"Medicare" Essays and Research Papers

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    either need short-term rehab while recovering from surgery‚ or require long-term nursing and medical supervision. Venetian Gardens offers services such as skilled nursing‚ rehabilitation‚ and long–term care; they also participate in Medicaid and Medicare. Venetian Garden’s facility in Loveland is a for-profit corporation chain that can house up to 99 residents; they currently house 92 residents. The facility serves mostly the elderly population‚ but they do also house mentally and/or physically

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    reports noncompliance raises healthcare costs by about $100 billion due to increased hospital and nursing home admissions. It may also be one of the reasons when medical treatment fails. Center for Medicare Service establishes requirements for nursing home participation in the Medicate/Medicare Program. Skilled nursing facilities must meet over 400 requirements‚ broken down into three levels. The first level consists

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    governance. Retrieved September 23‚ 2011 from http://www.bmhsc.org/job_nurse_sharedgovernance.htm Caramanica‚ L.‚ (2004). Shared governance: hartford hospital ’s experience. Online journal of issues in nursing Davis‚ E.‚ (2010). Top 5 reasons for Medicare denial. Retrieved September 14‚ 2011 from http://www.associatedcontent.com/article/2572409/top_5_reasons_for_medicare_claim_denial.ht ml?cat=5 Delozier‚ H.‚ (2011) guide planning excellence. Retrieved September 23‚ 2011 from http://www.clubnewsmaker

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    Article Review 1

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    Review of: Challenges To Using A Business Case For Addressing Health Disparities Perspective: Challenges To Using A Business Case For Addressing Health Disparities‚ sheds light on a alternative approach to community healthcare. The authors reflect on two approaches in addressing disparities‚ business case and social case. They discuss some of the challenges along with the potential benefits in implementing the business case method. The article goes on to mention some key areas that healthcare organizations

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    Kalman‚ Noah S.‚ (2012) Medicare’s Readmission- Reduction Program-A Positive Alternative. New England Journal of Medicine 366:15 1364-1366. Medicare Payment Advisory Commission: A Path to Bundled Payment around a Hospitalization. Medicare Payment Policy. Report to Congress. June 2008. Policy for Inpatient Readmissions: Promoting Greater Efficiency in Medicare. Report to Congress. June 2007. Young‚ Jeffery. Grassley‚ Baucus chide CMS on specialty hospitals. May 17‚ 2006. Retrieved May 7‚ 2012‚ from

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    Aco Review and Discussion

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    services amongst patients and third party payors. There are many types of payment reform models‚ one in particular that has been adopted by the Government and developed by the centers of Medicare and Medicaid is the “Shared Savings Program.” “Section 3022 of the Affordable Care Act requires the Centers for Medicare & Medicaid Services (CMS) to establish a shared savings program to facilitate coordination and

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    provisions created the Center for Medicare and Medicaid Innovation‚ with the intent to focus on better care by “enabling anyone who wants to help join us on this endeavor” (U. S. Department of Health and Human Services‚ 2011b‚ p.1). Americas National Health Expenditure (NHE) continues to increases while quality outcomes decline‚ in 2009 there was an increase of $2.5 trillion ($8‚086 per person) accounting for 17.6% of Gross Domestic Product (HHS & Centers for Medicare Medicaid Services‚ 2011). Hospital

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    Reimburstment Methology

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    Centers for Medicare & Medicaid Services (CMS) website‚ a law became effective as of October 1‚ 2007‚ that all acute-care healthcare providers must identify whether a diagnosis was present upon inpatient admission. This concept was summoned due to many concerns about the quality of care within the healthcare system and how the government was overpaying due to hospital errors. After many years of planning the present on admission (POA) indicator was added to the UB form for inpatient Medicare claims

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    Health Law and Regulation

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    Center for Medicare and Medicaid Services (CMS)‚ these two agencies have substantial influence on every aspect of health care delivery. The FDA is responsible for protecting and promoting public health through the regulation and supervision of food safety‚ medical devices‚ drugs‚ vaccines‚ blood products and biologics. In addition‚ they monitor medical errors and adverse reactions and reporting such to providers‚ (U.S. Department of Health and Human Services‚ 2011). CMS controls the Medicare program

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    quality and proficiency of care delivered. The Centers of Medicaid and Medicare Services (CMS)‚ and the ACO is “health care providers of an organization which approves accountable services of quality‚ overall care‚ and quality of Medicare beneficiaries enrolled by the traditional fee-for-service program that are assigned to it.” Medicare (2010). The cost of running a system that backed by government funds is too

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