Learning Outcomes
After studying this chapter, you should be able to:
Discuss the importance of medical records and documentation in the medical billing process. |
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Describe the benefits of electronic medical records (EMR). |
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Explain the purpose of the HIPAA Privacy Rule. |
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Distinguish between a covered entity and a business associate under HIPAA. |
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Define protected health information (PHI). |
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Discuss patients’ authorizations to use or disclose their health information. |
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Briefly describe the purpose of the HIPAA Security Rule. |
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Describe the HIPAA Electronic Health Care Transactions and Code Sets standards and the four National Identifiers. |
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Explain the purpose of the Health Care Fraud and Abuse Control Program and related laws. |
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Discuss the ways in which compliance plans help medical practices avoid fraud and abuse. |