(Mechanic, 2006, p. 11) (Sparrow, 2000, p. 9) Lastly, low reimbursement may be a the center of concerns about cost shifting to private insured persons, private insurance reimbursement contracts and those with the least bargaining power private pay p Continue Reading...
Criminal Behavior by Health Care Provider While the U.S. federal government has established various programs to deal with abuse and fraud cases in the healthcare industry, healthcare facilities still experience such incidents. An example of a recent Continue Reading...
Healthcare Law -- Ethics & Policy Memo to ABC Hospital Board of Directors: How to develop strategies to help mitigate abuse and fraud within our organization by understanding fraud and abuse issues. The Department of Health and Human Services h Continue Reading...
Rite Aid Fraud Over the years, there have been numerous cases of financial fraud perpetuated within the organizational mainstream of major companies. Financial fraud is often a well-coordinated sort of white-collar crime that often -- but not always Continue Reading...
If one takes into account that the number of elderly in nursing homes in the country is on the increase, then the need for an adequate awareness of and research into the problem becomes evident. One of the central questions that need to be addresse Continue Reading...
Repressed Memory At first glance, The Myth of Repressed Memory seems like it might be an offensive read that denigrates the experiences of millions of abuse and incest survivors. Yet according to Elizabeth Loftus and Katherine Ketcham, the phenomeno Continue Reading...
A lack of good relationships with staff can also result in a high risk factor for abuse from caregivers at these facilities. According to Woolf (1998), other factors that can contribute to the abuse of elderly persons, either in care facilities or Continue Reading...
experienced a significant increase in the cost of health care. In 2004, 16% of the Gross Domestic Product (GDP) was spent on health care. In 2010, President Obama signed the "Affordable Health Care for America Act (HR 3962)" that has been a topic of Continue Reading...
The greater availability of patient records can make it easier to create false claims, through electronic tampering. This is yet another risk of telemedicine, which must be guarded against through encryption and proper security infrastructure. Sell Continue Reading...
logs and narrative-only reports is commonplace in a number of public and private sectors, including law enforcement and health care where they are used to codify different types of events for different purposes. Irrespective of the setting and purpo Continue Reading...
advancements in technology have meant that nearly every single aspect of daily life is changing. A good example of this can be seen with the use of the RFID chips in health care. This has been touted in the news media, as a way to address a host of Continue Reading...
The way that this can be accomplished is by forming boards that are similar to Long-Term Care Committees. The only difference is that they would severe a similar role as a medical control board. Where, they will have the responsibility for determini Continue Reading...
Protection and Future Changes It was moderately challenging to find sufficient sources. After receiving the assignment, I performed an initial search. There were only one or two sources from my original search that I ended up using in the final res Continue Reading...
Risk Management A Vital Component in the Governance of Health Care Institutions Risk exists in any endeavor. Many people drive every day risking a traffic collision, others live in areas where the risk of spring tornados is extreme, and still other Continue Reading...
Pluses: High level of privatization as most companies offering health care insurance are private The U.S. health care system is the most expensive in the world, meaning that the country spends most money on the health of its people; this is true Continue Reading...
Passing Congress with bipartisan support, the Health Insurance Portability and Accountability Act (HIPAA, Public Law 104-191) became the legislative vehicle to address those issues. Your health information cannot be used or shared without your writt Continue Reading...
It is also wise to have it reviewed by a doctor or attorney, the Family Doctor Web site suggests; that way you can be assured that what you wish to have done with you and to you if you become incapacitated is "understood exactly as you intended" (Fa Continue Reading...
American Hospital Association (AHA) might be interested in the pending legislation: Although all three positions of the proposed bill would be of concern, two of the three would cause serious ramifications for the AHA and its members. The first wou Continue Reading...
The security rule also requires the physician to train his staff periodically on security policies and procedures and to come up with a contingency plan in cases of calamities like an earthquake, fire or other events that can destroy his information Continue Reading...
" Written Policies Covered entities must develop and implement written privacy policies that are consistent with the Privacy Rule (OCR, 2003). This policy must address several components. One is that there must be a privacy official. The privacy of Continue Reading...
It has even created a new network of medical clinics that provide easy access to medical treatment at affordable prices at an efficient pace for such routine treatments as strep throat cultures, physicals for jobs or athletics, flu shots, and other Continue Reading...
Budget Plan for $10 Million Fund Allocation Positive economic development in any city in the United States relies on the provision of effective, efficient, and strong infrastructures that will attract investment to generate job opportunities in the Continue Reading...
Identity & Medical Theft Identity Theft and Medical Theft Identity theft occurs when a victim's name, social security number, or other personal identifying information gets used to commit fraud or other crimes (Lafferty, 2007). Fraudsters use t Continue Reading...
Voice verification technology systems are capable of enabling state and federal programs to confirm the identity of medical service providers such as home health care workers and home health aides. In principle, the assigned service provider would s Continue Reading...
Privacy Rules HIPPA Over the years, various regulations have been enacted to ensure increased amounts of protection for the general public. The Health Insurance Portability and Accountability Act (HIPPA) was designed for several different reasons. T Continue Reading...
CASE STUDY 6.3: SINGLE-PAYER SYSTEM 1AbstractCase 6.3 seeks to assess the cost-effectiveness of the Medicare for All system. It discusses the cost savings to be realized by insurers, providers, and patients in implementing the Medicare for All system Continue Reading...
PPSPA bills would have enabled federal regulation to perform this more efficiently than present regulation efforts exerted by the States and the Accreditation Council for Graduate Medical Education or ACGME. Restrictions to the ACGME self-regulation Continue Reading...
What produces value in managed care is a good health outcome rather than medical intervention. Not every visit to a doctor is necessary; nor is every test conducted, every medication prescribed, or every placement in an intensive care unit going to Continue Reading...
The EPA conducted a study on the effectiveness of the amnesty program after three years of implementation on May 17, 1999. It found that, during the study period, 455 entities had revealed violations of 1,850 facilities and that the rate of disclosu Continue Reading...
Compliance Oversight As the compliance officer at ABC Hospital, one of my major tasks is to research the Office of the Inspector General (OIG) website to locate the 2012 plan with a view of identifying compliance issues under review by the OIG. Gene Continue Reading...
The Act creates a positive balance between government interests to save money and the interests of Medicare recipients to receive a wide range of drugs for their specific needs. The current ban on government negotiations with pharmaceutical companie Continue Reading...
Social Policy Analysis Report Definition of Social Problem In recent decades, sex trafficking has become a substantial social problem affecting the whole world and continues to necessitate worldwide collaboration to combat it (Brooks and Heaslip, 201 Continue Reading...
Managing Barriers Barriers encountered in the Capstone project revolved around the idea that the staff felt it was not there job to read rhythm strips, and did not make the time to get off the floor for any continuing education. Good leadership can Continue Reading...
Malpractice in Advanced Nursing Practice A CLOSER LOOK Legal/Ethical Principles When nurses pursued independent practice outside hospitals, the law supported their bid to breach traditional roles (Kjervik & Brous, 2013). This phenomenon was de Continue Reading...
Financial Management Content Find articles address financial reporting practices ethics standards health care finance, including * generally accepted accounting principles * corporate compliance, ethics, and fraud abuse Financial management: Litera Continue Reading...
Filling these top positions are cumbersome and, occasionally, controversial. Appointment tenure takes time to decide and may often be short leading to confusion within the administration itself, to inaction in decision and work, rapid turn-around an Continue Reading...
Accounting Standards Financial reporting practices and ethical standards in health care finance constitute the foundation of every successful organization. Healthcare organizations and other industries in the general market adopt Generally Accepted Continue Reading...
(Chizek, 2003) The Role legal nurse consultant may provide service in a number of roles, including but not limited to: Consulting expert Testifying expert Facility-based investigator Trainer and in-service presenter Peer reviewer Quality impr Continue Reading...
PharmaCARE -- Case Review The Stakeholders There are numerous stakeholders and stakeholder groups that are presented in this case. The stakeholders can be thought of in two different primary groups to make the first set of distinctions, internal an Continue Reading...
