Medicare Case Study

809 Words 4 Pages
In 1965, in the presence of President Harry S. Truman considered to be the real Father of Medicare, President Lyndon B. Johnson signed Medicare into law as part of the Social Security Amendments of 1965. The intent of this national health insurance program was to provide health insurance to Americans over the age of 65 and to younger persons with certain disabilities. According to Wager, Lee and Glaser (2013), in 1972, another historical piece of federal legislation was passed that required hospitals “be reviewed and certified in order to participate in the Medicare and Medicaid programs” (p. 70-71). A minimum set of standards was developed by CMS, formerly the Health Care Financing Administration (HCFA), to fulfill the legislative requirement …show more content…
Another piece of federal legislation with historical distinction is the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Administrative Simplification provisions of HIPAA legislation (Code of Federal Regulations Title 45, §160 and §164) required establishment of national standards for electronic health care transactions and addressed security and privacy of health data, these are known as the Privacy Rule and Security Rule. Although the intent of these pieces of health care legislation is essentially different, there are many similarities in the detailed standards set forth by each. A complete understanding of these federal rules and regulations can help a Health Information Management professional support the day to day operations of any health care organization in it’s mission to provide quality health …show more content…
§482.24, 2012) and further addresses the form, retention and standard content of the medical record. Again, these CMS standards speak not only to the HIPAA Privacy and Security Rules regarding confidentiality, accountability and authentication requirements, but also to the HIPAA rulings on retention and destruction of records. Regulations such as these give the HIM professional a basis on which, not only to develop policies and procedures, but assist in performing day to day operations that fall within the guidelines of the federal and state

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