Sign Montana Arbitration Agreement Myself

Document type sign arbitration agreement montana myself

alright guys so today's lesson is on medicine and law and please stick with me through this one it is going to be a long presentation we'll probably looking about 40 minutes on this one as there's 43 slides there's a ton of on it um so the first couple lectures that you guys have watched it's really been about you as a student and you as a professional now we're really getting into the logistics of medical assisting and the administrative aspect subject in that so today's learning objectives are going to be able to define spelled pronounce and the terms listed in the vocab and we're really going to get into those this time ready to compare criminal and civil laws they apply to practicing medical assistants also discuss contract laws summarize the anatomy of a medical professional liability or lawsuit and explain four essential elements of a valid contract and then we'll discuss the various parts of a medical professional liability lawsuit we'll also discuss the advantages of mediation and arbitration and you'll need to be able to do the following related to medical liability and negligence and you need to differentiate between malfeasance misfeasance of nonfeasance know the four DS of the negligence and find the type of different types of damages it also have to discuss risk management and describe liability malpractice and personal injury insurances including the importance of informed consent and then define the statute of limitation and confidentiality and then finally discuss compliance reporting itself patient self-determination act D and a lot of the main laws that come through the Uniform get anatomical gift act in the patient Bill of Rights describe the important issues of the ADEA and the Gina acts and then explain components of HIPAA identify hi-tech acts and its impact on her life electronic transmission to his patients and then summarize the primary features of the Affordable Care Act so as I said guys it's a ton here we're gonna go over a lot of stuff that is really important and guys this is the fourth section on your certified medical administrative exam so this is really the first time you're getting information that is going to be you'll will be tested on on your certified on your certified medical administrative assistant exam so really pay attention really take your time with understanding this stuff so first type of things is going to be a lot of gold calves here so jurisprudence and and the classifications of love so jurisprudence okay and jurisprudence comes from the latin word jurist which means loss right equipped equity and justice and then prudential which means skill or good judgment so you kind of put that together and it kind of means the signs of philosophy in law so an act is something that's passed by Congress okay it becomes a national law where a statue is enacted by state legislature so that's a state law and then ordinance is created and enacted by a local government like a city or a town and then a precedent is something that is set forth by a jury okay so the u.s. consultation Constitution takes precedence over federal statutes court opinions and state constitutions the state constitution is a supreme law within the boundaries of each state unless it conflicts with that US Constitution so often judges and Jerry something gets done here the last one follow precedents when making decisions on court cases so if there was a situation where a court decision was made they will look back onto that in future cases down the road so there's basically two main cases or categories of jurisprudence and there's criminal law and then that's still the law so we'll get into a little bit here so criminal law so the medical administrative assistant needs to understand the difference between the types of law and how it affects their practice in the physicians medical office okay so criminal law law governs violations punishable as offenses against the state or the government okay while civil law is concerned with acts that are not criminal but involved relationships between individuals and other individuals groups or government agencies so the medical assistant must personally review these laws and that influenced the medical assistant practice and make sure that they are followed on a constant constant basis with documentation to prove necessary if you are taken to court so let's get in a little bit more into criminal law so criminal criminal law are punishable as offenses and as we said it's either against the state or against the federal government so a federal offense is involves the welfare and the safety of the public as a whole rather than the bat of an individual so that's that's really looking against the federal government okay misdemeanors our minor crimes okay all felonies are a little bit bigger up and they're more important or more not more important sorry more substantial so the difference between a misdemeanor and a felony so a person who commits a felony is in prison for more than one year whereas those who commit a misdemeanor are in prison for less than one year so that's a little quarter of fact and then of course it's treason so due process when I'm talking about criminal law we got to talk about to process and due process Kerik guarantees that the accused will have an opportunity to defend themselves against any charges brought in August's opposition so it gives you that the ability to defend yourself in court for anything that is being said about you and then we have civil law okay so similar law civil law is not criminal in nature it can be against individuals organizations or government agencies so the type of civil law that directly affects the medical profession is well there's a couple of them three that most directly do it if our effect the medical profession include tort law contract law and administrative law so we'll get into a little bit more of this in a little bit here so tort law there's four main elements that have to be established so in tort law the plaintiff must system number one establish that the respondent or defendant was under the legal duty to act in a particular fashion number two demonstrate that the defendant breached that duty by failing to conform his or her behavior accordingly number three prove that the breach of prove that the breach of legal duty proximately caused some injury or damage and that number four prove those damages so the medical professional liability or medical malpractice falls under this tort law so when we're talking about civil laws it's important to know the difference between slander and libel okay so libel is is written while slander is oral okay so if you're gonna slander somebody or going to talk bad about them or say something about that and when we say damages in this it means a loss or injury suffered okay so remember that that's really important so let's get it we talked about tort law and now let's talk about contract law so contract law touches our lives in many ways practically every single day so contract law does not have to be formalized in writing to be binding on the parties involved and oral contracts are binding in many states and in most situations so simply as a result of scheduling that first appointment in your practice that patient and provider now in an oral contract that requires the provider to care for the patient and for the patient to comply with the treatment protocols and a course payment for those services so there's a different couple different types of insurance that will help cover you so when a person is liable fern acts he or she is obligated or responsible according to law this is why physicians carry liability insurance so they carry those professional liability insurance which is a third type of third party insurance to help guard them from liability costs so medical assistants can also invest in liability insurance if you are doing some clinical care aspects in your generic training so in order to make contracts valid two parties must have a mutual understanding in agreement on the intent of that contract so manifestation is proven by an offer or an acceptance of that offer so that's where that contract comes from all right the contract must involve legal subject matter okay so an obligation that requires an illegal action such as a gambling contract is not an enforceable contract legal capacity of both parties now what I mean by this legal capacity means that each party must be an adult of a sound mind or an emancipated minor and then consideration what I mean by consideration is an exchange of something of value such as money or something along those lines for the physicians time so all of these had to be met in order for that contract to be valid so after the provider patient relationship has been established the provider is obligated to attend the patient as long as as long as attention is required unless the provider or where the patient terminates that contract okay so the provider patient relationship like I said is a contractual relationship that results in three steps so step number one the provider invites and offered by establishing availability okay so having open availabilities in your scheduling book you are accomplishing step number one step number two is patience accept an appointment and makes an offer by arriving through or requesting for treatment so as soon as you know the patient call us and scheduled an appointment and then shows that for that appointment step number two is done and then number three is the provider accepts the patient often by examining the patient in beginning treatment once that doctor physician sees that patient then you have started on step number three so now that you're in this relationship you are contractually required to treat that patient until your services are no longer needed okay so if you do not do this okay if you breach your contract or you break what you're supposed to be doing okay that is called abandonment okay so you protect the provider from abandonment so how do you protect the provider against a lawsuit for abandonment and the details of the circumstance in which the providers are drawing from the case should be included in the patient's health record so you need to really document why the physician is no longer treating that patient and then you have to go through another formal process which we'll talk about more more so later on we it's like mail deliveries and we'll go from there and another question I'm gonna pose to you is when does a breach of contract occur and that is if there is a failure to perform any term of the contract without a legitimate legal excuse then you have a breach of contract so when you are facing medical professional liability lawsuits okay this is what you guys once generally be called court for so it's important to know they look the vocabulary and the terms that go along with this so this is really what we're gonna focus on right now is just the terminology that goes on so even when the physician has made an error often the level of truck trust between the physician and the patient determines whether a lawsuit is pursued now the first step to building that trust starts with you guys's medical administrative assistance you guys are the first ones that they see you're the face of that that medical office okay they call discussion I'll come in the position how you went to the phone and way you treat them is gonna help in defining the way they build trust in you same thing when they come in to check into their appointment if you are unprofessional and you're not doing the things the way you should be doing you know that building that trust isn't going to be there if that's isn't there then a lot of times you will be stuck with those medical professional liability lawsuits all right so let's get all of the terminology some interrogatories okay and these are a list of questions from each party to the other in the lawsuit and then you have the definite dispositions okay and those are oral testimonies of a party or witness in a civil or criminal proceeding taken to trial and then you have subpoenas guy subpoenas are court issued it's a document issued by a court that requires the person to be present at a specific time and place to testify as a witness in a lawsuit all right so medical professional liability lawsuits are far from rare so you really need to understand these terminology this terminology and really grasp these concepts all right another term is you need to be familiar with is subpoena duces to cope okay subpoena duces to come okay and that is a core order to produce identified documents or records this type of subpoena doesn't require the person named in it be given to give a testimony or a disposition in the trial they just have to present different documents that have been identified so inside the courtroom here you have the plaintiff and that is the person or the group of people that bring the court to error the case to court and then you have the defendant which is the opposite party or the respondent and they're the ones defending themselves so burden of proof yeah this is what you need to or the jury needs to have to make a guilty decision so and then it differs from criminal cases to civil cases okay so criminal cases must be proven you must be proven guilty beyond any reasonable doubt so any reasonable doubt what is that well reasonable doubt is defined as a level of certainty a juror must have to find the defendant guilty of a crime it is a real it is real doubt based on a reason or common sense after careful and impartial consideration of all evidence or a lack of evidence in a case all right and then you have a civil case and civil cases must be proven by a preponderance of the evidence now this means that a greater weight of the evidence must point to the defendant or respondent as being responsible for the act involved in the case it doesn't have to be proven beyond reasonable doubt so for a case that is proven beyond reasonable doubt the scales guess the link time a quarter missed two scales okay innocent or guilty okay so for those cases of reasonable doubt those scales really needs to pebbly one direction or the other either guilty or innocent however for a case proven by preponderance of the evidence such as civil cases the scales need to tip only slightly one way or the other and then you have the outcome of the case and that's also known as the verdict okay it's either guilty or innocent and that's known as the verdict so the final decision of the trial court lies in the hands of the judge okay just just so burn aware of that so let's talk about mediation and arbitration now these are both techniques to help avoid getting into court systems and hopefully you know maybe your medical office and medical practice will look into some of these aspects okay so mediation is a third party that helps those involved in disputes solve their own problems so it's kind of nifty date nipping it in the bud yeah you're not letting it get to court so many providers and attorneys see mediation and arbitration there's ways to solve crisis of litigation in this country all right so arbitration is an alternative to a trial in which a third party is chosen to hear evidence and to make a decision about the case so arbitration is an alternative to trial in which the third party is chosen hear evidence and make a decision about because of the individuals familiarity with or the knowledge of the law of the issues involved arbitration usually is available to the medical profession offering an alternative for resolving legal disputes between the patient and the physician arbitration applies essentially the same rights and same measure of damages as court it is fair it is legal it is less expensive it is faster and it's more confidential than court litigation so it really has a lot of benefits and almost this is something that you guys should really should look forward to ever look into you hear the arbitration a lot in the sports world anytime you have legal cases going forward before it actually gets to court it goes to an arbitrator screen so that just to make you or the staff of each medical office should know whether arbitration statues exist in the state where the office conducts conducts business and whether the state met nd which state medical board can verify that an agreement is precisely worded by an attorney and should be met should not be clarified paraphrase when explained to a patient so if a physician elects to implement an arbitration agreement procedure with the patient's every member of the physician staff should know the details of that agreement how and when the patient should sign up and how to answer the patient's questions perfect so medical liability and negligence guys these are really important slides so medical professional liability is commonly called medical malpractice that's another name for it so the medical standard of care is considered the same type and level of care that is a reasonable that a reasonably competent healthcare professional in a similar field with similar training would have provided in the same situation okay negligence implies an in attention to one's duty or business so you know if you fail to keep up to that medical standard that somebody with similar training in the same background and the same experience would have done then you might see yourself in a medical malpractice case so here are some different classifications of negligence and these are really really important so let's first start off by defining what negligence is so in medicine negligence is defined as the performance of an act that a reasonable and prudent physician would do or the failure to do an act that a reasonable and prudent physician would do okay so all of the medical assistant acts as an agent of that position and carrying out most of their duties the medical system may perform an act that could result in litigation so for example if you if you were a medical assistant that works in the clinical side as well so if the medical assistant gives the patient the wrong medication or the wrong dose of medication both a physician and the medical assistant could be held liable for that error so it's really important to know so let's get in the terminology here you need some of the difference of these guys it's really really important so malfeasance mal first spanish-speaking people okay we have a little bit of background in Spain and Spanish now means bad okay so that is it or wrong okay so wholly wrongful or an unlawful and unlawful act misfeasance is it you're improperly doing a lawful act alright and non-thesis is you're just not doing anything at all so you really need to know your scope of practice and then practice inside those scopes of practice and we talked about yourself practice earlier on an assignment so we should be familiar with that so medical administrative medical clinical medical assistants are allowed to administer medication as long as it is included in their scope practice for their state medical administrative assistants are not allowed to do any clinical aspects of the medical assisting so contributory negligence exists when the patient contributes to their own condition and it came to lessen the damages that can be collected or prevent them from being collected all together if they contributed to that neglect now there's four DS that make up negligence and it's important to know these so Duty is the first one so Duty is that the patient has sought the assistance of the physician and the physician has knowingly undertaken the provider undertaken to provide the needed medical service so that is that patient-physician relationship has been established that's what duties dereliction gender election is a failure to perform that Duty dead proof must exist at the position somehow and neglected the duty to the patient and then you have direct cause and this is proof that must exist that the patient was harmed directly because the physicians actions or failure to act and that the harm would not otherwise have occurred and that damages is the patient must prove that a loss or a harm resulted from the physicians actions now there can be many different types of damages that could fall under that last category okay you can have nominal or punitive damages and punitive damages or historically set so that amounts would discourage intentional wrongdoing misconduct and outrageous behavior so the tort reform currently a much discussed subject would cap the amount of money that would be collected during personal injury litigation including medical malpractice cases so punitive damages are set to limited monetary values all right and then you have compensate already damages and come satori damages are meant to be to make the person whole again can come to compensate for but they lost although it is impossible to compensate for something such as like a lost limb or something along those lines and then you have general damages and general damages include compensation for pain suffering for loss of a bodily member or facility or disfigurement or other similar direct loss or injuries and then you have special damages and those include the loss of lots of earnings or loss the cost of travel both effect of these losses and monetary values must be proven so if they suffered from some way and they lost a job or something like that that has to be proven on that it was directly a cause of the physicians actions so risk management practices so first of all let's talk about what risk management is it's a combination of different approaches in the healthcare facility that reduced the likelihood that either an individual healthcare professional or health care facility will be sued so it's kind of trying to take preventive measures and covering yourself so the primary focus of your medical practice should be on the delivery of quality safe patient care but a secondary goal should be to avoid potential financial to avoid the potential financial consequences of a malpractice suit and these are all ways to help prevent those guys so you need adequately trained you need to have adequately trained providers and staff all right that's why you guys going in as certified medical administrative assistants really help yourself out because they can you can prove that you are certified and you prove that you're adequately trained in your field yeah you need to have open lines of communication you need to have specific policies on house buy prescriptions can be refilled you need have policies on patient test results you need to be able to track missed appointments communication issues with patients need to be documented and established and then make sure the facility is safe for patient use and then of course you need to follow all documentation procedures so there are different types of insurances that can cover you from all of these lawsuits that you could be facing so those are liability medical malpractice and personal injury insurance so individuals private ER providers and healthcare facilities typically purchase several different types of insurances to cover themselves so liability insurance protects the health care facility if there's an accident in the facility while medical malpractice insurance protects a provider and or other the health care facility if there is a judgment against the medical against them for medical negligence malfeasance or malpractice so and then you have personal injury insurance that covers both bodily harm and non-physical non-economic are so now we got to get into consent now this is an important one this is really important you have a lot of questions about this on your CMA exam now you might have like two or three on this so it's really important to know this so consent it works give consent the person has to be medically or mentally competent that means that can understand the situation and can give consent to it all right consent is invalid if a person is unauthorized or it's maintained by fraud so if the Act being consented upon is unlawful consent is invalid okay so if you're doing if you're the they're consenting to something illegal it doesn't matter okay now the provider must have consent to treat a patient that's legal okay you have to F consent to treat a patient we'll talk about consent implied consent or informed consent in the future here okay so implied consent is given in the case of an emergency all right so let's say you are driving in your car all right and you drive up on of the a car crash all right that is an emergency situation there is imminent danger yes all innocent is consent is implied so in an emergency one may render aid or care to prevent loss of life serious illness were injured or serious illness or injury however implied consent in the circumstance only lasts as long as the emergency exists so if you handle that situation you remove them from say this vehicle and they are no more in immediate danger they're not bleeding out or lost losing consciousness or anything like that okay that is when you have to now attain consent formal consents you'll be given as soon as the emergency has passed physicians sometimes are reluctant to render aid in an emergency to someone who is not the patient for fear that they will be charged for negligence or abandonment all right however the good samaritan long kind of helps protect them from that so under this law volunteers at a scene of an accident are given immunity to liability for any civil damages resulting from the rendering of emergency care most states now have good samaritan or volunteer protection statues okay only provide emergency care though for which you are trained so for you guys that CPR first aid and AED ok so just remember that for minors consent must be obtained from the parent guardian or guardian at litem except in an emergency of requiring treatment just as we talked about before so here we go let's get into informed consent that was all implied consent now import of consent is what you have must get for medical procedures all right so the discussion needs to happen be fully documented in the patient's health record and a copy must be signed and they copy of the signed form should be placed in the record so patients cannot be forced to undergo any type of medical treatment or care they have that right to make that decision each state has its own consent laws so you need to be familiar with whatever state you're working in and what is expected of you so Medicaid sometimes requires a 30-day waiting period for example between the signing of the consent for tubular litigation and the performance of that procedure so these are the things that need to happen in order to for an important consent to be legal there the patient's diagnosis if it's known has to be presented what what is wrong okay what is going on with this patient from there you have to give the nature and purpose of the proposed treatment or procedure okay so this is the diagnosis now this is what I want to do to treat you this is what I would like to do this is how I'd like to do it the risks and benefits of the proposed treatment and procedure so now that I've proposed a string and a procedure to you these are the benefits these are the risks that go along with that procedure and then we have to show that the same thing with alternative treatment alternative treatments or procedures their risks and benefits and then of course the risks and benefits of having no procedure at all and then that patient just to make the decision based upon your medical advice so say a consent a minor is needs to give consent for a surgery who gives that that is going to be the guardian ad litem whoever is the patients or that minors legal guardian now the statue of limitations okay statute of limitations is period after which a lawsuit can be filed and it varies from state to state by litigation type okay the statute of limitations for medical malpractice issues varies from state to state ranging from one to five years however in some instances the state of limitations can be extended because of the delay in the discovery of an injury so many statue of the statue of limitations starts after the discovery of the injury or illness okay not when they got sick or injured at the discovery there is a difference so confidentiality this is probably you know something you're gonna hear over and over and over again through these lectures so get used to hearing these words so if you breach confidentiality it is grounds for immediate dismissal from your position at job so it's important to use strict care when dealing the patient records and discovering and discussing information about those patients now let's talk a little bit more about reporting things okay so a patient would test positive for HIV may face discrimination if the information surfaces due to a lack of confidentiality physicians who treat such patients may want to take extra care when leaving for up phone messages or sending mail to that patient confidentiality is also the utmost and portion and importance of patients receiving treatment for mental health issues sexually transmitted diseases sexual assault or any type of abuse however you still have to report some things gained you as a medical assistant may be responsible for reporting those and those are things like births and deaths or suspicious this STDs child abuse or any other reportable diseases now physicians must also report cases that may result from violence such as gunshot wounds or knife injuries or poisonings okay individuals with cases of AIDS must be reported to the local health department a continuing controversy exists as to whether the reporting prompt patients receive care or deters individuals and high-risk groups from seeking care child abuse okay let's talk about child abuse real quick it is the leading cause of death in children five years or younger so that's why suspected cases must be reported visit your local health department for information about about reporting protocols to know the proper steps on how to go about this so now in the next couple slides here we're gonna try to end up here pretty shortly we're gonna talk about the the legal statues put out from the national government signed by Congress all right and the first one is the patient self-determination act so basically this requires healthcare facilities to ensure patients that they will receive information about living wills power of attorneys and advance directives so these documents place a decision-making power in the hands of the patients and their families providing them with written notification of their right to consent or for the refusal of medical treatment the next one is the uniform anatomical gift act and this was developed to make sure that all states have the same laws about organ donation all right the most important Clause of the Act permits that donations must be made in written or by a wig or or by a witnessed document okay and those documents as you'll see okay that's covered in the next slide it takes two witnesses to sign that so provision the uniform donor card is considered legal in all 50 different states and the next slider you will actually see that owner dope donor card so provisions of the Uniform anatomical gift act are designed so that donations occur only after death obviously you don't want to donate your organs or body parts while you're still alive and no money can be exchanged in this donation okay so that's important to know so here's an example of that organ donation donation card mister basically just as I blinkin spoken to my family about Laurie notation Oregon a tissue donation and I wish to donate any of the needed organs or all of the following different organs and then here are your two witnesses that must sign that so the patient's Bill of Rights now guys this is an important one you'll hear about this that's fun okay so the patient's Bill of Rights and if you want to look on page 79 in your textbook and big greenish bluish box right in the center of it those are the patient Bill of Rights you need to know the age sections okay so the patient pillow rights provides consumers with a credible and effective mechanisms to addressing their concerns and encourages consumers to take the in active role in improving and ensuring their help okay so like I said there's eight sections that lists three goals in here are the three main goals is to strengthen consumer confidence by ensuring the health care system is fair and responsive you want to reinforce of a strong physician patient relati nship and reform consumers critical role in their care so if you look at like I said on page 79 you'll see all of the patient Bill of Rights there but below it you'll see procedure six one that says applying those patient Bill of Rights to and choice and treatment choice of treatment consent of treatment and refusal of treatment so really look at both of those things in and make yourself and educate yourself on them the next one is the Americans with Disabilities Act so the ABA as it's known what signed into law in 1990 and this goal was to eliminate discrimination against individuals who have disabilities all right individuals with disabilities must be able to enter in exit facility without any difficulty and then individuals who must be able to navigate throughout the facility without any major barriers as well so example you know you must have ramps entering into the building you must have handy and handicapped accessible water fountains if there's a second floor in your building you must provide an elevator those types of things so in 2008 Congress passed the a.da amendments which is also known as the ADA AAA Act to broaden the definition of a disability okay the jeanna Act okay or the genetic information non-discrimination Act and Gina was signed into law in 2008 so it's new fairly new it prohibits discrimination in health coverage and the employment based on genetic information individuals cannot be denied health insurance and employers must make and employers make job-related decisions based on the individual's genetic history so many states already have laws that protect against genetic discrimination in health insurance and employment situations however the degree of protection varies widely so it's important to know that all entities subject to genome must at a minimum comply with all the acceptable or applicable sorry gene requirements and they may also need to comply with all applicable protective state laws HIPPA we'll talk about HIPAA time supports know what it is HIPAA stands for Health Insurance Portability and Accountability Act I want to write that down you who later it a lot okay its goals are to limit administrative cost of health care privacy issues to prevent fraud and abuse and to provide security confidentiality guarantees for the patients now there are two main provisions that make up HIPAA I just I don't want in title to title one is the insurance reform while title two is the administrative simplification so the use of electronic transmissions lower administrative costs that what it makes it harder to keep health information private so the law provides security and confidentiality for that patient an extensive Privacy Rule has been added in recent years and we'll get into that as well so that notice the privacy practices if you want to flip to your book to page 82 then you will see a hip up patient a patient hip acknowledgment okay and this required HIPAA notice of privacy practices requires healthcare providers to distribute a notice that provides a clear user-friendly explanation of the individual personal health information rights so you need to educate your patient about the rights when they come into your office this is a paper that a new patient will fill out when they come into your clinic so the law requires that the patient sign the statement acknowledging they receive that notice of privacy practices that's what's on page 82 that is the notice of privacy practices statement all right it basically it defines how covered entities use and individually identifiable health information also known as personal health information or pH I the Privacy Rule allows covered entities to disclose phi2 public health authorities when required by federal tribal or state local laws if you look on the next page you have some definite definitions of HIPAA terms so it's important to look through those educate yourselves about what they're talking about with all these HIPPA laws and regulations the HIPAA Security Rule this covers the use of trends and transmission of electronic protected health information or e ph i okay covered entities must also have in place procedures for attaining ethi during an emergency for healthcare employees with the authority to access that information now there's different safeguards that you that come with a security there's administrative safeguards physical safeguards and technical safeguards so what's HIPAA anybody can file a health information privacy complaint through the complaint portal at the offices of civil rights at your DHHS so anybody has a complaint about breaching confidentiality or something along those lines they can make complaints so all healthcare providers clearinghouses and health plans that use electronic information must comply with HIPAA regulations and there are many benefits to complying with HIPAA and here are just some of them it'll lower your administrative costs it'll increase your data accuracy it'll increase your customer consumer and patient satisfaction you'll reduce revenue cycle time and you'll improve your financial management so if you look on page 84 you wanna see procedure 6.2 that says applying HIPAA rules on privacy release of information and reporting illegal activity and health care setting okay look at that understand the ways to go about that and and practice that on your own if you would like are you almost done here guys I promise you a high tech dad high tech Act was signed into law in 2009 and hi-tech is an acronym for health information technology for economic and clinical Health so it promotes the adoption of meaningful use in health information technology physicians who do not adopt electronic medical records will be penalized in Medicare payments so they'll long courage that's that's how the law encourages compliance with the appellate HIPPA regulations by enacting those stiff penalties for non-compliance patients must be notified whenever there is a breach of confidentiality that exposes the patient's protected health information so civil penalties that we were talking about here can arrange for anywhere from like two hundred fifty thousand dollars with repeated violations caught costing you up to 1.5 million dollars so like I said that every two notifications are required and it's also requires that DHHS conduct a period a period periodic audits of covered entities and business associates and then we have the Affordable Care Act of 2010 and this was designed to provide better health security by enacting comprehensive health insurance reforms that hold insurance companies accountable lowering health care costs and guaranteeing more choices and enhancing the quality of care for all Americans okay health insurance and employers are required to provide clear and consistent information about health plans now if you look on let me get it here on page 86 half way down on the left hand side column you will see this this chart and it says health care changes resulting from the Affordable Care Act and these benefits have taken place over the past five years so it's important to know those so we're closing okay I know I threw a lot at you but this was a long presentation thank you for sticking with me but it's important to kind of bring it all together so when closing a patient closed the comments in patient education don't be skeptical when it comes to laws okay u.s. medical assistance can prevent claims so if you follow the laws and the regulations that are set forth by you and an in to your job correctly you know you will prevent these poor claims that will come against against you and your medical practice practice patience because regulations do change they change all the time is use as we just talked about we have we saw many new laws that were put into place since like 2008 so it's really important to practice patience and take these regulation changes as they come stay calm and answer all questions the best that you can many medical forms can be very complicated and patients may need help and understanding everything so that's what you need to just relax stay calm explain it all to them because you know patient-centered care is the main focus here and then legal and ethical issues physicians may be held responsible for mistakes of those who work in their health care facility and sometimes they must pay for damages for neglect acts of their employees so under the doctrine of respondeat superior that's what that falls under physicians are legally responsible to act for the acts of their employees when they are acting within the scope of their duties or and acts of assistance who are not their own employees if they commit acts of negligence so if you as a medical assistant commit an act of negligence your physician will suffer those consequences as well so even assistants with no money can be held liable for any neglect actions in liens can be placed on property and in such a patient for sale and potential profit so even if you don't have the money you know and you act in a neglectful way you would still be responsible for all that all right if you have any questions guys please feel free to ask me again nice job getting through this presentation really pay attention to this stuff because it was difficult it but it is really really important to know this stuff you know have fun keep pushing forward nice job guys