There are many . The major reasons why the healthcare system is undergoing dramatic revision and reform have to do with the number of uninsured, and/or underinsured, individuals and the cost of healthcare. This healthcare reform is centered around broad categories of change: · Increasing the population of individuals receiving health care insurance coverage. · Increasing the number of health care providers available to the public. · Improving access to specialists providing health care. · Improving the quality of health care. · Decreasing the cost of health care goods and services. · Patient privacy Because these reforms will impact you daily as a coder or billing specialist, having a thorough understanding of them is important. Title II will be the most impactful on you as a professional in healthcare and should include the most detail of the five components. By using the Figure 5-5, on page 129 of your text, review the five titles/components of HIPAA. Determine the significance of the regulatory considerations for the Health Insurance Specialist. Include the following aspects in the assignment: Ø Provide a brief summary describing the purpose of Titles I, III, IV and V. Ø Discuss topics on Title II by expanding on: o PHI o The difference between fraud and abuse o Upcoding, downcoding and unbundling o The meaning of the identifiers EIN, NPI, and HPID
