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HCR 220 Final Project_ How HIPAA Violations Affect the Medical Billing Process PART 1 OF 2
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Final Project: How HIPAA Violations Affect the Medical Billing ProcessPart One: Resources: Appendix A, Appendix C, and Table 8.3 on pp. 258-259 of Medical Insurance Due Date: Day 7 [Individual forum] Use Table 8.3 on pp. 258-259 of your text to help you complete the CMS-1500 form located in Appendix C according to the following case study:A 67-year-old Medicare patient presents to the office, exhibiting symptoms of HIV infection. After detailed examination, symptoms are determined to be advanced AIDS with manifestation of Kaposi’s sarcoma and other opportunistic infections. Name: James Brown Account Number: 080811 Insurer: Medicare Policy Number: 1098765 ID number: 12345678910 DOB: 02/01/1940 Gender: Male Insured: James Brown Address: 1600 Pennsylvania Ave. Wash. D.C. 60000 Marital Status: Widowed Patient’s Employer: Retired Nature of Condition: HIV, AIDS, Kaposi’s sarcoma Date of Illness: 06/01/2007 Referring Physician: Thomas Glassman, M.D. Physician ID: 1080808080 Federal Tax ID: 5551116679 Dates of Service: 06/01/2007, 06/15/2007, 07/07/2007, 08/01/2007 Procedure: Detailed examination, screening blood panel, pathology services Patient SignatureHCR 220 Claims Preparation I: Clean Bills of HealthCourse Syllabus Page 20o Include ICD (categories only), CPT, HCPCS, and insurance information.o If you believe there is insufficient information provided to fill a required field with data, indicate this by typing “N/A”. Post the completed CMS-1500 form as an attachment. Part Two: Compose a 1,500- to 1,750-word essay discussing implications of both forms of the patient’s diseases (HIV and AIDS) from the perspective of HIPAA confidentiality. Include the following in your essay:o Discuss why HIV and AIDS information is more sensitive than other types of health conditions.o Examine the social, legal, and ethical ramifications of improper information disclosure.o Provide a minimum of three references from the University Library or the Internet.o Format your essay according to APA guidelines. Post your completed Appendix C as an attachment.
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