HIM 2012 - Health Law Concepts and Practices

College of Health Sciences

Credit(s): 2
Contact Hours: 32
Effective Term Spring 2019 (555)

Requisites

Admission to Health Information Technology (Associate in Science) (HIT-AS) or
Admission to Health Sciences (Associate in Science) (HSA-AS) or
Admission to Medical Coding and Revenue Management (Certificate with Financial Aid Eligibility) (MEDCD-CT) or
Admission to Health Care Services (Certificate with Financial Aid Eligibility) (HSA-CT) or
Admission to Health Sciences (Transfer Plan) (HSA-TR)

Course Description

This course is an in-depth study of the federal, state and local laws which govern the preparation and use of medical records in the health care delivery system. Topics include the medical record as a legal document and release of information.

Learning Outcomes and Objectives

  1. The student will demonstrate an understanding of the medical record as a legal document by:
    1. describing the origin of legal requirements to maintain medical records.
    2. applying Joint Commission on Accreditation of Healthcare Organizations (JCAHO) regulations and reasons for signatures in the medical records.
    3. describing what the medical record practitioner should do with incomplete records of deceased physicians.
    4. describing the procedure for correcting errors in the record.
    5. discussing statutes and/or requirements for preservation of medical records.
    6. defining "Statutes of Limitations" and explaining how this affects the preservation of medical records.
    7. explaining why retention requirements are different for minors versus adults.
  2. The student will demonstrate an understanding of confidential communications by:
    1. defining confidential and privileged communications.
    2. describing the confidentiality of incident reports.
    3. defining waiver of privilege.
    4. identifying legal problems that occur with computerized records.
    5. describing the patient's right to privacy.
    6. commenting on problems that include the administration of violation of confidentiality of medical records.
  3. The student will interpret standards for release of information by:
    1. differentiating between personal and impersonal uses of the medical record.
    2. identifying information which may be released without consent of the patient.
    3. describing procedures for release of information including verification of authorization, preparation of copies, charges for services.
    4. listing essential items to be included in a medical record abstract.
    5. explaining the special provisions for release of information in alcohol and drug abuse cases.
  4. The student will demonstrate an understanding of how medical records can be used in court proceedings by:
    1. identifying the courts in the state and federal judicial systems and explaining the jurisdiction of each.
    2. identifying quasijudicial bodies.
    3. naming the two parties of a lawsuit.
    4. defining key legal terminology.
    5. describing the valid service of a subpoena duces tecum.
  5. The student will demonstrate an understanding of the requirements of consents, authorizations and releases for information by:
    1. defining the following consents; informed, implied, oral express, blanket, and general.
    2. identifying individuals who may give consent and sign authorizations in various situations.
    3. giving examples of when a minor can consent to his own treatment.
    4. identifying procedures requiring special consents.
    5. defining a Medical Examiner's or coroner's case.
    6. explaining the Uniform Anatomic Gift Act and advance directives.

Criteria Performance Standard

Upon successful completion of the course the student will, with a minimum 78% accuracy, demonstrate mastery of each of the above stated objectives through classroom measures developed by individual instructors.

History of Changes

DBT 5/15/86 Effective Session 19861 SCN change 8/1/86 Effective Session 19871 DBT 11/17/88 Effective Session 19891 3 YR C&I Review 1993-94 3 Year Review 9899 SCNS # chg eff 20001 C&I 9/25/01, BOT 10/17/01 Effective yrtr 20012. Online 2002. C&I 9-23-03, BOT 10-21-03 Effective 20041. C&I 9/28/04, BOT 11/16/04, Effective 20051(0355). C&I 9/11/07, BOT 10/16/07, Effective 20072(0390). CTS 1101 chg CGS 1060 SCNS Effective 20091(0415). Prereq # change: CGS 1060 chg to CGS 1070 Effective 20102(0435). C&I Approval: 05/16/2014, BOT Approval: 10/21/2014, Effective Term: Spring 2015 (495). C&I Approval: , BOT Approval: , Effective Term: Fall 2017 (535).
C&I Approval: , BOT Approval: , Effective Term: Spring 2019 (555)

Related Programs

  1. Certified Medical Assistant (to HIT-AS) (CMA1IC-AR) (650) (Active)
  2. Certified Medical Assistant (to HSA-AS) (CMA2IC-AR) (650) (Active)
  3. Health Care Services (HSA-CT) (595) (Active)
  4. Health Information Technology (HIT-AS) (640) (Active)
  5. Health Sciences (HSA-TR) (670) (Active)
  6. Health Sciences: Dental Hygiene Focus (HSA-DENHY-AS) (640) (Active)
  7. Health Sciences: Emergency Medical Services Focus (HSA-EMS-AS) (640) (Active)
  8. Health Sciences: General Health Sciences Focus (HSA-GEN-AS) (640) (Active)
  9. Health Sciences: Health Information Technology Focus (HSA-HIT-AS) (640) (Active)
  10. Health Sciences: Nursing Focus (HSA-NURSE-AS) (640) (Active)
  11. Health Sciences: Physical Therapist Assistant Focus (HSA-PTA-AS) (640) (Active)
  12. Health Sciences: Radiography Focus (HSA-RAD-AS) (640) (Active)
  13. Health Sciences: Respiratory Care Focus (HSA-RESC-AS) (640) (Active)
  14. Health Sciences: Surgical Services Focus (HSA-SURG-AS) (640) (Active)
  15. Health Sciences: Veterinary Technology Focus (HSA-VETTC-AS) (640) (Active)
  16. Healthcare Data Management (HCINF-CT) (595) (Active)
  17. Medical Coder/Biller Applied Technical Diploma (MEDATD-AR) (590) (Active)
  18. Medical Coder/Biller PTC (MEDCDTC-AR) (635) (Active)
  19. Medical Coding and Revenue Management (MEDCD-CT) (595) (Active)