Running head: FINANCIAL LAWS AND REGULATIONS
Financial Laws and Regulations
Professor:
Health Services Finance
This study source was downloaded by 100000829957125 from CourseHero.com on 02-21-2022 23:10:54 GMT -06:00
https://www.coursehero.com/file/11454234/Financial-Laws-and-Regulations-WEEK1-HSM-340/
, FINANCIAL LAWS AND REGULATIONS 2
1. What are five elements pertaining to the establishment of a false claim under the False
Claims Act?
The five elements pertaining to the establishment of a false claim under the False Claims
Act include falsely billing the government, over-representing the amount of a delivered product,
understating an obligation of the government, conspiring to commit a violation of the False
Claims Act and using a false record to avoid payment obligations to the government. In fact, the
False Claims Act has several other provisions, but they all follow the same organizing principle:
the persecution of operations that attempt to defraud the governmental finances at the federal
level (Callahan & Dworkin, 1992) .
The elements also vary from state to state, since there are similar regulations enforced by
local governments, on the federal levels the offices are persecuted by the Justice Department but
they can also be initiated by a private individual, who will often be financially compensating for
pointing out the fraud.
2. HIPAA privacy standards were designed to accomplish what three broad objectives? Explain
each.
The HIPPA Privacy Standards were designed to accomplish three broad objectives
including the protection of individually identifiable health information (which is kept by covered
entities like hospitals and other health care service providers, private health care professionals
and institutions, etc.), to provide patients with rights related to the management of such
information and finally, the standards set the rules for disclosing the health information in case in
which care providers need such information to provide health services.
Essentially, the HIPPA privacy standards are a series of mechanisms to protect the
confidentiality of the medical data related to the patient and at the same time set the legal
This study source was downloaded by 100000829957125 from CourseHero.com on 02-21-2022 23:10:54 GMT -06:00
https://www.coursehero.com/file/11454234/Financial-Laws-and-Regulations-WEEK1-HSM-340/
Financial Laws and Regulations
Professor:
Health Services Finance
This study source was downloaded by 100000829957125 from CourseHero.com on 02-21-2022 23:10:54 GMT -06:00
https://www.coursehero.com/file/11454234/Financial-Laws-and-Regulations-WEEK1-HSM-340/
, FINANCIAL LAWS AND REGULATIONS 2
1. What are five elements pertaining to the establishment of a false claim under the False
Claims Act?
The five elements pertaining to the establishment of a false claim under the False Claims
Act include falsely billing the government, over-representing the amount of a delivered product,
understating an obligation of the government, conspiring to commit a violation of the False
Claims Act and using a false record to avoid payment obligations to the government. In fact, the
False Claims Act has several other provisions, but they all follow the same organizing principle:
the persecution of operations that attempt to defraud the governmental finances at the federal
level (Callahan & Dworkin, 1992) .
The elements also vary from state to state, since there are similar regulations enforced by
local governments, on the federal levels the offices are persecuted by the Justice Department but
they can also be initiated by a private individual, who will often be financially compensating for
pointing out the fraud.
2. HIPAA privacy standards were designed to accomplish what three broad objectives? Explain
each.
The HIPPA Privacy Standards were designed to accomplish three broad objectives
including the protection of individually identifiable health information (which is kept by covered
entities like hospitals and other health care service providers, private health care professionals
and institutions, etc.), to provide patients with rights related to the management of such
information and finally, the standards set the rules for disclosing the health information in case in
which care providers need such information to provide health services.
Essentially, the HIPPA privacy standards are a series of mechanisms to protect the
confidentiality of the medical data related to the patient and at the same time set the legal
This study source was downloaded by 100000829957125 from CourseHero.com on 02-21-2022 23:10:54 GMT -06:00
https://www.coursehero.com/file/11454234/Financial-Laws-and-Regulations-WEEK1-HSM-340/
