ;been ;discussed ;in ;the ;past ;few ;weeks. ;As ;a ;CMAA, ;you ;may ;convey ;clinical ;information ;on ;behalf ;of ;the ;physician ;and ;follow ;clinical ;protocol ;when ;speaking ;with ;patients, ;but ;you ;cannot ;exercise ;independent ;medical ;judgments. ;You ;will ;also ;help ;to ;optimize ;patient ;flow, ;enabling ;the ;physician ;to ;see ;more ;patients ;with ;efficiency, ;all ;while ;following ;your ;State’s ;scope ;of ;practice ;and ;working ;under ;the ;supervision ;of ;a ;licensed ;physician. ;

Add ;a ;final ;section ;to ;your ;training ;manual ;that ;will ;be ;utilized ;for ;training ;new ;employees ;(CMAAs) ;who ;join ;the ;clinic.

As ;a ;CMAA ;in ;a ;clinic, ;you ;are ;responsible ;for ;ensuring ;that ;job ;performance ;is ;in ;compliance ;with ;regulatory ;agency ;guidelines. ;There ;are ;many ;areas ;of ;compliance ;that ;a ;CMAA ;must ;be ;familiar ;with: ;financial ;risk, ;local ;and ;state ;regulations, ;Occupational ;Safety ;and ;Health ;Administration ;(OSHA), ;transmission ;and ;release ;of ;information, ;HIPAA ;guidelines, ;patient ;care ;procedures, ;and ;prevention ;of ;medical ;errors. ;For ;this ;part ;of ;the ;assignment, ;you ;will ;add ;the ;following ;topics ;to ;your ;training ;manual:

· ;Identify ;and ;discuss ;3 ;compliance ;risks. ;

· ;Indicate ;the ;consequences ;of ;not ;meeting ;these ;requirements. ;

Add ;a ;conclusion ;that ;should ;include ;the ;guidelines ;or ;policies ;that ;should ;have ;been ;followed ;to ;prevent ;this ;infraction.

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RULES AND REGULATIONS TO HEALTH CARE was first posted on August 2, 2019 at 1:47 pm.
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