professional conduct or medically unnecessary.” Health care fraud arises from an individual or group of individuals filing of a dishonest health care claim in order to turn it into a profit. Abuse; however‚ is harder for the investigator to identify and establish if the act was committed knowingly‚ willfully‚ and intentionally. Healthcare industry is one of the fastest growing sectors of the US economy; almost 10% of the US’s national GDP is consumed by the health care industry. According to Forbes’s report
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Responsibility and Current Health Care Issues Paper - Health Care Fraud Roberta Roelofs HCS / 545 November 17‚ 2014 Michael Grossman Health care fraud is a current health care issue throughout the health care industry from hospitals to home care services. “The National Health Care Anti-Fraud Association (NHCAA) estimates that health care fraud accounts for at least three‚ but as much as ten percent of total health care expenditures”(Hubbell‚ 2006). Health care organizations that work with medicare
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accreditation and how undergoing the accreditation process can enhance quality. Go to The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) Web site (http://www.jointcommission.org)‚ and answer the following questions. Be sure to set a positive tone that will appeal to and win over staff‚ emphasizing the benefits accreditation can provide your organization. Format your answers in a memo format and address it to me. * What exactly are accreditation and certification? Accreditation
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Introduction The purpose of this research paper is to evaluate Healthcare-Associated Infections (HAI)‚ a common complication of hospital care and one of the top leading causes of death in the United States. The paper will explore the current issues of HAI‚ the problem examined‚ the significance‚ and what methods are currently being implemented to reduce the problem. Problem Background The challenge that many hospital facilities are facing is how to avoid HAIs while treating patients for medical
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States health care system is financed privately and publicly. Private coverage is through employers primarily and makes up approximately 54% of total healthcare expenditure. The federal government finances the remaining 46%. ( National Center for Health Statistics‚ 2009). ( Shi and Singh‚ 2013 ). Canada has a national insurance system that provides fifty/ fifty cost of sharing for territorial or provincial medical insurance plans. The Canadian system provides free universal coverage with care at the
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As a manager in the health care division‚ I would like to give you all the insights in to the current US healthcare system.As per our previous analysis‚you might have understood the Medicare program in detail.So now let me explain you all about the current status of US health care system. Current status of nation’s health care: Healthcare will grab more and more headlines in the U.S. in the coming months. Any service that is on track to consume 40 percent of the gross national product of the
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Q.How to shape behavior of manager in an organization. * Attempt to mold individuals by guiding their learning in graduated steps. * Systematically reinforcing each successive step that moves an individual closer to the desired response. * There are four ways to shape behavior such as: (1) Positive Reinforcement (2) Negative Reinforcement (3) Punishment (4) Extinction (1) Positive Reinforcement According to Skinner’s terminology‚ any form of incentives such
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Many employers are now requiring mandatory drug testing for applicants and current employees. Drug use has risen sharply over the past years and employers now need to take further precautions in order to maintain a reputable work environment. I believe this extra precaution will improve the workplace by creating a safer atmosphere‚ keep integrity and honesty in the staff‚ and eliminate many illegalities that go along with drug use in the workplace. These qualities would be further infused if drug
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standard to the healthcare industry. Accountability is a key part that is an essential part of an organization. Accountability is not just expected but also necessary. Employees need to be held accountable for their actions in one way or another. Without accountability an organization will operate properly and efficiently. Accountability upholds a high standard and measure and affects an organization like no other factor and has cost the healthcare industry billions of dollars and continues to grow
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BTEC Professional (EDSML) | [ | Contents 1.0 Introduction 2 Task 01 2 1.1 Analyze Features of any Healthcare Organization which Encourages 2 1.2 Analyze Leadership and management styles that facilitate continuous improvement 3 1.3 Analyze features of a Learning Organization 4 1.4 Analyze approaches to introduce and embed changes within St Christopher’s Care Home 6 1.5 Analyze Approaches to Quality Improvement. 7 Task 02 9 2.1 Assess sources of information likely to identify
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