...on the way to his dialysis appointment, as one of the Medicare schemes. Medicare payed over 5 million to ambulances alone last year over 314 million there budget. What prosecutors are noticing are there is an easy excess to get into the ambulance business “in the case of Penn Choice, Mudrova, a Russian immigrant with no medical training or advanced degree, was doing administrative work at a doctor’s office when she got a loan from her family to start the ambulance company, according to Kenny.”(Pettypiece,S.2014) Ambulance Company would sit outside dialysis centers recruiting patients who were able to take themselves to the dialysis appointments there selves, and as a result get a kickback from the company’s also. Penn Choice recruited ambulatory patients outside dialysis centers, telling them they could get Medicare to pay for rides. The company also acquired patients from another ambulance provider, Brotherly Love, which was closed by law enforcement in 2011 for billing Medicare for patients who could have safely been transported by other means and paying them kickbacks, according to Leahy. Brotherly Love sold names and addresses of its passengers to Penn Choice for $2,000 each, she said. The passengers were paid 100 to 400 in cash for their rides. The passengers are of people who are poor and easily able to get to work along with the scam. It was stated in the article one customer who was a...
Words: 415 - Pages: 2
...Perpetual Mercy Hospital 1. How would you describe the consumer decision process for patronizing an ambulatory health care facility? (Type of service, initiator) Based on the case, it appears that customers choose health care services based on what they can afford, the choice of doctors available, services needed, and location. The ambulatory services became popular due to the ability for Perpetual Mercy Hospital to offer services with greater mobility and efficiency than before. Also, consumers tend to choose hospitals based off their needs and the radium in which they work. For instance, some customers have employer-related doctor visits such as workers’ compensation exams and pre-employment exams. These type of exams consist of basic check-ups and fluctuate with hiring by local employers. 2. How would you characterize the DHC’s performance after being open eleven months from a financial, marketing, operations, and hospital-wide perspective? From a financial and operational perspective, the hospital did not perform well in 1999 and 2000. Based on exhibit 5, there was a net loss each month beginning May 1999 and March 2000. On the other hand, from a marketing perspective, the hospital was successful in sending out referrals to individuals who have private-held insurance coverage. The large amount of Medicare customers prevented the hospital in meeting financial performance goals, in that this type of coverage includes subsidization. 3. What is your prognosis for the...
Words: 313 - Pages: 2
...To: VP of Ranbaxy Travels From: Sai Krishna Bhimavarapu Re: Introduction of travel plans for the Baby Boomers Date: May 30, 2012 “Life begins at 40”. This is the new age mantra for the BOOMERS. These are the people who have the time, the money and the desire to spend. Being highly capable of making decisions for themselves and being aware of the outside world, they are able to perform the activities with ease. Like the younger generation, they are also very enthusiastic about what they do and what they look like to others. Per the U.S Census, the median income of the average U.S household (age 45-55) is about $85,000. This income is post expenditures which is available at their disposal. These Boomers want to travel the world since they the time and money. As Saint Augustine said “The world is a book, and those who do not travel read only one page". Therefore, Using this, I suggest that our travels should focus of introducing travel plans for the baby boomers. A Second Honeymoon Most of these people have spent their life looking after their loved ones and kids. The spouse is most often forgotten or taken for granted. We can focus on a product called ‘second honeymoon’ to the couples. it would be an amazing idea to actually give them a package which would make them feel young again. With the power of buying and the increasing options for international travel, these people can actually visit places they have only heard of in television shows. The boomers can actually...
Words: 739 - Pages: 3
...Ambulatory care providers are becoming an increasingly important part of the U.S. health care system. Technological progress has made many treatments previously offered only in the hospital now possible in an ambulatory setting. This shift to ambulatory care, while generally recognized as a positive move toward a less expen- sive and more appropriate health care setting, has often left providers scrambling to adjust to rapidly changing technology and new, complex reimbursement systems. Safety net providers, in particular, have difficulty keeping abreast of a rapidly chang- ing health care system because they serve low-income, uninsured patients and face constraints imposed by their funding sources. There are many businesses like ambulance services that are private. Their fees are collected by the person that is using the service to be transported to the doctor or the use of their insurance they use to assist with their services. The community also provides some of the services and they are supported by taxes. In some cases, this is very rare. The hospital provides some of the ambulance services which are paid for by their insurance company or the patient for the service that is rendered at that time. In the community where I live, the patient is charged for the ambulance service regardless if someone gets on the ambulance when they arrive at the home. But the service is always community based. This is how the ambulatory service is paid for rather than it getting paid for by our...
Words: 328 - Pages: 2
...services consists of a mix of public and private payment sources. Medicare and Medicaid represent the two major health programs. Funding for Ambulatory Services The use of Ambulatory Care Services is common amongst most people. It has become an important element in the delivery of health care. For many, it has been viewed as the primary source of health care; offering an extensive range of services that don’t require overnight hospitalization. The services offered can be as complex as tests to and therapies or as simple as a minor cut. Traditionally in the U.S., ambulatory care services were provided in the offices of medical practitioners and in the homes of the patients. Presently, these services are performed in outpatient clinics, emergency rooms, and same day surgery centers. Ambulatory care has expanded within the health care system. This is due to the fact that it is less expensive than inpatient stays and less time consuming for patients. In comparison to inpatient patient procedures, outpatient procedures have been estimated to be 30% to 60% less in costs. Funding for Ambulatory care services began when the first surgical care center opened in the 1970’s. The centers became certified by Medicaid, making it more attractive to the public which then allowed the ambulatory services to grow. My recommendation for ambulatory care services is that they should be federally funded. My decision is based on the fact that the use of the government is intended to increase...
Words: 951 - Pages: 4
...1. How would you describe the consumer decision process for patronizing an ambulatory health care facility? (Type of service, initiator) Based on the case, it appears that customers choose health care services based on what they can afford, the choice of doctors available, services needed, and location. The ambulatory services became popular due to the ability for Perpetual Mercy Hospital to offer services with greater mobility and efficiency than before. Also, consumers tend to choose hospitals based off their needs and the radium in which they work. For instance, some customers have employer-related doctor visits such as workers’ compensation exams and pre-employment exams. These type of exams consist of basic check-ups and fluctuate with hiring by local employers. 2. How would you characterize the DHC’s performance after being open eleven months from a financial, marketing, operations, and hospital-wide perspective? From a financial and operational perspective, the hospital did not perform well in 1999 and 2000. Based on exhibit 5, there was a net loss each month beginning May 1999 and March 2000. On the other hand, from a marketing perspective, the hospital was successful in sending out referrals to individuals who have private-held insurance coverage. The large amount of Medicare customers prevented the hospital in meeting financial performance goals, in that this type of coverage includes subsidization. 3. What is your prognosis for the DHC next year assuming...
Words: 531 - Pages: 3
...First, an issue must be relevant in order to even consider choosing an OD Practitioner. For example, I knew of an organization that experienced high volume of ambulatory care during work hours and observed excessive sick leave on the books. Verifying these issues through data or employees input is important because it determines the primary areas of concentration for the OD Practitioner. During a town hall this issue was brought to management and resulted in an external OD Practitioner that specialized in health care/nutrition on site for one year. Although the data collected by the organization may be a starting point for the OD Practitioner, they themselves may request additional data. OD Practitioners often examine company records and interview a few key members to gain an introductory understanding of the organization, its context, and the nature of the presenting problem (Cummings & Worley, 2009, pg. 76). After data verification, the process of choosing whether to select an external or internal OD Practitioner begins. There are several criteria’s that are important when evaluating an organization, whether internal/external. For example, expectations, time, resources, and guidelines are critical areas that must be understood between both parties to ensure a smooth process. The customer expects an OD Practitioner to have some history of the organization so they are aware of the culture. Additionally, the skills and background of the OD Practitioner are a necessity...
Words: 481 - Pages: 2
...Inpatient Outpatient Hospital Care Inpatient Hospitalization To Ambulatory Care Services (2010) from the Researchomatic. Retrieved on 09/05 , 2014 noted ambulatory care Sensitive situation are those "for which good outpatient care can possibly avert the need for hospitalization, or for which early intervention can avert difficulties or more critical disease" Although hospitalization rates are leveraged by socioeconomic components for example scarcity . I will discuss and compares inpatients care and ambulatory care on bases of scope and level of service, venues for care deliver, impact o health care finance, and future trends in medicine and care delivery. There are direct personal involvement within the level of services in the practice of ambulatory /outpatient services which detect/ prevent disease such as hypertensions, diabetes , cancer -screening and immunization programs. Since death happened and caused by disease that are contagious , primary prevention lessen the danger of morbidity are enforced by encouraging people to Utilization An inpatient day (also referred to as a patient day or a hospital day) is a night spent in the hospital by a patient. The a verage number of days a patient spends in the hospital is called the average length of stay (ALOS). The total number of inpatient days incurred by a population o ver a gi ven period of time is referred to as days of care. Mathematically, days of care = number of discharges × ALOS National data...
Words: 769 - Pages: 4
...Generally Accepted Accounting Principles SA HCS/571 January 11th, 2014 R.G. Generally Accepted Accounting Principles Every organization consists of an accounting department that manages the finances. The key element to maintaining any hospital, ambulatory care center, or private medical office is to have a structured financial statement and a team of accountants to audit the establishment. The generally accepted accounting principles that are reviewed include entity concept, going-concern concept, matching principle and cash vs. accrual accounting, the cost principle, objective evidence, materiality, consistency, and full disclosure. The “certified professional accountants are required to indicate whether an audited set of financial statements is in compliance with generally accepted accounting principles” ( (Finkler, Kovner, & Jones, p.104, 2007). The entity concept focuses on the object of study whether it may be a hospital, urgent care center, nursing school, or a private medical office. The intention of the concept is for identification purposes. It is related to health care, for example, a hospital may be affiliated with a long term care facility, a nursing school, and medical office. The hospital is considered as one entire entity. A long term care facility, nursing school, and medical office are considered subentities. The financial statements are prepared separately for each of the identified subentities. The second factor of the generally accepted accounting...
Words: 1117 - Pages: 5
...Ambulatory Care Hospitals have many advantages to gain by switching from inpatient settings to outpatient ambulatory care settings. Hospitals can make more money by having outpatient services; they can get more patients in and out of the hospital in one day, rather than keeping patients in overnight. They also save money by not using as much supplies on the patients that are in and out the same day. By using inpatient settings, hospitals would have to spend more money for the patient’s overnight stays, the supplies and medication they use for them. By changing the settings to ambulatory care does change the view that society has on it. I believe the society has better perspective and more respect for the changes because there are many people who do not like going to the hospital, let alone staying the night. If a patient has the opportunity to go in and get done what needs to be and go home, they would be a lot happier. Ambulatory services can improve by having more communication with the patient. Some hospitals that have these services to not communicate with the patient as much as they should, some doctors do not come in and talk to the patient before any procedure or care is done. Also they could improve on faster discharges for patients. Many hospitals tell patients that it is ok for them to go home, all they need is their discharge papers, and then it takes them an hour or two to get them to the...
Words: 256 - Pages: 2
...Case Study First candidate: Taneshia She is 36 years African American woman, married with no children and plans for a family. She has three years of working for the center. She has a bachelor degree in health administration, and her collage minor was in human resources management. Taneshia is currently the director of health information system. Described as entrepreneurial and innovative She is very good with technology and her achievements in this field such as converting divided into fully electronic department. - trained her people to do more accurate coding She has a directive management style, and she accomplishes her goals but sometimes pushes her people a little too hard. Sometimes she feels like a pompous and very opinionated Has a "I'm smarter than everyone" attitude Some Questions have been raised about how accurate her reports are but nothing has ever been proven Second candidate: Felipe He is 29 years old, Hispanic male, single with no plans to get married He has worked for the center for five years. - started right after college He has a bachelor degree in health administration, and master degree in the business administration. With his masters, he is now interested in moving into operations in his next healthcare job Already started looking for new job possibilities His duties including marketing and contracting with manage care companies, and he has done well job He has no employees directly reporting to him. He is talented negotiator...
Words: 588 - Pages: 3
...my research. Next, I will identify the key characteristics of the facility. Then I will explain to why I chose the facility type and then put it all together in my conclusion. The facility I chose to research is the Ambulatory Care Clinic. An ambulatory care clinic has a broad range of medical services available for patients. Having such an advanced technology in today’s healthcare, more doctors and other healthcare providers are having ambulatory care for their patients. Some places that offer the ambulatory care are in doctor offices, hospitals, or in an ambulatory surgery center and some procedures include the following: x-rays, blood tests, minor surgeries, endoscopy, biopsies, childbirth, and many more. The purpose of the ambulatory care clinic is to provide in and out, patient procedures safely and to save time and money for patients. It also prevents from infection to spread with since the patients are not staying overnight with infection can set in. The people that use the ambulatory are patients, staff, families, and the general human population. Both men and women use these services as well and all ages and different diversities. The population in today’s healthcare wants to go to an ambulatory care clinic because of the flexibility hours. The ambulatory care clinics are open more hours to serve multiple patients’ needs properly. They are very cost effective for the patients since they are not staying overnight. I chose this facility because it does provide all the...
Words: 492 - Pages: 2
...Strayer Latest As a chief operating officer of a hospital, you have been tasked with opening a new ambulatory care center in your city. Write a two to three (2-3) page paper in which you: Specify whether you would utilize the professional autonomy, social contract, or free market perspective as the paradigm to design the structure of your new center. Debate at least two (2) advantages and two (2) disadvantages of your chosen perspective. Provide at least two (2) examples of your perspective in action to support your response. Analyze the key components of three (3) sources of law related to the effects that each source could potentially have on your healthcare organization’s new initiative. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources. Activity mode aims to provide quality study notes and tutorials to the students of HSA 405 Week 3 Assignment 1 Strayer Latest in order to ace their studies. HSA 405 WEEK 3 ASSIGNMENT 1 STRAYER LATEST To purchase this visit here: http://www.activitymode.com/product/hsa-405-week-3-assignment-1-strayer-latest/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSA 405 WEEK 3 ASSIGNMENT 1 STRAYER LATEST HSA 405 Week 3 Assignment 1 - Health Policy and Law Basics - Strayer Latest As a chief operating officer of a hospital, you have been tasked with opening a new ambulatory care center in your city. Write a two to three (2-3) page paper in which you: Specify whether you would...
Words: 640 - Pages: 3
...Legal Article Paper-Ambulatory Surgery Centers Themelina Vallas HCS/430-Legal Issues in Health Care:Regulation and Compliance Due: 6/1/15 Teela Carmack Medical facilities called “ambulatory surgery centers”, are that provide same day surgeries for patients that rather do it this way versus going to an actual hospital. This facility is not considered a hospital and therefore does not provide any type of emergency care. In an ambulatory surgery center patients do not need admission, go home right after their procedure and do not stay overnight. Running a surgical center is no easy task, so knowing the laws and regulations are extremely important. There can be many legal issues involved so proper training and education are vital components for the staff and healthcare professionals within those types of facilities. There are many legal issues that mainly involve dealing with physician ownership, network waivers and Medicare cases. Physician ownership seems to be one of the most legally debatable issues having to do with ambulatory centers. This is due to a lot of new owners that come in and buy the business from old owners leaving it. Most owners have to be able to understand their contract with legal obligation for the concerning buyer when selling the center. Selling a surgery center can be difficult especially if it is due to a financial situation. All owners of a business like this must be optimistic about acquiring new business to increase financial compensation and...
Words: 871 - Pages: 4
...Ambulatory Surgery Centers: A critical regulatory issue Ambulatory surgery centers are considered medical facilities that are specifically designed to give elective same-day surgeries to ease the high traffic at local hospitals. They do not offer emergency care in this type of facility because it is not considered a hospital. This type of facility means that a patient does not have to be admitted to a hospital and will go home after the procedure is finished. There are many legal issues regarding these types of facilities, and as you will read, they have to do with physician ownership, out of network waivers, and Medicare cases. It takes a lot of effort to run a surgical center and to find out what kind of legal issues can be involved with this type of center. One of the main sources of legal debates that are prevalent in ambulatory surgery centers is when new owners are trying to “buy-out” an owner that is leaving the business. A lot of centers grapple with the understanding of their present contracts concerning buying and with the legal obligation of selling the center for retail value. When a surgery center needs to sell because of finances, the ability to find someone who will give a fair market price can be difficult. Watching and assessing which new owners that will enhance the productivity of the center. Another great debate that involves physician ownership is the newly revised coverage rules and regulations which is a necessity for the early notice of physician...
Words: 808 - Pages: 4
