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Effectiveness And Efficacy Of The Healthcare Organization

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Regulations are established to expand the effectiveness and efficacy of the healthcare organization. One of biggest health care issue among the system is Health Insurance Portability and Accountability Act (HIPAA) violations. It was passed by the Congress in 1996. Mandating this rule serves several purposes to all individuals for privacy and security. This includes all information that is verbal, written, or electronic. The Privacy Rule is the protection health information (PHI) of a patient and it cannot be disclosed without patient’s written authorization (Schulman, 2005). The Security Rule is emphasized on administrative, technical and physical safeguards specifically for electronic protection health information from unapproved access (Schulman, 2005). It is to authorize the process of patient’s demographics, medical records, and doctor visits for any form of mail or electronic payment/ claims. The False Claim Act applies to physicians whereas it is unlawful to submit claims for expenses to Medicare or Medicaid (Hyman, 2002). So it’s vital for doctors to acknowledge HIPAA on not losing their medical license. Also, it decreases the provision of health care fraud and abuse. Department of Justice and the U.S. attorneys enforced the federal criminal law (Hyman, 2002). In criminal cases, offense can go up to life imprisonment. Punishments are $100 per failure and cannot exceed $25,000 per year (Schulman, 2005). For civil, violators are fined for the statutory penalty and

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