HCAD 650 Interoperability and Compliance with the Law

HCAD 650 Interoperability and Compliance with the Law

Instructions:

HCAD 650 Interoperability and Compliance with the Law

Look for tool applications beyond those already discussed.

Complete the discussion using classroom tools only – the textbook, course web links, Classroom Law Library, and Compliance Library

Topic/Medicare and Interoperability

Part 1: Critical Analysis of the Law

Medicare is a large payer of health care services as the health care payer for the elderly.

Evaluate the Conditions of Participation (CoP) for a hospital to participate with Medicare.  What are the pros and cons of a hospital being a Medicare provider? What are the consequences of non-participation with Medicare?

What is the role of the Joint Commission to obtain “deemed” status?  Is Joint Commission a regulatory agency?  Why or why not?

Discuss the COSO framework for internal controls and evaluate how it could be used to meet Medicare CoP.  Be specific and demonstrate understanding of the risks and how the compliance tool can be used specifically to control the risks.

Part 2:  Strategic Compliance with the Law

You work for a small managed care organization (MCO) “Splendid Healthcare” that owns a hospital and two provider clinics in.  Your MCO just received notice that it will be subject to a CMS Recovery Audit Contractor (RAC) audit on the following issues and has requested medical records from your hospital and provider clinics.

0001 Inpatient Hospital MS – DRG Coding Validation

0011 Inappropriate Billing of Home Visit Professional Service Evaluation and Management Codes during Inpatient

Name and describe the law and code section that gives CMS and RAC auditors the right to access your medical records. (Give the legal source of the right)

Your records are electronic, but not transferrable electronically in an interoperable fashion. How could you best meet the medical record request?

Discuss interoperability requirements. How could you prepare to have an interoperable electronic health record (EHR) that meets CMS standards? Describe the steps you would take to move towards interoperability.

HCAD 650 Interoperability and Compliance with the Law

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
You Can Also Place the Order at www.collegepaper.us/orders/ordernow or www.crucialessay.com/orders/ordernow HCAD 650 Interoperability and Compliance with the Law

HCAD 650 Interoperability and Compliance with the Law

PLACE THE ORDER WITH US TODAY AND GET A PERFECT SCORE!!!