Question

In: Operations Management

Slaff, a 73-year-old-retiree, was covered under Medicare formedical expenses. When Slaff experienced difficulty breathing, she...

Slaff, a 73-year-old-retiree, was covered under Medicare for medical expenses. When Slaff experienced difficulty breathing, she visited her family doctor for assistance. her family doctor referred her to a pulmonologist, a specialist in respiratory illness, who prescribed a drug to address the medical condition.

A. Can Slaff receive benefits under Medicare Part A to cover the fee charged by her general practitioner?

B. Can Slaff receive benefits under Medicare Part B to cover the fee charged by her pulmonologist?

C. Can Slaff receive benefits under Medicare Part D to cover the cost of the drug prescribed by her pulmonologist?

D. Is Slaff pharmacist required to adhere to the to the privacy provisions included in HIPAA?

Solutions

Expert Solution

Along these lines, Slaff can't get benefits under Medicare A to cover the expense charged by her general professional.

Medicare Plan B alludes to an arrangement that covers all outpatient care and benefits and additionally specialist care. On the off chance that Slaff is secured under this arrangement, she can get advantages to cover the expense charged by her pulmonologist.

On the off chance that she is under this arrangement, she can likewise get advantages to cover the expense charged by her family specialist (general professional).

According to the Health Insurance Portability and Accountability Act (HIPAA), facilities, specialists, nursing homes, drug stores, and so forth are required to submit to this demonstration, particularly for medicare plans.

Along these lines, Slaff's drug specialist supplier needs to stick to the security arrangements remembered for HIPAA which is to set standards concerning when and how wellbeing related data (counting specialists that the patient is being alluded to, meds that the patient is recommended) with respect to an individual might be utilized or uncovered.


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