Patients

Patients, Providers, and Third-Party Payers

Textbook : Fremgen, B. F. (2014). Medical law and ethics (5th ed.). Upper Saddle River, NJ: Pearson.

Instructions: Please ensure to substantiate your response with scholarly sources and also a personal account of your own experience in the work place. Cite and reference work! Must be 150 to 175 word count.

1. Read Chapter 4 and discuss what you found the least interesting. See Chapter 4 attached.

2. For chapter 4, discuss your thoughts on the Marion and the pacemaker case.

3. Read Chapter 5 and discuss what you found the interesting. See Chapter 5 attached

4. Read the Patient Rights page on the U.S. National Library of Medicine: Medline Plus website.

https://www.nlm.nih.gov/medlineplus/patientrights.html  

5. Read the A Guide to Informed Consent- Information Sheet page on the U.S. Food and Drug Administration website. 

http://www.fda.gov/regulatoryinformation/guidances/ucm126431.htm

6. Read and discuss your take on the Understanding Health Information Privacy page on the U.S. Department of Health & Human Services website. http://www.hhs.gov/hipaa/index.html

7. Watch the "Informed Consent: What Are Your Rights? Part I" video

8. Review the "Provider and Third-Party Payor Obligations: Medicaid Third-Party Billing, Payment & Enforcement" presentation from the Office of Medicaid Inspector General. https://www.omig.ny.gov/images/stories/Webinar/tpl_%20pi_webinar102010v2.pdf

9. What information is required to be presented to the patient in the informed consent process? How would you, as a health care manager/administrator, be able to assess a patient’s understanding of what he or she is being told?

10. Physician Choice to Treat: Does it surprise you to find out that physicians have the right to select the patients they wish to treat?

11. Types of Consent and Payers: Complete the chart.

Identify 3 Third-Party Payers	Describe third-party payer (20- to 45- words)	Describe the legal issues that regulate the third-party payers (45- to 90-words).	Describe an applicable law that regulates the third-party payers (45- to 90- words).	Describe the impact that the legal issue and applicable laws have on the third-party payers (45- to 90- words).
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12. Research the following health care regulations and select one regulation to focus on for the written assignment:

· HITECH Act

· Occupational Safety and Health Act of 1970

· False Claims Act

· Anti-Kickback Statute

· Stark Law (Physician Self-Referral Law)

· Human Subject Research

Write a 700- to 1,050-word paper that summarizes your health care regulation selection. Include the following:

· Identify selected health care regulation.

· Describe the reason for your selection.

· Identify 5 key points from your research.

Format your assignment according to APA guidelines. Cite 2 peer-reviewed, scholarly, or similar references to support your paper