HCR 220 Week 9 Final Project How HIPAA Violations Affect the Medical Billing Process

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.