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Financial Laws

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Financial Laws and Regulations
Tayyaba Baig
Devry Fresno
HSM 340
July 14, 2013
Ms. Mary

Financial Laws and Regulations 1. What are five elements pertaining to the establishment of a false claim under the False Claims Act?
According to our text, the five elements pertaining to the establishment of a false claim under the False Claims Act are the government should establish the claim was false and submitted knowingly, government must establish that the person submitted the claim with actual knowledge, in deliberate ignorance, or with reckless disregard for the claim’s truth, or falsity. (Cleverley 90) 2. HIPAA privacy standards were designed to accomplish what three broad objectives? Explain each.
The three broad objectives HIPAA privacy standards were designed to accomplish are limit the circumstances in which individuals use and disclose patient health information, establish individual rights regarding patient health information, and require protected individuals to adopt administrative safeguards to protect the confidentiality and privacy of patient healthcare information. According to our text, HIPAA prohibits the disclosure of any individual health information that is transferred or maintained electronically such as emails and faxes. HIPAA privacy standards also ensures that individuals have right of deciding which information should not be disclosed under any circumstances. Finally, HIPAA privacy standards also ensure that all security standards are followed by all covered individuals in order to protect personal health information.

3. Stark II laws prohibit physician referrals to entities in which the physician has a financial relationship. What are 10 specific designated health services (DHS) for which referrals by physicians who have financial relationships with the entity providing the DHS are prohibited? According...

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