Chotu Bodhi graduated from The Harvard School of Law and was offered a job as a legal advisor with Xponential LLC based

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answerhappygod
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Chotu Bodhi graduated from The Harvard School of Law and was offered a job as a legal advisor with Xponential LLC based

Post by answerhappygod »

Chotu Bodhi graduated from The Harvard School of Law and was
offered a job as a legal advisor with Xponential LLC based in
California. He had a personal Provider (Dr. Roy Kukuma) he visited
quite frequently while in school. His employer offered him health
insurance coverage and added he could reduce his premium if he
could get his annual check up medical records , but since his
Provider was in Massachusetts, he considered that a major challenge
to obtain the medical records. He told the benefits department
about his attempts to get his Provider to email the records to him
but said the Doctor could not export the records out of the EMR.
Chotu and Dr. Kukuma ended up agreeing for the records to be sent
via mail to his employer’s benefits department to be added to his
insurance documents to reduce his premiums. After all the records
were updated, he noticed that his premium was higher instead and so
he flagged it as an error with the benefits department but was told
they discovered he had a genetic condition in his bloodline which
requires a lot of medical procedures when there is an attack. Chotu
explained that he has never had an attack and was also told by his
specialist he might never get an attack as if that would help with
the stands of his employer. Chotu realized it was lost fight and so
dropped the pursuit and kept paying the new higher rates.
Questions: 1. Identify and explain at least 3 issues in this
case study; one under each of the following headings: Health
Information Exchange (Identify the main issues with the information
sharing process, and recipients) HIPAA Privacy Regulation EMR
Technical Challenges
2. Briefly explain why Chotu’s genetic information should or not
be used as a determinant of his medical coverage
3. How different is a Genetic Medical condition from a
Pre-existing condition?
4. What recommendations will you make to Chotu to get this issue
rectified?
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