Free Essays on Medicare to Get Inspired & Learn by Example

Social welfare programs include various governmental programs that protect the citizens from different life insecurities and economic risks. Primarily, the programs provide benefits to groups such as the elderly, the sick, the dependent survivors, and the unemployed individuals (Marx, 2010). Methods of administration, coverage, and financing, however, vary extensively among the different countries. The typical characteristics of a welfare program include the eligibility criteria, population covered, benefits’ levels, and funding system. In the US, health services for the poor include amenities for the war veterans, women, Native Americans, and children. The federal government further supports a national network of Continue reading...

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...

(Tutor’s Name)

Introduction
Factors like mission, vision, and values form the foundation for strategy development and implementation in healthcare industry. Evidently, well developed policy can create organizational value and serve customers better way. In addition, an effective strategy provides the organization with a winning formula for its purpose, goals, and standards. Therefore, it can be claimed that major intention of strategy development and implementation is to support the organization’s mission, to achieve the vision, and to promote the values. The US healthcare sector has been spending millions of dollars traditionally to improve its care quality and patient Continue reading...

Article Review

This article is about a study that was carried out to assess the fiscal effects of DRGs (Diagnosis-related groups). The study was conducted by comparing 183 non-Medicare and 128 Medicare cardiac patients. The non-Medicare patients consisted of those who were evacuated aero-medically to a referral healthcare facility for critical care. The article covers how a Medicare DRG system can be adopted by different parties and the corresponding financial effects. Furthermore, the article analyzes how some critical care patients are disadvantaged by the different DRG systems adopted by different healthcare facilities. In general, the article analyzes the financial impact of Continue reading...

Issues in Medicare/Medicaid Reimbursement

Abstract
The paper is aimed at researching about the Medicare / Medicaid reimbursement issues. The paper starts with a brief introduction of the topic while highlighting major aspects of the challenges faced by patients and medical institutions/physicians. There are several aspects and domains in medical re-imbursement which merit attention and are covered in this paper. After the introduction to the topic, the paper proceeds to presenting literature review of important researches done on the topic. The literature review also covers the major issues in Medicare / Medicaid reimbursement while highlighting various levels including issues faced by patients, medical institutions 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...

The Patient Protection and Affordable Care Act (PPACA) of 2010 was signed into law by President Barack Obama on March 23, 2010. The legislation is a comprehensive health reform effort that is also referred to as “Obamacare” or the Affordable Care Act (ACA). Due to the sweeping area of impact and massive complexity, the PPACA is highly controversial and serves as a political platform for Democrats and Republicans alike. Perhaps due to the wide scope of factors involved, including the intricate operations of the economy, the general public is informed of only parts and pieces of the law; taken 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

Continue reading...

Introduction

On March 23, 2010, President Obama marked into law the Patient Insurance and Affordable Care Act (ACA), the most complete change of the U.S. medical framework in no less than 45 years. The ACA changes the non-group insurance market in the United States, orders that most occupants have health insurance, altogether grows public insurance and finances private insurance scope, raises incomes from a mixed bag of new expenses, and lessens and redesigns spending under the country's biggest health insurance arrangement, Medicare. In the event that that is completely executed, the ACA guarantees to prompt a significantly distinctive health care Continue reading...

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...

America is one of the countries in the world that have extensive social services aimed at providing healthcare to all its citizens. It has elaborate healthcare cover in both Medicaid and Medicare both of which are aimed at provision of healthcare insurance to the needy Americans. This paper describes Medicare, Medicaid, and other two insurance bodies, albeit shortly.
Medicaid is social healthcare program that targets the poor people in America. It is thus a government sponsored program that seeks to make sure that people with low or insufficient income to afford healthcare insurances are insured. The poor people are 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...

Introduction:

In America, one out of six citizens does not have health insurance. Research studies have proved that health insurance and poverty are the two strongest factors that assess health services (Guendelman, et. al, 1986). The lack of health care insurance has now become a problem of the middle-class population too besides low class. The reason for this is an increase in deductibles, cost payment and newly introduced managed network for care. The concept of a health care plan universally has been debated for many years. The establishment of Medicare and Medicaid brought some hopes regarding a better health care 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...

Compensation of Chief Executive Officers at Nonprofit US Hospitals

Introduction
Karen E. Joynt et al have carried out a research to determine the aspects of hospitals on which the CEO compensations were based in the case of nonprofit hospitals. Various aspects of the report are described below.

Data Collection Procedures and Instruments

Dependent Variables. The dependent variable was CEO compensations. The CEO compensations were a combination of compensation received from the primary organization; reportable compensation from related organizations such as foundations associated with the hospital and estimated other compensations. The compensations of all CEOs were adjusted for regional variations through the Medicare Wage Index (Joynt et al.).
Characteristics of the Independent Variables. The 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...

Interdisciplinary team for safe transition of heart failure patients

Interdisciplinary team for safe transition of heart failure patients

Introductions

The 30-day re-hospitalization penalty for hospitals has led the healthcare professionals to opt for an interdisciplinary transitional care approach in order to provide safe and efficient transition for patients with heart failure from hospital settings to home. Heart failure (HF) is a chronic condition and requires a lifelong treatment. 14% of the Medicare beneficiaries suffer from HF. The re - hospitalization rate of HF has been noted to be 10 to 19% within 14 days and 50% within 90 days. Such readmissions have resulted in heavy Medicare bills of $333 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

Hospice care refers to care provided to individuals with incurable cases of diseases and are in the last stages of their lives. According to Connor (2009), the National Hospice, and Palliative Care Organization, describes hospice care as care and support for individuals suffering incurable diseases in a comfortable way to enjoy their lives fully. Individuals in hospice become prepared for death. It is not about bringing death closer or increasing a person life, is it about satisfaction in life. People facing terminal illness experience a range of problems and pain that may be attributed to a condition they face Continue reading...

The U.S. healthcare system is one of-a kind among cutting edge industrialized nations. The U.S. does not have a uniform healthcare framework, has no general health awareness scope, and latest legislative enactments commanding scope is not yet completely actualized. As opposed to working in similarity to a national health service, a single payer national health protection framework, or multi-payer general health protection framework is characteristic of the US healthcare framework. The U.S. healthcare services framework can best be depicted as a crossover framework. In 2010, 50 percent of U.S. health services spending originated from private sources, contrasted with 38 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

According to FDA (2012), the CLIA are Federal government regulatory standards that ensure scientific and technical counsel to clinical laboratories in order for them to provide quality and best practices in clinical laboratory services. Clinical Laboratory Improvement Amendments is a combination of a chronology of events that have culminated to the current laws and regulations that guide the practice in clinical laboratories. The services offered by clinical laboratories are of critical importance in medicine and healthcare because they aid in monitoring diseases, including the pathophysiology of such diseases. Consequently, this contributes to the improvement of the quality of patient Continue reading...

The affordable care Act (ACA) has provisions that are geared towards to promoting accessibility to health services. The Act intends to reduce the costs of delivery of health services to the people of the United States of America. The ACA Act has provisions which if implemented will ensure competition in giving of health Plans, impose taxes on individual and family health insurance premiums that are highly priced. The Act has also introduced measures to curb fraud in the health sector with the purpose of reducing wastage (Rosenbaum, 2011). These provisions in the Act were made in response to the Continue reading...

A brief history of Electronic Health Records (EHRs)

Electronic health recording system refers to the computer storage of records such as medical details of patients, treatment process and other related information applicable in the context of healthcare. Traditionally, medical information could be recorded on papers and stored in files for retrieval when needed. Often, the process of recording medical information on papers proved cumbersome because doctors had to take a lot of time tracking important information. Worse still, storing of patient information on papers contributed to information gaps because of missing records especially when health practitioners would be transferred across stations.
In response to the complexity of Continue reading...

US president Barak Obama appeared very confident while addressing the State of the Union 2015. The president addressed a number of issues while his speech, but at the same time he did not mention certain important issues. The State of the Union address by president Obama is interpreted differently by different people. Some liked the speech while a large number of people expressed their dissatisfaction. This paper intends to discuss Obama’s State of the Union address and further analyses that Obama should have talked about issues that he missed in his state of the union address.
Some important Continue reading...

Smoking and impact to healthcare costs

Thesis Statement: Smoking impacts other sectors apart from the health care system, and inflicts other burdens as well.
In the report of Tiihonen, Ronkainen, Kangasharju, and Kauhanen (2012), the authors note the grim figures that smoking inflicts upon a society. In their work, smoking is the “single most preventable cause of premature death in developed nations. In addition, the report cites the practice of levying taxes as the most prevalent method to try decreasing the number of smokers in their respective countries. The main effect of levying taxes is a reduction in the number of new smokers. It has 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...

Introduction

Healthcare systems are some of the most imperative social systems that support the well-being of a nation or a society (Swayne et al, 13). The concept of a national healthcare system basically involves infrastructures, efforts, policies, facilities as well as knowledge and skills applied to provide healthcare services to a specific population. In most cases, healthcare systems are governed and managed by three main bodies i.e. governments, private organizations as well as non-governmental organizations (Swayne et al, 14). Over the years, healthcare systems have undergone major transformations, especially those facilitated by the occurrence of technological advancements as well as 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...

Measurements in Advance

Situational Analysis: This involves a systematic collection of information regarding fire and safety management in health institutions. It will involve exploration of external forces that may influence fire and safety management for instance: Policies formulated by Fire and Safety organizations or by the central government. It may also involve and evaluation and exploration of certain internal factors within the organization i.e. resources that might influence the capacity of the health institution to implement effective fire and safety management systems for example: Knowledge among the health care facility workers in regard to management of safety.
Strategic Direction: This is a 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...

[Class Title]

Introduction
The United States have many support programs for the poor and marginalized sectors of its society. Among the most common and institutionalized services are Medicaid, Food Stamps and Financial Aid. While these programs aim to provide economic assistance, in general, these programs have also been criticized because of its privacy implications. Critics believe that these programs are employed by the government to invade an individual’s privacy since it legitimizes the collecting of personal information before one is enrolled in these programs. So the question is, is the government justified in collecting information for recipients of Continue reading...

Legal and regulatory requirements

Certificate of Need Law
In Alabama, all the health care providers are required to obtain this law to provide new and improved institutional health services. The role controls the health care costs by limiting the supply of health care facilities.

Bureau of Long Term Care

The health care facilities such as assisted living and nursing homes are required to comply with this regulation in order to ensure quality of life and quality of care in their facilities. This is done through continuous on-site surveys/inspection for compliance with local and federal regulations and rules.

Bureau of Community Health Care Facilities & Services

This involves investigations, surveys and inspections to ensure that health care 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...

Who are the winners and losers in spending bill passed in January?

According to Forbes (2014:9), no shut down was identified whereas the Senate and the House finally resolved the differences which seem to be occur in 2015 budget. Into the fiscal year, a final vote was wrapped on the appropriations budget with the yes votes. It can be said that there are more than 1600 page bill that keeps the light on in Congress through September 2015. Majority employees pays raised were maintained under the bill at 1% which was hoped for 1.8%. Overall, the appropriations budget benefited by military garnering more than half of the budget at $585billion. Specifically, Continue reading...

Today, the healthcare industry in United States (US) is undergoing an administrative transformation. Medical coding systems are being increasingly adopted by healthcare payers to ensure accurate reimbursement of the healthcare providers. The different coding systems include the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), Current Procedural Terminology (CPT) and the Healthcare Common Procedure Coding System (HCPCS). (Aapc.com, 2015)
The ICD-9-CM classification has evolved from the World Health Organization’s Ninth Revision, International Classification of Diseases. ICD-9-CM classification includes only diagnostic codes that consist of a list of disease code numbers, a disease index in alphabetical order; and Continue reading...

Section A

Discuss why the present process or procedure needs to be changed based on the evidence you have gathered
Pressure ulcers continue to remain a major health concern with approximately 3 million being affected by the problem, notably, the elderly people (Lyder, et al., 2012). Development of pressure ulcers especially for patients who have undergone surgery significantly increase the health care costs due to prolonged stays in hospitals. Nonetheless, pressure ulcers are preventable if at proper clinical procedures are put in place. This is through relying on evidence-based research, with the sole purpose of improving the currently existing prevention techniques 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...

The problem is that section 2001 of PL 111-148 does not allow previous Medicaid Advantage coverage to continue for those Americans that have been enrolled and received their prescription and healthcare insurance. The public policy question is should the federal government mandate states to provide Medicaid coverage for these special populations and take the government subsidizing of 100% for 2015 and 2016? The resolution of the public policy problem is the amendment of section 2001 of PL 111-148 to the effect that the government shall pay 100% of the cost of the newly eligible individuals while continuing to subsidize Continue reading...

Having been opted and summoned to manage an adequate and smart selection of disease management companies to contract a limited partnership, in terms of reducing costs and improving health outcomes in a North Carolina hinterland of an 875,000 sized community, the following is a sample that hopefully addresses a suggested model. The report shall propose an outline which possibly meets the specific interventions of that model, and name strategies and recommendations – along with cost projections suggestions over a ten-year period.

Basic Requirements

The disease management company hired should regard and comprehend, that although the Charlotte Mecklenburg area is not a 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...

Recent unemployment rate fluctuations. The unemployment rate is one of the key macroeconomic indicators of country’s economic health. The fluctuations of GDP, level of inflation and unemployment measure the overall condition of national economy. According to United States Department of Labor the unemployment rate has decreased from 6.7 percent in December 2013 to 5.6 percent in the respective period of 2014. The gradual decrease was observed throughout 2014 as it is presented in Table 1:

Monthly unemployment rate dynamics in 2014

The constant decline of unemployment rate, as presented in Table 1, can be explained by two main factors. The first is stable GDP Continue reading...

Abstract

The goal of this paper is to present the determination of nurses in an acute environment and how the death of a patient is handled. A review of the present literature provides a revelation of a mixture of outcomes concerning the effectiveness of proper handling of nurses in the event of a patient in a critical condition requiring an urgent and critical care. All literature presents the emotional expression that is held in the perception of being cathartic as a view widely held by nurses as being a positive mechanism for coping. However, random controlled trials inpatient death handling 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...