Medicare Essays Samples That Help You Write Better, Faster & with Gusto

Part One The Health Reform Proposal of 1993 by President Clinton and the Affordable Care Act are health reform efforts that have been conceived in the United States of America in the recent past. The two reform efforts have inherent differences and similarities. One of the differences in the two proposals is that the Obama Plan was designed to create insurance exchanges for people who are not covered, owners of small businesses and people in individual markets. Unlike the Obama plan, the Clinton Plan formed regional alliances. Another difference in the two plans is that the Obama Plan does Continue reading...

Part 1

The Phoenix VA Health Care System operates under the U.S Department of Veterans Affairs to extend health services to veterans in central Arizona. The organization’s Cancer Program, which is delivered via its subsidiary Carl T Hayden VA Medical Center, is intended to decrease the morbidity and mortality of veteran cancer patients. Under this program, patient education is promoted to prevent the occurrence of this deadly disease, and early and accurate diagnosis is facilitated through evaluation. The Cancer Program delivers standard oncology treatment if the patient wishes so. In addition, patients are timely and appropriately referred to a comprehensive Continue reading...

Discussion Question Week 15

Discussion Question Week 15

The early public health reform efforts began in the 1930s. In President Roosevelt’s first term, he selected a Committee on Economic Security that was to report to him with a program that dealt with unemployment, old-age, together with as health insurance and medical care. When this occurred itwas between 1934 and 1939 that saw the formation of a deal with the National Health Institute (NHI). This committee carried out its operations in isolation, without seeking public participation, and recognized from the start that National Health Insurance was of lower importance than unemployment insurance and Continue reading...

Abstract

Healthcare industry is subject to changes relating to service cost management with the changes involving regulation and policies ranging from federal to the state as well as the payment systems; all affecting healthcare institutions decision-making in addiion t o budgeting. The analysis used the case of West Florida Hospital that offers an extensive array of treatment and rehabilitative services mainly providing services to individuals having activity limitations. The institution has been identified to have been applying flexible budgeting, as well as a combination of pay systems.
Those systems include the use of codes in billing as well as the Continue reading...

Medicare fraud and abuse results on abusing the system and increases the strain on the Medicare Trust Fund which cost taxpayers billions of dollars while putting beneficiaries’ health and welfare at risk. But there are laws such as Physician Self-Referral Law that will help us avoid such situation. Physician Self-Referral Law, in definition, can be basically characterized as a law for referrals from a doctor. The issue with doctor referral toward oneself is that a doctor alludes a patient to a medicinal office in which he has a money related premium, be it proprietorship, venture, or an organized pay Continue reading...

Access to and provision of quality healthcare services is considered to be a basic human right in many parts of the world. Medicare is a health insurance program in America that is composed of several parts e.g. hospital insurance and medical insurance that caters for various medical services. It is a program mainly created for old people although young disabled people and those with diseases such as permanent renal failure are also eligible to this Medicare program. Its main source of finance is from taxes deducted from employees and also employers, and partly from Social Security premiums. Medicare being Continue reading...

Compliance plan

The Medicare practices willingly set forth the compliance program to enable individuals and small physicians’ practices in giving quality health care to the patients. The aim of the compliance plan is to reduce fraud, prevent abuses, and minimize wastages. The primary aim of the compliance plan for the individual and small physician practice is to detect, prevent, and find resolutions of the variances. Hence, the compliance plan of the individual will contain the eight elements that are in the compliance program of the medical practice.

Elements of the compliance plan

1. Commitment to compliance

A. Standard of conduct

B. Medical necessity
C. Billing
D. Reliance on standing orders

E. Compliance with applicable HHS Fraud Alerts

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The advancement in technology has triggered various health facilities to adopt electronic health records for purposes of securing data and maintaining confidentiality of patient’s information. However, along with this adoption is the need for health professionals and health facilities to obtain a license in the use of electronic health records.
Through the requirements imposed by the American Recovery and Reinvestment Act of 2009, the Centers for Medicare & Medicaid Services carried out incentive payments to qualified professionals and healthcare facilities, as well as critical access hospitals, actively involved in Medicaid and Medicare programs that are significant consumers of certified Continue reading...

The blog article seeks to answer some common coverage questions. From the blog, it is evident that, in the United States, if one has Medicare coverage they do not need to do anything else. Once someone has the Medicare, they are considered covered. However, the Marketplace does not affect the Medicare benefits and choices. It will not matter how one gets the Medicare, through medical advantage plans or original Medicare, no changes are necessary. In the US, Marketplace does not give part D drug plans or Medicare supplement insurances. If a person has Medicare part A, they are considered Continue reading...

Current Policy

The current nurses’ reimbursement policies in Florida are in support of the direct reimbursement which is to the nurses rather than the normal reimbursement that is provided to the physicians. The bill further states that the provisions stated are not restricted to a particular location of practice. This is unlike in previous practices where reimbursement was restricted to a particular location which was most preferably rural areas (AANP, 2012). The bill further stated that reimbursement is restricted to long term care facilities and follow up care. Despite the reimbursement rate that are in existence, there has been a need Continue reading...

Part A: Evaluating the importance of government initiatives pertaining to the coding functions

Medicare and Medicaid patient and Program Protection Act of 1987
This initiative enhances comprehensive effort to expand access to healthcare coverage. The access of this health is also ensured at affordable care act. The act also offers voluntary nature of the medical program and hence government states can remain free or decline federal funding to such programs. The patient protection also ensures that health records of patients are well protected against access by illegal individuals unless authorized by the patient in question. The act promotes protection against rise factors associated medication and medical patient through legislations that helps to Continue reading...

Introduction:

It is evident that every agency is governed by a certain code of conduct. However, analyzing in terms of workplace analysis it definitely needs a specific tool to suffice it. The Seven School of Administration is a very useful tool in analyzing an agency. The agency can be dissected into parts that are understandable for common people. The Seven School of Administration also gives an insight on how the agency runs. This can also provide insights to internal problems of the agency, and as well recommend solutions to it. This paper aims to apply the seven school of administration Continue reading...

Most Important factors in fleet management, anticipated problems and mitigation.

Important factors for good fleet management include an effective strategy, procurement, maintenance, running, and disposal. A strategy helps align fleet management to organizational goals and should be well documented since it helps tailor the fleet to an organization's purpose and set future goals. Procurement involves acquiring vehicles, parts and support services, and thus requires evaluation of the items to ensure they are financially and functionally viable. Maintenance involves coming up with a proper system to ensure vehicle maintenance is done in a timely, legal and professional manner, and ensure that service quality does not fall below standards. Running of Continue reading...

Healthcare Finance

Introduction:
It is very common to every federal state to address the medical aspect of its people. Today’s modern take on medical care has been very diverse all through-out the world. In the United States, the health care industry has been divided into two categories the public and the private.
It is differentiated with the cost, type of service and the target audience. The public healthcare organizations were built to cater the low-income families, orphans as well as late adults’ population. The United States Department of Health and Human Services has been formed in 1944 and underwent various Continue reading...

Introduction

Everybody has the right to take part in health care safety. This may governs patient, family members, caregivers, doctors, nurses and other health care professionals. First launched in 2002, as a print campaign with Centers for Medicare and Medicaid Services, the Joint Commission’s Speak up program ensures patients to take an active role in preventing errors in health care by involving and informing participants in the heath care team . This now features free brochures, info graphics, and posters and animated Speak up videos in a variety of health care topics. In the year 2014, the brochure format was Continue reading...

Healthcare is a basic right. In this regard, all citizens of a country should have access to affordable healthcare. There has been a huge interest in the comparison of the Health Status and Health System in both United State and Canada. United State and Canada are considered an open border and are the same in a number of ways. However, they are also very different in a number of health policies such as health care services funding, its organization and the way it is delivered (O'Neill, O'Neill & National Bureau of Economic Research, 2012).
It is evident that in both Continue reading...

What is FICA? What percent do the employer and the employee pay?

The Federal Insurance Contributions Act (FICA) is the federal payroll tax system which is implemented in the United States and is imposed both on employers and the employees in order to fund Medicare and the Social Security system. This program provides benefits to children of the workers who are no more alive, retirees and disabled citizens. The tax base also provides financing to the healthcare sector, especially to institutions that provide insurance to employees who can afford to avail insurance benefits and afford health care costs and treatment. The total amount that an employee pays throughout his career indirectly Continue reading...

The health insurance market in the United States has led to a crisis in human rights as it deprives a great number of individuals of the healthcare they need. Over 50 million individuals do not have a health insurance. What is greatly depressing is the number of deaths that could have been prevented annually, merely because of the way healthcare in the United States is organized. This problem continues notwithstanding the resources available to protect the people’s right to health, document levels of spending in healthcare, and repeated efforts for health reform. Income, race, and environment are a Continue reading...

Introduction

It is difficult to define accreditation because countries define the term differently. In American usage, accreditation is perceived as the mark of quality and is awarded through a process, where an educational institution provides information to a third independent party that evaluates that information and states whether the institution or program is qualified. In other words, the primary role of accreditation in the United States is to attest publicly to the worth of an academic program or educational institute (El-Khawas, 2001).
That said; to the Commission for Health Care (ACHC), accreditation is defined as the process of review that “ Continue reading...

The federal budget funds are targeted to provide social guarantees for US citizens and maintain sustainable development through economic growth. While the free market creates equal possibilities and competition that encourages companies to operate more efficiently by producing high-quality goods and providing top-class services, the prosperity of business does not always creates the background for the country’s development. Private business tends to invest in the most profitable projects. Therefore the government directs budget investments in the prior industries that are considered to be gainless or low-income by private entrepreneurs.
According to Perez et al. “periods with high levels Continue reading...

Introduction

American politics have been divided on a number of major issues for generations, and social welfare is no exception. Generally, there are two schools of thought. Liberals, most commonly associated with the Democratic Party, are in favor of a collective responsibility for the welfare of the poor. Generally, they believe that all American’s have a responsibility to provide for the welfare of the less fortunate, and to ensure that even strangers are provided with the basics for their well-being. Conversely, conservatives, most often associated with the Republican Party, are dedicated to the idea of Individual Responsibility, which demands Continue reading...

Prospect Height Care Center in Hackensack New Jersey is an assisted living facility licensed by the New Jersey Department of Health and Senior Services. The institution offers an environment where meals, light housekeeping, and other activities are offered. The facility enjoys fully qualified nurses on a full-time basis. The nurses are Registered (RN nurses) Licensed Practical Nurses (LPN) and Certified Nurse Assistants (CNAs) who assist the patients with toileting, bathing, and dressing. The emotional, physical and social needs of the patients are met in various ways. For example, the facility provides stimulating programs such as aerobic exercises and outdoor Continue reading...

Hilton-Burton Act

Hilton-Burton Act, popularly known as Hospital Survey and Construction Act was a federal law passed in the United States in 1973 with the objective of providing loan and grants to the hospital in order to assist their modernization. In return, hospitals were supposed to provide either subsidized or cost-free services to all the people living in their area. The hospital selected for funding under the act were also required to provide emergency services, maintain unbiased patient admission policy and participate in Medicare programs. Although the program stopped providing funds in 1997, but still around 200 hospitals in the United Continue reading...

The New Deal was a policy coined by President Franklin D Roosevelt in 1933 as his campaign policy of eradicating current and future depressions the country was undergoing and economic reforms and recovery that could have made the country experience a revolution (Hiltzik 18). Roosevelt came at a time when unemployment rate was at its highest and many citizens were facing grave danger of losing their homes and farms. The business and agricultural sectors were performing badly as people no longer saw it wise to save or had hardly anything to save.
Further, the New Deal crafted policies brought Continue reading...

Question Two: Caselnova vs. State Department of Health

The case was decided by the Appellate Division of the New York Supreme Court; the main role of the Appellate Division Court of New York is to hear cases from other lower Appellate courts i.e. family courts, surrogate courts, Court of Claims as well as County Courts.
The case was taken only through one level of Court, which was the Appellate Division Court of New York. However, the initial decision was made by the State Board for Professional Medical Conduct. This decision was appealed, hence leading to ultimate decision-making by the Appellate Division Court of New York (www4.law.cornell.edu).

Public Continue reading...

[Writer Nаme]
[Supervisor Nаme]
[Dаte]

Should the U.S. have nationalized the healthcare?
The nationalization of health care in the United States has been an issue of debate since decades. I believe that the U.S. health care system must be nationalized because of the dramatically rising cost of health care in the country since past four decades. This is due to the fact that there are no longer life spans that increase the health care costs, and old age people require more of health care facilities and greater home and hospital care services. There have been various Continue reading...

HealthCare Cost and Quality

In the United States of America, healthcare is expensive especially for the majority of the population who comprise of the nation’s poor and middle class. Approximately, per capita spending on healthcare ranges between 50 to 200% higher compared to other developed nations across the world (Institute of Medicine (U.S.), Yong, Olsen & McGinnis, 2010, p.11). Regardless of the higher health care costs, the U.S performs poorly in most quality indicators.
The ineffective approval of drugs by the Food and Administration (FDA) is one of the factors that cause a poor correlation between healthcare quality and costs. Specifically, the FDA Continue reading...

Congress is a vital organization in the political process. It is tasked with the responsibility of creating legislation that impacts virtually every area of American society. Some bills do not have much of an effect on daily lives, but many others do. The constitution gives Congress the ability to regulate commerce, taxes, and how money is used throughout the government. Furthermore, they can declare war and determine how funds are used on the military. While many Americans typically care most about the president, especially in the elections, this is flawed thinking. The Congress actually has more powers given to Continue reading...

In 2000 The World Health Organization published a ranking of health systems by country. The US came in at 37th, even though it spends more in absolute terms and as a proportion of its GDP on health than any other country (World Health Organization 155). The Affordable Health Care Act (ACA) is an attempt to remedy this situation.
According to the U.S. Department of Health and Human Services, the ACA extends health coverage to uninsured Americans, lowers costs, and improves the quality of health care for Americans, including insurance for preventive care for many Americans (United States. Dept. of Continue reading...

Nursing

Introduction
Every decision encompasses anticipation for a better outcome for the future. Similarly, when a student makes a decision to come back to college to pursue the nursing degree there is a strong sense of anticipation to achieve both a short term and long term goal. The exploration of professional nursing practice provides an insight to a nursing student’s personal and professional philosophies. The discussion entails a better understanding of the nursing students’ perspective in becoming a better nursing professional in the future by reflecting on their clinical and interpersonal skills (McCabe, 2003).

Returning to College

The decision to go back Continue reading...

Myriad convictions, contradictions, and startling aspects which never before confronted the world of medicine and healthcare has demonstrated a need in today’s society for more analysis, communication, and re-evaluation of healthcare in medical issues. The two articles under scrutiny for discussion include: (1) “Health Care Special Issue: Creative Destruction” by Jonathan Cohn, and (2) “The Health Care Crisis and What to Do about It,” by Paul Krugman and Robin Wells. The first article discusses the high cost of innovative health care around the application of ‘Deep-Brain Stimulation’ or DBS. It exemplifies the case of journalist Michael Kinsley, who Continue reading...

Based on media reports of impending cutting of health care costs through reduction of allocated benefits, minimization of payment to health care providers, and tightening of eligibility, as per your request, I am hereby presenting a summary of capitation to be shared to the members of the board of directors.

Impact that the Medicaid cuts will have on Krona’s Revenue

Revenues from Medicaid 30% of Krona’s annual revenue
Last year’s revenue $20,000,000
Amount of revenue from Medicaid $6,000,000
Expected increase in revenue 10%
Expected revenue in dollar amount $22,000,000
Expected revenue from Medicaid $6,600,000
Effect of cut of fees Continue reading...

Introduction

Healthcare industry has unique challenges that face its workplace and operations. That owes to the nature of operations that requires effective leadership as a means of enhancing the success in terms of achieving desired results. Thus, having suitable leadership is crucial in addressing organizations’ issues ranging from the challenges and planning for the future. In that consideration, this report presents a proposal for a leadership development proposal for Memorial Regional South Hospital. The report covers a various aspect of the proposed program ranging from the participants selection criteria, key competencies and applicable leadership theories to the suitable follow-up strategies.

Proposal

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