Discussion Wk7 Essay Assignment
Discussion Wk7 Essay Assignment
Answer the Discussion Board board questions in paragraph form
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Joan Leikvold was hired by Valley View Community Hospital as an operating room supervisor in 1972. She did not have a contract for a specific duration, nor was she told that the hospital would not discharge her except for cause. She was provided with a policy manual and told that the policies were to be followed in her employment relationship with the hospital. In 1978, she became the director of nursing. In October 1979, she requested a transfer back to her former position in the operating room. The chief executive officer (CEO) felt that it was inadvisable for someone who had been in a managerial position to take a subordinate position. Leikvold withdrew the transfer request but was subsequently fired. Her personnel record indicated “insubordination” as the reason for discharge. Leikvold was an at-will employee. At-will means that there is a contract made for an indefinite duration and either party, employer or employee, may terminate the contract at any time for any reason, or without reason, provided the reason is not discriminatory. Can the CEO fire Leikvold?
1) Your response should be in depth (3-4 paragraphs for the initial post. Defend your position with concrete examples from the weekly content.
2) APA citation is required.
Chapter Overview
Because state and federal laws closely regulate medicine, students will need to know the laws and regulations that govern the practice of medicine and the procedures they are permitted to perform.
This chapter explains the many laws that students will encounter in the workplace. Discrimination is a prominent issue in the hiring and promotion of employees that your students will want to know about. This chapter also addresses sexual harassment, a serious problem in the workforce. Students will learn how the ADA regulates the hiring and promotion of physically and mentally disabled individuals; the FADA protects the rights of older workers; the Equal Pay Act prevents the practice of paying women less than men for the same job; the FLSA establishes a federal minimum wage, mandates extra pay for overtime work, and regulates the employment of children; the ERISA involves pensions; and, the OSHA affects health care workers, particularly with regulations involving right-to-know laws and blood-borne pathogens.
Other issues discussed in this chapter are workers’ compensation and social security, which affect every employer and employee. The chapter also explains that Medicare and Medicaid are government-sponsored health care delivery and compensation systems.
And, finally, this chapter makes clear that procedures manuals, job descriptions, and employee handbooks are all part of the business side of a medical practice, as are laws affecting collection procedures.
Recommended Resources
These resources are provided for additional information about select topics:
• Sexual harassment:
U.S. Equal Opportunity Employment Commission. (n.d.). Sexual harassment. In Laws, rules, & regulations. Retrieved from 33Thttps://www.eeoc.gov/laws/types/sexual_harassment.cfm33T
• ADA Amendments Act of 2008. Retrieved from 33Thttps://www.eeoc.gov/laws/statutes/adaaa.cfm33T
• OSHA. Retrieved from 33Thttps://www.osha.gov/33T
• Social Security. Retrieved from 33Thttps://www.ssa.gov/33T
• Medicare. Retrieved from 33Thttps://www.medicare.gov/
• Medicaid. Retrieved from 33Thttps://www.medicaid.gov/
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Flight_Ch02.pptx
Law, Liability, & Ethics For Medical Office Professionals
Sixth Edition
Chapter 2
Laws and Regulations You Will Encounter
Copyright © 2018 Cengage. All Rights Reserved.
Copyright © 2018 Cengage. All Rights Reserved.
Objectives (1 of 2)
Recognize complexity of government influence on practice and licensing of medicine
Describe importance of understanding basic employment, discrimination, and harassment laws when hiring, promoting, and terminating employees
Identify provisions of Family and Medical Leave Act
Recognize situations affected by Americans with Disabilities Act (ADA)
Identify four social security benefits
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Objectives (2 of 2)
Recognize differences between Medicare and Medicaid
Define Employee Retirement Income Security Act (ERISA)
Recognize importance of Occupational Safety and Health Act (OSHA) regulations
Define job descriptions, procedures, manuals, and employee handbooks
Describe basic collection protocol
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Introduction to Health Care Laws, Regulations, and Business Protocols
As a medical office professional, you will want to be aware of:
Medical practice laws and regulations
The nature of your employment
Discrimination
Sexual harassment
Health care laws and regulations
Union membership and collective bargaining. Discussion Wk7 Essay Assignment
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Government Regulation of Health Care Providers (1 of 2)
Medical practice laws control practice of medicine
State legislatures establish state medical boards with authority to control health care provider licensing
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Government Regulation of Health Care Providers (2 of 2)
Licensing boards grant, renew, and revoke licenses
Physicians to submit reports under certain circumstances.
Child and elder abuse
Controlled substances acts restrict distribution, classification, sale, and use of certain drugs
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Employment Law (1 of 3)
Discrimination law does not allow employers to ask questions concerning, race, religion, age, or whether a woman is pregnant
Pre employment testing ensures that tests will only measure skills and abilities necessary to do job
Drug testing is necessary to ensure public’s safety
Equal Opportunity Employment prohibits employment based on race, color, religion, sex, or national origin
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Employment Law (2 of 3)
Drug Testing
Employers allowed to test potential employees as part of hiring process
EEOC administers and enforces Title VII of the Civil Rights Act of 1964
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Employment Law (3 of 3)
Disparate Treatment does not allow employers to treat employees differently because of their race, sex, religion, or national origin
Disparate Impact ensures that employers do not treat employees differently in an “adverse” manner on a particular protected group
For example, a minimum height requirement may discriminate against women
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FMLA
The Family and Medical Leave Act of 1993 (FMLA) requires employers of 50 or more to provide up to 12 weeks of unpaid leave each year for “serious health condition” of an employee or member of employee’s immediate family or for birth or adoption of a child
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ADA
The Americans with Disabilities Act (ADA) covers physical as well as mental disabilities in employment, public services, public accommodations, and telecommunications
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Federal Age Discrimination Act
The Federal Age Discrimination in Employment Act of 1967 (FADA) covers age discrimination and protects rights of older workers
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Equal Pay Act
The Act was passed in 1963 to end the practice of paying women less than men for the same job
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Fair Labor Standards Act
The Fair Labor Standards Act (FLSA) establishes federal minimum wage, mandates extra pay for overtime work, and regulates the employment of children
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Workers’ Compensation
Workers’ compensation laws are administered by state governments and create a mandatory insurance system that reimburses employees for losses sustained because of work-related injury or disease, regardless of fault.
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Social Security (1 of 2)
Social security (Ss) include several different but related programs:
Retirement
An individual becomes eligible for retirement benefits at the age 62
Retirement benefits require a total of 40 quarters or 10 years of work credit from covered employment
Disability
Benefits are paid to individuals who are disabled
Any medical condition that prevents an individual from being gainfully employed may be considered a disability. Discussion Wk7 Essay Assignment
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Social Security (2 of 2)
Dependent’s/Survivor’s Benefits
Certain dependents of a retired or disabled worker are eligible for monthly benefits if worker is eligible for retirement or disability benefits
Surviving family members of a deceased worker may be entitled to survivor’s benefits
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Medicare
Medicare is a federal insurance program for people who are entitled to Medicare from their social security contributions and payment of premiums
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Medicaid
Medicaid is a program jointly administered by federal government and state government for low-income individuals obtainable through social services or welfare departments
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Employee Retirement Income Security Act (ERISA)
Protects and regulates pensions
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Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Guarantees renewal and transferability of health insurance coverage to those already with coverage and to their dependents
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HITECH Act
The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages and requires use of various methods of health care technology with improved health care as objective
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Occupational Safety and Health Act (OSHA)
OSHA rules and regulations are intended to prevent injuries and promote job safety
OSHA is authorized to enforce standards through:
Complaint
Inspection
Investigation
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Unions and Health Care Workers
In 1919, American Federation of Labor organized engine room, laundry, and dietary employees; nurse’s aides; and orderlies in three San Francisco hospitals
American Nurses’ Association (ANA) supports collective bargaining
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Working Conditions
Every position in an office should have a job description divided into two parts:
Responsibilities of each employee
Listing of tasks to be performed by each employee
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Procedure Manuals and Handbooks
Procedures Manual describe in detail the manner in which a task in job description should be carried out
Handbooks provide personnel policies and related instructions. Discussion Wk7 Essay Assignment
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Collections
Steps
Notification
Contact individual
Determine if there is a valid reason for failure to pay
Discuss alternative payment schedule
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