Health Insurance Portability and Accountability Act and Regulatory Compliance

The plaintiff in Ard v. East Jefferson General Hospital, stated on 20 May, she had rang the nurses station to inform the nursing staff that her husband was experiencing symptoms of nausea, pain, and shortness of breathe. After ringing the call button for several times her spouse received his medication. Mrs. Ard noticed that her husband continued to have difficulty breathing and ringing from side to side, the patient spouse rang the nursing station for approximately an hour and twenty-five minutes until the defendant (Ms. Florscheim) enter the room and initiated a code blue, which Mr. Ard didn’t recover. The expert witness testified that the defendant failed to provide the standard of care concerning the decease and should have read the physician’s progress notes stating patient is high risk upon assessment and observation. The defendant testified she checked on the patient but no documentation was noted. The defendant expert witness disagrees with breech of duty, which upon cross-examination the expert witness agrees with the breech of duty. The district judge, upon judgment, the defendant failed to provide the standard of care (Pozgar, 2012, p. 215-216) and award the plaintiff for damages from $50,000 to $150,000 (Pozgar, 2012, p. 242).

Husband and wife, Gary and Renna Pehle were infected with HIV at the time they applied for life insurance with Farm Bureau Life Insurance Company. The couple did not know they were infected with HIV at the time. The insurance company ran blood tests from the Pehles. The Pehles then signed a contract form which was given to them by a Farm Bureau agent. A nurse from Farm Bureau watched as the Pehles signed the contract. Blood samples were sent to a third-party laboratory called LabOne. Farm Bureau then sent a notice to the Pehles rejecting them from their life insurance policy, which advised the couple that if they wished to have their application reviewed to contact their physician. The Pehles did not take any action in doing so. Two years past and Renna Pehle is confirmed to have AIDS. The Pehles then sues Farm Bureau, LabOne, and LabOne’s medical director Dr. J. Alexander Lowden for negligence, for failing to tell them they were HIV-positive.

List relevant regulations for information security in an industry segment of your choice. Some of the industry segments include healthcare, finance, energy, government, or education.

The plaintiffs, A. V. Blount, Jr., Walter J. Hughes, Norman N. Jones, Girardeau Alexander, E. C. Noel, III, and F. E. Davis, are medical doctors (practitioners) licensed to practice and practicing medicine in the City of Greensboro, North Carolina.

The record presents no real issue of materialistic facts that Orleans Regional Hospital did not employ over 100 employees, this caused Orleans Regional Hospital to be pursued as an employer to the WARN Act. Most of the employees who were still employed at North Louisiana Regional Hospital Partnership to become employees for Brentwood, which also operated in the same physical location as North Louisiana Regional Hospital Partnership. They even had the extent of the same phone number. Both hospitals treated patients with the same conditions including psychiatric and substance abuse disorders which lead to liabilities.. The defendant had also failed to provide court with detailed information on how the total number of hours claimed attorneys fees were unreasonable. The district court however found the, reasonable for the work performed. The defendants’ false allegation that the entries are unreasonable did not persuade them that the district court abused its power and kept matters private causing

HIPAA or Health Insurance Portability and Accountability Act of 1996 is a set of laws aimed to protect people from losing their health insurance coverage during change or loss of employment, to control health care fraud and abuse, and to maintain patient`s health information and/or status confidential. The origins of HIPAA go as far back as the 1990 when medical records were suggested to become computerized, management of health care records was questioned and portability of health insurance became an issue. HIPAA was introduced as the Kennedy-Kassebaum Bill, passed by Congress and signed by the former president Bill Clinton in August 1996. Even though the law itself was passed, the specifications were finalized subsequently; 1999 The Privacy Rule was completed, in 2000 the Transaction and Code Sets Final Rule and the Security Rule and the National Provider Identifier were finalized, and in 2006 The Enforcement Rule was concluded. These regulations are grouped into Title I - “Health Care Access, Portability, and Renewability” and Title II - “Preventing Health Care Fraud and Abuse”. HIPAA not only mandates health care institutions to comply, but also to educate their employees about the law. HIPAA applies to covered entities such as health insurance plans, health care clearinghouse such as billing companies, doctor offices, pharmacies and of course us, the medical laboratories. Its regulations require entities to have policies and procedures defining privacy requirements,

The Plaintiffs felt that since the hospital was licensed and accredited that they should be held responsible for their employees and their actions. It states in the regulations that any infraction of the bylaws imposes liability for the injury. At any time if Dr. Alexander had questions or concerns he could have reached out to an expert in this field to consult

I am Myrna Montoya, a registered nurse from New Jersey and currently taking the RN-BSN online program at Notre Dame College, South Euclid, Ohio. In our course on Health Care Policy in Complex Adaptive System, the students were given the opportunity to review the 2002 case of Finnerty v. the Board of Registered Nursing. As was ruled by the Court of Appeal, Ellen Hughes Finnerty, a registered nurse, was found guilty of gross negligence and incompetence.

We never stop worrying about our children’s health—be they five or fifty. However, once our children turn eighteen, we as parents no longer have the right to receive their medical information – regardless if they are covered under our health insurance and even if we happen to be footing the bill!

What is HIPPA? The Health Insurance Portability and Accountability Act of 1996 amends the Internal Revenue Service Code of 1986. The Administrative Simplification section of this act that has a pervasive effect on health plans, billing agencies, information systems vendors, and other providers. Within the provisions of this section, HIPAA requires improved efficiency in healthcare delivery by standardized in electronic data interchange (EDI) and protection of confidentiality and security of health data through setting and enforcing standards. (HIPAA). . Accreditation is the evaluation process in healthcare systems that ensure that it is conducting business in a manner that meets criteria and remains consistent with national standards. In order for healthcare organizations to remain compliant, there are standards that need to be met annually to maintain accreditation to handle claims they are most often used by companies that are self-insured. Healthscope Benefits is one of the top five companies that work with benefits that have contracts with more than 300 groups, that administers benefits and process claims. The IRS raided unknown business companies ‘and their computers which held up to 10 million healthcare records without a warrant to seize the property. The IRS has a program to enforce taxpayers are covered with their tax returns, not to view private medical history and medical records. The question is does the IRS have the right to hold information that

Release or not to release is the question in today’s healthcare? Being a patient, and going to a doctor’s appointment has really changed versus how it was years ago. Most of us as patients know that we have a right to our own health information, but how is this beneficial to us as patients and healthcare providers? As healthcare is increasingly becoming complex what are ways to enforce these policies and rules? HIPAA rules and standards will need to be the same in each state so there is interoperability the proper way, but will we be able to really accomplish this? This paper will discuss these aspects and ways to overcome these obstacles that are occurring.

The payment was denied because the provider of service (Dr. V. C., MD) did not sign the medical record. The procedure billed was included as part of an evaluation and management encounter signed by a different physician (Dr. R.T.D.).

As new medical practices continue to push the envelope, people will seek reasons to sue when things go wrong, but the definition of medical malpractice protects doctors from many lawsuits filed by people who are just looking to put the blame somewhere. Fortunately for doctors who are concerned about wrongful lawsuits, there has been a recent push to reform many of the torts which govern the medical industry. They are intended to eliminate lawsuits filed by people who, for whatever reason, feel they were wronged by their

In the case presented, the nurse was not entitled to qualified immunity as a staff member of a community hospital. In order to establish qualified immunity, the nurse must be a public official employed by the state or federal government. Additionally, those that are protected, must act within their scope of responsibility and perform their duties with due care. In this case, the nurse was not protected and even had she been, her actions clearly violated the patients’ rights to reasonable care. In addition, because the nurse exercised her power carelessly and made treatment decisions on her own, rather than consulting with the physician, she was not shielded from liability.

The medical malpractice makes up one of the major legal issues encountered by hospitals and health systems. Showalter (2012) states that with the decline of charitable immunity in the 1970s, healthcare was one of the areas impacted by personal injury law and was held liable for negligent acts. Today, malpractice continues to be a