Question

Mt Assessment is for Risk Management. The question is - What legislation or regulations apply to risk management in the health industry?

then the question says -please give specific responses for
What legislation or regulations apply to risk management in the health industry?
Name the legislation and standards please.
Please help me with this information

Answer 1

Risk Management:

Risk management is the process of analyzing processes and practices that are in place, identifying risk factors, and implementing procedures to address those risks. Risk management in health care can mean the difference between life and death, which makes the stakes significantly higher. In some respects, risk management in health care is potentially more important than in any other industry.

In health care, risks can range from—but aren't limited to—faulty equipment and other hazards, medical malpractice, and procedures. Managing these and other risks is pivotal within the health care industry to keep people safe and secure, and to keep costs down. Once risk management strategies are put into place, hospitals, long-term care facilities, and other health care organizations can minimize the potential for loss.

Legislation or regulations apply to risk management in the health industry:

• The Affordable Care Act
• Privacy, Security, and Cybersecurity (including HIPAA/HITECH)
• TCPA (Telephone Consumer Protection Act)
• Telehealth/Telemedicine
• Medicare
  • Medicare Advantage
  • Medicare Part D
  • MAC (Medicare Administrative Contractors)
  • MSP (Medicare Secondary Payer) reimbursement and Section 111 insurer reporting
  • RAC (Recovery Audit Contractors)
  • Medicare Integrity Program Contractors
• Medicaid
• FEHBA (Federal Employees Health Benefits Act)
• ERISA
• TRICARE
• Contracting and Oversight with Lower-Tier Entities
  • Business Associates
  • First Tier, Downstream, and Related Entities
  • Subcontractors
  • Vendors
• Health Plan – Provider Contracting
• Federal and State Health Care Fraud Laws
  • Federal Health Care Anti-Kickback statute and regulations
  • False Claims Act
  • Civil Monetary Penalties Laws