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With an increase in the medical identity theft, is it important for HIM professionals to help find incorrect fraudulent information within a health record?

1) Yes, it is important for HIM professionals to help find incorrect fraudulent information within a health record
2) No, it is not important for HIM professionals to help find incorrect fraudulent information within a health record
3) Cannot be determined

1 Answer

7 votes

Final answer:

It is crucial for HIM professionals to identify and correct fraudulent information in health records, given the increase in medical identity theft. They must ensure data integrity and comply with HIPAA, while also considering legal, ethical, and privacy concerns. Strategies must be in place to address and prevent potential identity theft and its consequences.

Step-by-step explanation:

Yes, it is important for Health Information Management (HIM) professionals to assist in identifying and correcting inaccurate or fraudulent information within a health record. Given the rise in medical identity theft, the role of HIM professionals has become even more critical to ensure data integrity, maintain the trust of patients, and comply with legal frameworks such as the Health Insurance Portability and Accountability Act (HIPAA). Ensuring the accuracy of health records not only protects patients’ privacy but also prevents potential harm to individuals who might receive improper treatment based on incorrect information. There are several considerations that need to be taken into account including legal implications associated with violating HIPAA, ethical dilemmas involving privacy, and the widespread consequences of identity theft, such as financial loss and loss of trust in key institutions.

Legal and Ethical Considerations

HIPAA provides a legal backdrop that demands the confidentiality and security of patient health information. HIM professionals must develop policies that trace the balance among the costs of treatments, the quality of life for patients, and the privacy risks. Some fundamental questions include:

  • How do we mitigate the risk of identity theft while optimizing healthcare quality and efficiency?
  • What protocols should be implemented to ensure secure sharing of data among healthcare providers?
  • How can we maintain confidentiality while providing necessary information for public health safety in cases such as sexually transmitted diseases?


Identity Theft Concerns

Identity theft, or "True-name Fraud," involves the unauthorized use of personal information and can lead to substantial financial harm and a loss of trust in the healthcare system. It is imperative for HIM professionals to have strategies in place to respond appropriately when they discover information has been stolen and provide guidance for individuals to protect their personal and health information.

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