Unintended Discrimination Case

It is often recommended for (HCO)’s to have a corporate compliance plan to be more efficient, reduce errors, and not have small errors turn into large errors. As (OIG) it’s a necessary and fundamental need to incorporate a corporate compliance plan to have for staff and management to stay organized and lessen the chance of fraud, waste, and abuse in the company. Stated by, (Cleverly, Song, & Cleverly, 2011), it is effective only if it includes management support, effective communication, continuous monitoring, and individual accountability. All these aspects are a continual monitoring requirement as long the corporate compliance is in place for the duration.

HIM Personnel play an important role in the Medicare system. Medicare has transitioned from “fee for service” to providing incentive payments for providers that issue high quality care at affordable prices. In order to achieve the “pay-for-quality” incentives hospitals and health care officials must improve their documentation processes. “If it isn’t documented, it wasn’t done” is more important than ever. It is the responsibility of the HIM professional to ensure the integrity of the patient chart. HIM professionals monitor the quality of documentation and ensure all clinical documentation is complete and accurate. HIM professionals are the key to identifying process problems while keeping in mind patient safety, quality of care, and revenue integrity. Medicare requires that hospitals report quality improvement measures in order to receive payments; HIM professionals can directly impact Medicare incentive payments. HIM professionals are directly involved with the Medicare Audit Improvement Act. The HIM professional collects health data that is subject to the audits; HIM professionals are the point of contact for responding to Medicare audit requests.

In the past the responsibility of the chargemaster, also called Charge Description Master (CDM), was assigned to a particular individual i.e. finance or business office. This department would be responsible for reviewing the CDM annually and ensuring any changes are made due to HCPCS or CPT updates, new services added, or charge increases. At times the CDM analyst would need to call upon clinical department managers for assistance with updates. Most of the time, changes were made without any input. Not involving other departments on the input of changes to the CDM leaves a hospital

HIPAA, (Health Insurance and Portability Act of 1996) outlines rules and regulations and the rights of patients to access their healthcare information such as notifications of privacy practices, copying and viewing medical records, and amendments. This paper explains why confidentiality is important today and discusses recourses patients can use if they believe their privacy has been violated. This paper will also discuss criminal and civil penalties’ that can occur for breaking HIPAA privacy rules.

The practice violates Health Information Portability and Accountability Act (HIPAA) privacy rule and the recent update to the HIPAA privacy rule or the HIPAA Omnibus Final Rule. The Health Information Portability and Accountability Act (HIPAA), a federal statute governing the protection of patient information, was enacted into law in 1996. The essential objective of the law is to make it easier for people, business to keep health insurance, protect the confidentiality and security of healthcare information and help the healthcare industry control administrative costs. The Privacy Rule addresses appropriate disclosure of PHI while the Security Rule addresses electronic disclosures.

Such information is covered under the federal law Health Insurance Portability and Accountability Act (HIPAA), which prohibits the sharing of patient information to any third party outside of the doctor-patient relationship without the consent of the patient (Johnson & Weinstock, 2012). Treatment, payment and healthcare operations are the only circumstances that allow personal patient health information to be relayed without patient consent (Johnson & Weinstock, 2012). Although, the debt collectors were discussing payment they are not hospital employees; therefore, the CFO violated HIPAA. The debt collectors work for a debt organization. The debt collectors are not employees of the hospital; however, they pose as healthcare workers. The hospital is violating the rights of their patrons as patients. Confidential patient information is shared with workers not associated with the hospital.

Maintenance of the charge master is best accomplished by representatives from health information management, clinical services, finance, the business office or patient financial services, compliance, and information system. An inaccurate chargemaster adversely affects the facility reimbursement, compliance, and data quality; negative effects of inaccurate chargemaster include overpayment, underpayment, undercharge for delivery of healthcare services, claims rejections, and fines or penalties. The chargemaster automatically bills for numerous services for high volumes of patients without human intervention. Therefore, a single error on the chargemaster could result in multiple errors before it is identified and corrected, which results in a severe financial impact (Sayles, 2013, p.

Exploiting patients is also discussed and can be called into question. When presenting examples or discussing patient’s certain information should never be disclosed due to HIPPA laws as well as confidentiality.

you guys out. Romi also said that Mariah took off her jacket that she had on and the group of kids started calling her a stripper and kept telling her to strip. Romi said his group that he was with everyone kept telling the four black males to knock it off and that they were being inappropriate. He said one of the males knocked Christian to the ground and started punching him in what he believed to be the right side of Christian's face and temple area. He said the kid that started it was a shorter black male with a messy afro. He also said the other kids started hitting Christian while he was down on the ground. Romi said that several people started helping Christian and people were pulling the other kids off Christian. I asked him if

In this case the Plaintiff alleged reverse discrimination when she was not hired for a job at Saginaw Valley State University. The position in which the plaintiff applied was for the Coordinator of Campus Recreation position. According to Pilon v. SVSU & Thompson (2003) the primary job functions for this position are as follows, “Plan, develop, promote, direct and supervise all facets of the Campus Recreation Program and the SVSU Athletic Summer Camp Program.” Other essential roles and responsibilities were, according to Pilon v. SVSU & Thompson (2003), “Plan and implement a program of team and individual intramural sports and indoor/outdoor recreational activities for the entire university community.” The applicant would coordinate all aspects of the SVSU Athletic Summer Camps. They would also be in charge of hiring, training, and assisting all student employees within the recreation facility. They also have the responsibilities of setting up and meet regularly with advisory committee, and also assist with administration of the recreation budget, and inventories.

I would say that a legislation to verify voter identification does fall under the domain of unintentional discrimination. I understand an intentional discrimination to be something that says you have to be of certain, gender, race, or creed this is not doing do. I do not fell as if they are trying to discriminate intentionally merely trying to make sure that they have the people that there is not any confusion. Polling is very serious and everyone should vote for what they believe in. But without good identification anyone can walk in and say they are you and take your vote anyway from you. The legislation is just making sure the right person is voting under your name.

Throughout the movie trailer “Remember the Titans”, we can conclude that the objective of the coach and the team is to win their first season championship game. Winning is the main point of sports and one of the way that sports team help in diminishing race discrimination is actually by sharing the same goal. This view is further supported by Gregory Kaliss in his book, “Men’s College Athletic and the Politics of Racial Equality: Five Pioneer Stories of Black Manliness, White Citizenship, and American Democracy”, where he said that the athletes can unite since they all share the same goal (175). Kaliss also further proved that in all of his five case studies; on some level, validated the argument that different races can work together and achieve

This comes from the Columbia University website: “As an equal opportunity and affirmative action employer, the University does not discriminate against or permit harassment of employees or applicants for employment on the basis of race, color, sex, gender (including gender identity and expression), pregnancy, religion, creed, national origin, age, alienage and citizenship, status as a perceived or actual victim of domestic violence, disability, marital status, sexual orientation, military status, partnership status, genetic predisposition or carrier status, arrest record, or any other legally protected status

Being in the Entertainment Industry you must be very careful on what material you decide to use and how you use it, especially if you don’t have permission. In the following articles: Karaoke Track Owner Sues New York Business for $2M, Why Sean Penn and Other Celebrities are Suing to Protect Their Personal Brands, and Byron Allen Tries Again in Racial Discrimination Lawsuit Against Comcast , there will be discussions of lawsuits on copyright infringement, defamation of character and racial discrimination. These are legal liabilities that I feel would possibly impact my Karaoke company if the correct steps aren’t taken.

This paper analyzes how the revenue business process works, the risks involved in the process, the internal controls that mitigate the risks identified and the audit procedures to be used to determine the effectiveness of these internal controls