Data Management & HIPAA

Laws What federal and state laws does a medical assistant need to know about? What federal and state laws does a medical assistant need to know about? 2

Laws HIPAA HIPAA Federal Debt Collection Act Federal Debt Collection Act OSHA OSHA CLIA ‘88 CLIA ‘88 State laws on the duties of medical assistants State laws on the duties of medical assistants State laws on records retention State laws on records retention 3

Legal and Ethical Boundaries Everyone please post one reason we perform within legal and ethical boundaries. Everyone please post one reason we perform within legal and ethical boundaries. 4

Legal & Ethical Boundaries Everyone please post this answer: Everyone please post this answer: What does ethical mean? 5

High Quality Data Characteristics Validity Validity Reliability Reliability Completeness Completeness Recognizability Recognizability Timeliness Timeliness Relevance Relevance Accessibility Accessibility Security Security Legality Legality 6

Authentication Everyone please post an answer: Everyone please post an answer: What is the means anyone in health care would use to authenticate a medical record? 7

Authentication “Authentication” is best done by initialing entries made to the medical record. They are also commonly called release marks. File patient chart only after release mark is placed on document!!!!! 8

Importance of Accurate Reporting Why is it important to make sure health data is entered correctly? Why is it important to make sure health data is entered correctly? 9

NCHS National Center for Health Statistics is a division of the CDC. National Center for Health Statistics is a division of the CDC. What statistics are collected from health care facilities? What statistics are collected from health care facilities? 10

Statistics Births Births Deaths Deaths Teen pregnancies Teen pregnancies HIV cases HIV cases Alcohol & drug use Alcohol & drug use Communicable diseases Communicable diseases Infant deaths (SIDS) Infant deaths (SIDS) STDs STDs Suicides Suicides 11

JCAHO What is JCAHO (pronounced JAY-co)? What is JCAHO (pronounced JAY-co)? What is the purpose of JCAHO? What is the purpose of JCAHO? 12

13 Joint Commission (Formerly known as the Joint Commission on Accreditation of Healthcare Organizations) Regulates certain policies and procedures in physician’s offices Operative Reports must be filed STAT (12 hours or less) H & P reports and SOAP notes must be filed in chart within 24 hrs! Pathology (lab) & radiology reports (24 hrs) Discharge & autopsy reports – 72 hours

14 Risk Management What are sentinel events? What is a nosocomial infection? Give an example of a contraindication to taking penicillin.

Risk Management Everyone please name one risk management procedure that a medical assistant must perform. Everyone please name one risk management procedure that a medical assistant must perform. 15

HIPAA What is HIPAA Title I concerned about? What is HIPAA Title I concerned about? What is HIPAA Title II concerned about? What is HIPAA Title II concerned about? 16

Confidentiality Everyone please post the answer: Everyone please post the answer: What is the best form of identification to request before releasing any type of medical information to a person? 17

Confidentiality Everyone please post one thing you can do in a medical office to comply with HIPAA patient confidentiality requirements? Everyone please post one thing you can do in a medical office to comply with HIPAA patient confidentiality requirements? 18

Confidentiality Everyone please post: Everyone please post: Name one item that is considered PHI. 19

Positive Attitude Why is it important for us to project a positive attitude while at work? Why is it important for us to project a positive attitude while at work? 20

21 Project 3 – Part 2: HIPAA Essay Answer the following question in essay form (minimum 300 words): Question: Explain how HIPAA Privacy Rules benefits the healthcare industry, patient, and physician. This essay is due by midnight Tuesday of Unit 7!

22 Project 3 – Part 2: HIPAA Essay You will need to follow the link provided in the course: See Chapter 16 of your text for more information. Please be sure to state how HIPAA benefits all three of these: The health care industry The patient The physician

23 Project 3 – Part 2: HIPAA Essay When you answer this question, Use APA formatting (double space, size 12 Times New Roman font). Add at least two reference citations. (Your text and the HIPAA website) Write a minimum of 300 words. Do not use contractions (I’ve, can’t). Include a title page. Add a reference page. Please use spell check and make corrections before you submit!

24 Final Project There are three parts to this project: There are three parts to this project: Part 1: Due in Unit 8 Part 1: Due in Unit 8 Bank Deposit Essay – 35 points Bank Deposit Essay – 35 points Bank Deposit – 20 points Bank Deposit – 20 points Patient Ledger – 20 points Patient Ledger – 20 points Part 2: Due in Unit 9 Part 2: Due in Unit 9 Bookkeeping Essay – 35 points Bookkeeping Essay – 35 points Part 3: Due in Unit 9 Part 3: Due in Unit 9 PowerPoint Slides – 40 points PowerPoint Slides – 40 points

25 Download the following from the Unit 8 folder Download the following from the Unit 8 folder in Doc Sharing: in Doc Sharing: Final Project Rubric Final Project Rubric Bank deposit template Bank deposit template Patient ledger template Patient ledger template Study Guide Page 286 Part IV (Deposit slip information) Study Guide Page 286 Part IV (Deposit slip information) Study Guide Chapter 21 Page 256 (Patient ledger information) Please be sure to view the instructions for the Final Project in the PowerPoint presentation located in the Unit 8 folder of Doc Sharing. Final Project

26 Answer the following question in essay form (minimum 300 words total). Question: Why is it important to make your bank deposits as soon as possible? as soon as possible? Give at least five reasons for making timely bank deposits. Include examples. See Chapter 22 in your text for this information! Final Project

27 Final Project The bank deposit essay must have: APA formatting (double space, size 12 Times New Roman font) APA formatting (double space, size 12 Times New Roman font) A title page A title page A reference page with at least one reference citation – your text. A reference page with at least one reference citation – your text. Page numbers Page numbers A minimum of 300 words A minimum of 300 words Do not use contractions (I’ve, don’t, etc.) Do not use contractions (I’ve, don’t, etc.) Please use spell check and make corrections before you submit!

28 Example of Bank Deposit – Credit card amount is not deposited!

Patient Name: Jorge Rodriguez Patient Address: 55 Orlando Street City: San Diego State: CA Zip Code: Home Phone: Cell Phone: MR#: RODJ4857 EntryDateReferenceServiceChargePaymentAdjustmentPrevious BalanceCurrent Balance 1 2/13/ NP/INJ $ $ $ /21/ Surgery $ $50.00 $ $ /27/12 Aetna $ $ $ /2/12 Refund $ Patient Ledger Example Note: Refund amounts must be listed in the Payments column. Adjustments are write-offs or sometimes amounts added back in.