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Final Project: How HIPAA Violations Affect the Medical Billing Process
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Part One:
Resources:Appendix A, Appendix C, and Table 8.3 on pp. 258–259 of Medical Insurance
Refer toTable 8.3 on pp. 258–259 of your text to 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 Signature
Include ICD (categories only), CPT, HCPCS, and insurance information.
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.
Final Project: How HIPAA Violations Affect the Medical Billing Process
Part Two:
Write a 1,500 to 1,750 word essay in which you discuss implications of both forms of the patient’s diseases, HIV and AIDS, from the perspective of HIPAA confidentiality. Include the following in your essay:
Discuss why HIV and AIDS information is more sensitive than other types of health conditions.
Examine the social, legal, and ethical ramifications of improper information disclosure.
Provide a minimum of three references from the University Library or the Internet.
Your paper must be formattedaccording to APA standards to be graded.
Attach in a Word Document.
