HCAD 650 UMGC Business Law Medical Records in Health Care Essay

Medical Records in Health Care

Part 1:  Critical Analysis of the Law 

1. Evaluate medical record requirements under the law.  What should be included in the medical records to meet state and federal law requirements? How would state and federal statute of limitations laws impact medical record retention? Name and describe the law and give the code sections. 
2.  Recommend components of a medical record retention policy for your organization in Maryland that includes the following.  

• Length of medical record retention 
• Indication of how and where medical records will be retained 
• How and when medical records will be released 
• How would a medical record release be different for a patient who was from Europe, treated at your facility in Maryland, returned home after treatment? Are the patient and records are subject to the GDPR (General Data Protection Regulations)? 

1. Describe a HIPAA right to accounting disclosures.  What management actions would you take to comply with HIPAA accounting disclosure requirement for your organization? 
2. Review and discuss the legal and other risks in the situation described in The Tracks We Leave: Chapter 9 Information Technology Setback: Heartland Health care System. How would (1) health information technology (HIT) and (2) a strong Chief Information Officer (CIO) serve to prevent the Ch 9 problems? Evaluate how the (3) ACHE Code of Ethics and guidelines would apply to this situation. 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 large managed care organization (MCO) that includes 5 hospitals, 25 providers clinics, 1 health insurance company, and 10 pharmacies.  The MCO is using electronic health records (EHR). Your organization is not using 2015 CEHRT. Your organization participates with the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP). 

1. Evaluate 2015 CEHRT. How does it apply to this scenario? 

• Explain why it would be important to have 2015 CEHRT and the consequences of not putting this in place. 
• Describe the steps you would take to put 2015 CEHRT in place that includes interoperability components under the Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS). 

1. The Quality Payment Program (QPP) Merit-based Incentive Payment Systems (MIPS) also requires quality activities. How does it apply to this scenario? 

• Name and evaluate one electronic Clinical Quality Measure (eCQM)  you need to capture to meet QPP quality requirements.  
• What actions would you take to capture and report this data for the eCQM? 

REFERENCES 

2023 Program Requirements | CMS. (n.d.). https://www.cms.gov/medicare/regulations-guidance/… 

Guide to Privacy & Security of Electronic Health Information | HealthIT.gov. (n.d.). https://www.healthit.gov/topic/health-it-resources… 

Alder, S. (2023, August 2). HIPAA Compliance Checklist 2023. HIPAA Journal. https://www.hipaajournal.com/hipaa-compliance-chec… 

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https://www.hipaajournal.com/hipaa-compliance-chec… 

https://www.healthit.gov/topic/health-it-resources… 

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