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http://libproxy.gmercyu.edu:2080/eds/pdfviewer/pdfviewer?vid=9&sid=d920a0d9-dbb5-466e-a254-cf1e46b58736%40sessionmgr102

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Dr. Orenstien monitors and evaluates the effectiveness of her plan and makes appropriate changes as deemed fit.

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The Dr. discusses the limits of confidentiality relating to the ACA with the client and explains that she can minimize some sensitive details but, it is mandatory that she discloses to the insurance company to obtain reimbursement for services rendered during the informed consent.
She suggests having family therapy to help with the new transition.

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Generate alternatives

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The Dr. considers the negative and positive consequences to the effected stakeholders (her client, parents, insurance company and, the ACA laws) http://libproxy.gmercyu.edu:2080/eds/pdfviewer/pdfviewer?vid=19&sid=ae98486b-d150-4974-a1ad-434633e4456c%40sessionmgr4010

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Consults Federal, state, and civil law about the requirement for EOB sending and  to who and any adopted approaches that could limit disclosure .
https://www.americanbar.org/content/dam/aba/administrative/human_rights/acc_confidentiality_individuals_insured_dependents.authcheckdam.pdf

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Standard 4.04 Minimizing Intrusions on Privacy
Standard 4.05 b Disclosures
Standard 6.04 Fees and Financial Arrangements
Standard 9.01 a  Bases for Assessments
Standard 9.03 Informed Consent in Assessments
Standard 10.01 Informed Consent to Therapy

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Standard 4.01 Maintaining Confidentiality
Standard 4.02 Discussing the Limits of Confidentiality
Standard 1.02 Conflicts Between Ethics and Law, Regulations, or Other Governing Legal Authority
Standard 3.04 Avoiding Harm
Standard 3.07 Third-Party Request for Services

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Dr Orenstein is committed to doing what is right. She wants to protect the confidentiality of her patient but knows she is mandated by law to disclose confidential information

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Consider the relevant APA code of ethics Principles and Standards.
1. Principle A: beneficence and Nonmaleficence
2. Principle B: Fidelity and Responsibility
3. Principle E: Respect for People's Rights and Dignity
Standard 3.06 Conflict of Interest
Standard 3.10 Informed Consent

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"Protecting Confidentiality Rights" The Need for an Ethical Practice Model. 

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"Protecting Confidentiality Rights" The Need for an Ethical Practice Model. 

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http://www.centerforethicalpractice.org/publications/articles-mary-alice-fisher/protecting-confidentiality-rights/