Discussion 1:

1. Required readings:

• Rinehart-Thompson LA. Chapter 3: Privacy and confidentiality. In Laurinda Beebe Harman and Frances Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.75-94). Burlington, MA: Jones & Bartlett Learning. 2017.

• Anderson B, Hardin JM. Chapter 4: Data analytics. In Laurinda Beebe Harman and Frances Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.94-118). Burlington, MA: Jones & Bartlett Learning. 2017.

1. View the following Lecture/Voice over PowerPoint:

• Lecture 02 – HIPAA privacy rule , confidentiality, and data analytics

Discussion Question 1: Create your initial post on the DQ 3 Discussion Board in response to the following questions. Post all responses with a referenced rationale and scholarly support.

• Discuss how the HIM professional serves as the patient advocate in relation to HIPAA and HITECH policy initiatives.
• Discuss the ethical considerations related to the management of health data repositories and the differences in data captured in both structured and unstructured forms.

Discussion 2:

1. Required readings:

• Rinehart-Thompson LA. Chapter 5: Compliance, fraud and abuse. In Laurinda Beebe Harman and Frances H. Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.119-143). Burlington, MA: Jones & Bartlett Learning. 2017.
• Holtzman l, Holtzman R. Chapter 6: Coding. In Laurinda Beebe Harman and Frances H.Cornelius. Ethical challenges in the management of health information, 3rd edition (pp.145-182). Burlington, MA: Jones & Bartlett Learning. 2017.

1. Suggested readings:

• Banarescu, A. Detecting and Preventing Fraud with Data Analytics. Procedia Economics and Finance, 2015; 32:1827-1836.

1. View the following Lecture/Voice over PowerPoint:

• Lecture 03 – Compliance, fraud, abuse and coding

Discussion Question 2: Create your initial post on the DQ 4 Discussion Board in response to the following questions. Post all responses with a referenced rationale and scholarly support.

• Explain your interpretation of the False Claims Act and discuss the importance of that Act when it comes to decision-making about policies and procedures around billing data.

Consider the medical executive staff’s request to change the data to up-code encounters from the past month to make up for the reimbursement deficit on the quarterly financials.