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Discussion 1:

Required readings:

Rinehart-Thompson LA. Chapter 3: Privacy and confidentiality. In Laurinda Beebe Harman and Frances Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.75-94). Burlington, MA: Jones & Bartlett Learning. 2017.

Anderson B, Hardin JM. Chapter 4: Data analytics. In Laurinda Beebe Harman and Frances Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.94-118). Burlington, MA: Jones & Bartlett Learning. 2017.

View the following Lecture/Voice over PowerPoint:

Lecture 02 – HIPAA privacy rule , confidentiality, and data analytics

Discussion Question 1: Create your initial post on the DQ 3 Discussion Board in response to the following questions. Post all responses with a referenced rationale and scholarly support.

Discuss how the HIM professional serves as the patient advocate in relation to HIPAA and HITECH policy initiatives.
Discuss the ethical considerations related to the management of health data repositories and the differences in data captured in both structured and unstructured forms.

Discussion 2:

Required readings:

Rinehart-Thompson LA. Chapter 5: Compliance, fraud and abuse. In Laurinda Beebe Harman and Frances H. Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.119-143). Burlington, MA: Jones & Bartlett Learning. 2017.
Holtzman l, Holtzman R. Chapter 6: Coding. In Laurinda Beebe Harman and Frances H.Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.145-182). Burlington, MA: Jones & Bartlett Learning. 2017.

Suggested readings:

Banarescu, A. Detecting and Preventing Fraud with Data Analytics. Procedia Economics and Finance, 2015; 32:1827-1836.

View the following Lecture/Voice over PowerPoint:

Lecture 03 – Compliance, fraud, abuse and coding

Discussion Question 2: Create your initial post on the DQ 4 Discussion Board in response to the following questions. Post all responses with a referenced rationale and scholarly support.

Explain your interpretation of the False Claims Act and discuss the importance of that Act when it comes to decision-making about policies and procedures around billing data.

Consider the medical executive staff’s request to change the data to up-code encounters from the past month to make up for the reimbursement deficit on the quarterly financials.

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