Use your critical thinking skills to answer
Use your critical thinking skills to answer the questions that follow each case study. LO 8.1 LeAnn works as a surgical assistant in an outpatient surgery center. Near the end of each week, the surgery schedule for the next week is entered in the office computer, then one copy is printed and made available to all those employees affected by posting it in the employee break room. Employees may not take copies of the surgery schedule home, because it contains patients’ names, addresses, telephone numbers, types of surgery to be performed, insurance information, and patient ID numbers. LeAnn takes a photo of the schedule with her smartphone. A nurse who works with LeAnn has cautioned her about the practice, but LeAnn sees no problem with it, and says it saves her time that others spend handwriting notes. Are there legal and/or ethical problems with this practice, either from the standpoint of the way the schedule is posted, or from the standpoint of LeAnn’s practice of taking a photo with her smartphone? LO 8.4 Patients with Alzheimer’s disease sat, twice every week, unsupervised inside a small room of a memory care facility watching the movie Forrest Gump. Each time the patients sat in front of the television watching the movie, the facility submitted insurance claims for providing “group therapy.” Is this practice legal and appropriate, or is it an example of health care fraud? A physician assistant convinced her patients that hypnotherapy could make them more receptive to medical treatment. Fortunately, she told them, she could conduct the hypnosis sessions in the office she used for consultations. The predominant insurance company for many of the physician assistant’s patients did not pay for “hypnotherapy,” nor was the physician assistant qualified to provide it, so she billed the sessions as office visits, at $100 to $125 per visit. Was the physician assistant committing health care fraud? Explain your answer. SCIENCE HEALTH SCIENCE NURSING LAW
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