...What are some of the current health care related bills before legislation? S.2438 - Medicaid and Chip Quality Improvement Act of 2016 A bill to amend titles XI and XIX of the Social Security Act to establish a comprehensive and nationwide system to evaluate the quality of care provided to beneficiaries of Medicaid and the Children's Health Insurance Program and to provide incentives for voluntary quality improvement (Open Congress, 2016). S.2432 - Obamacare Tax Transparency Act A bill to amend the Public Health Service Act to require the disclosure of the portion of health insurance premiums attributable to the health insurance tax (Open Congress, 2016). S.2416 - Verifying Electronically the Receipt of In-Home Care for Individuals Act A bill to amend titles XVIII and XIX of the Social Security Act to require the use of electronic visit verification systems for home health services under the Medicare program and personal care services and home health care services under the Medicaid program (Open Congress, 2016). S.2408 - Nurse and Health Care Worker Protection Act of 2015 A bill to direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, nurses, and all other health care workers by establishing a safe patient handling, mobility, and injury prevention standard, and for other purposes (Open Congress, 2016). For the bill: 1) Write down the state, title and number of the bill Georgia HB 564 ...
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...Health Issues Related Computer Use BUS 5505: Fundamentals of Information Systems and Quantitative Methods December 4, 2009 Although it is unlikely that computer equipment will be dangerous itself, it can be used in ways which can be hazardous to health of staff ("Computer health and," 2003). Ergonomics is an applied science devoted to incorporating comfort, efficiency, and safety into the design of items in the workplace (Shelly, & Vermaat, 2008). Studies done using ergonomics show that using the correct chair, keyboard, display device, and work surface configurations helps computer users work comfortably and efficiently and also preserve their health. According to previous studies, the majority of computer workers experience some eye or vision symptoms, but what was not clear was if whether these problems occur to a greater extent in these workers than in others who work in other visually demanding occupations. A national survey of doctors of optometry found that more than 14% of their present patients with eye or vision-related symptoms resulting from computer work. Working on a computer for a long period of time can cause different types of forearm and wrist CTDs, which are inflammation of tendons, nerve sheaths, and ligaments and damage to the soft tissues. Tenosynovitis, ganglion cysts, de Quervain’s disease, lateral epicondylitis, and carpal tunnel syndrome are different types of CTDs caused by computer use. Symptoms of CTDs are pain, numbness, tingling...
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...increasingly being used to supplement clinical indicators to explore the individual’s perspectives on their health and health care and it is an important part of assessing oral health 3. These measures, which assess "the extent to which oral conditions disrupt normal social role functioning and lead to major changes in behavior", are known as socio-dental indicators or oral health-related quality of life measures (OHRQoL). These indicators were developed to assess subjective aspects of oral health 4. Adolescent oral health is influenced by many factors; good oral health is also associated with broader social and economic determinants. A variety of child oral health-related quality of life instruments have been developed in the past 20 years but child version of the Oral...
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...Being Physically Fit Being physically fit is an important aspect of obtaining prime health. Becoming educated about what it means to be physically fit may greatly increase your ability to improve your health and wellness. Factors of physical fitness are important for complete fitness of the body and mind. All these fitness components have a specific purpose and part in being physically fit and healthy. Physical fitness and wellness is far more reasonable than generally perceived. It helps individuals to look, feel and do their best. Obtaining and sustaining physical fitness is a result of many things but a few are physical activity, proper diet, along with proper rest for physical recovery. If you really want to measure the overall fitness of a person you have to take into consideration the five components of physical fitness. For an average person, workout should be based on the five major health related fitness factors: Cardiovascular Fitness, Body Composition, Flexibility, and Muscular strength and endurance. Cardiovascular Fitness is the ability of the circulatory system or the heart and blood vessels to supply oxygen to working muscles during exercise. Cardiovascular fitness, also known as cardiorespiratory endurance, is an expression that is used to describe a unique form of muscular endurance. In other words, it describes the importance in which the lungs, heart, and vascular system work in order to provide oxygen to the working muscles of the body, so that the...
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...polices are ill-defined and in consistently applied. Facts: 1. 1995 Employment of relatives rule in included in General Operational Manual – Not all employee have access to it. Use of word “antinepotism” term used in this manual. 2. In 1998 employee hand book is published using “antinepotism” language. 3. 01/05/1999 Keith W. Walton applies for employment and declares that he had no relatives working in the company. He did not know of his uncle being hired at that time. 4. 04/30/1999 Keith W. Walton is hired as a helper 5. 2003 Employment of Relatives policy is inserted in employee handbook. 6. 10/2006 Confused supervisor tells employee not to worry after learning that he had a relative at work after he asked whether he was related by blood or marriage. 7. 11/02/2006 Termination of Keith Walton 8. Company has a well established and consistently enforced with past precedent examples of their “employment of relatives” policy which prohibits the hiring of relatives since 1995 9. Language of such a rule, use the word “may” (be discharged) as opposed to “shall” be discharged. Is in the handbook. Company’s Position. 1. Union is trying to obtain through arbitration what they fail to obtain during negotiations the repealing or change in interpretation of the policy relating to the employment of relatives. 2. Company argues long standing, consistent enforcement and well know antinepotism policy. 3. Company argues that language of the employee handbook “May” vs...
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...Keywords: Health related behaviour, brief intervention, alcohol, stages of change, intervention mapping. ABSTRACT The health of people depends widely on their behaviour. Targeting unhealthy behaviours depends upon a number of factors since the health practitioner needs to take into account the beliefs, the intensity of the unhealthy behaviour, an individual’s readiness to change in order to design an appropriate intervention to help the individuals understand the risks of that particular behaviour thereby inducing change. Using alcohol consumption as a health related behavior, brief interventions for this behaviour have been explained, this is mainly due to the large success of brief interventions. Thus this essay critically discusses examples of brief interventions in order determine what contributes to a successful intervention. INTRODUCTION Every human’s health and well being is affected by health related behaviour often regarded as the foremost important element or factor. With the rapid advancement in science, diseases that were incurable, today can be treated and prevented easily. It is a well understood phenomenon that individuals are unique and are characterized by multidimensional behaviours. So in order to achieve positive outcomes in improving one’s health, appropriate behaviour needs to be promoted. There are variations in health-related behaviours in terms of duration, frequency and manner of impact on one’s health. Health-related behaviours can be single...
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...approvals of committees, and advice from qualified healthcare teams. The United States federal government’s main role in health care is to introduce, organize, finance and oversee the health care policy and its delivery. It creates the blueprint for how the U.S. health care should be carried out on varies levels of U.S. legislation. Health care policies made at the Federal level become highest order of laws and guideline for which the state and local governments must comply for the implementation of the policies. The following two examples further explain the role of federal government in health care. The first example is the Medicare Modernization Act of 2003, which was introduced, and signed into law by President George W. Bush on December 8, 2003. Basically, this law gave our seniors citizens the right to prescription drug benefits and more choice in health care. It provided a must need relief to those who were struggling to pay for their own health care expenses. The second example is the Patient Protection and Affordable Care Act (PPACA), which was signed by President Obama in 2010. This law was a historical milestone in U.S. health care history and was applauded as a major breakthrough in providing universal coverage for the people of U.S. PPACA is going to alter much of the current health care landscape as the conventional health care coverage will undergo a big...
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...The Diagnosis Related Group (DRG) uses ICD-9-CM diagnosis, procedure codes, and demographic information about the patient to sort inpatient hospital admission into one of originally 467 groups. The number grew to about 538 clinically related groups where it classifies similar consumption of hospital resources and the length of stay. This system was adopted by Medicare in 1983 to reimburse hospitals for inpatient admissions. Some hospitals are excluded from this form of reimbursement such as psychiatric hospitals, rehab facilities, long term and cancer hospitals. The CMS administers the DRG system and issues all the guidelines for it. DRG’s are updated on October 1st every year. This includes base rates, wage directories, establishment of new DRG’s and elimination of others. On October 1st, 2007, CMS established a new set of codes known as Medicare Severity Diagnosis Related Groups (MS-DRGs). These codes are more specific and take into account the severity of a patient’s illness and the resources used. As a result, a more suitable reimbursement is issued. There is about 750 MS-DRGs and 538 DRGs. The payment method used by Medicare for hospitals is known as DRG weight of one. Payments are made per admission where the hospital and payor agree on a base rate that is multiplied by DRG weight to determine reimbursement. Length of stay don’t factor in unless there is an outlier case. The Ambulatory Payment Classification (APC) system uses Current Procedural Terminology (CPT) and...
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...MANAGING A REWARD STRATEGY Top of Form 1 History of Reward The aims of a reward strategy are to try and be systematic about which HR mechanisms attract, retain and motivate staff. Historically the view was that salaries were what attracted a person to an organisation, benefits kept them there, while bonus and incentive schemes motivated them. Reward was regarded as consisting of three distinctive parts: Remuneration - covering such aspects as job evaluation, salary structures and incentive schemes. Benefits - which tend to be offered to all employees irrespective of their grade, such as paid leave, employee assistance programmes or Christmas parties. Perquisites - which are benefits that tend to provided to discrete categories of employees, such as a company car/car allowance, private healthcare or concierge service. 2 Reward Today More recently, this divide between which parts of reward are best suited for attraction and recruitment, retention and motivation has broken down. Modern research shows that individuals are attracted, retained and engaged by a whole range of financial and non-financial rewards and that these can change over time depending on their personal circumstances. The financial elements of a package are not considered particularly important by individuals in some situations. For instance, people at the beginning of their career may be more interested in getting access to training and career development. People at the end of their career are...
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...people for their contribution to the organisation. Ideally, systems should be clear and simple to follow so that workers can easily know how they are affected. In considering rewards it should be borne in mind that pay and financial benefits are not the only motivator for worker performance. Other important motivators for individuals may include job security, the intrinsic satisfaction in the job itself, recognition that they are doing their job well, and suitable training to enable them to develop potential. What are pay systems? Key Points: Pay systems provide the foundation for financial reward systems There are basic rate systems, where the worker receives a fixed rate per hour/week/month with no additional payment There are systems related in whole or part to individual or group performance or profit There are systems based in part on the worker gaining and using additional skills or competencies Pay systems provide the bases on which an organisation rewards workers for their individual contribution, skill and performance. Pay structures are different - they are used to determine specific pay rates for particular jobs, usually based on the nature of the job, its content and requirements. A pay structure provides the framework within which the organisation places the pay rates for its various jobs or groups of jobs. Pay systems fall into two main categories: • • those where pay does not vary in...
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...we do? We do everything involved to get a doctor paid for their services. This is payment from the insurance company and the patient. But there is more involving the process. The medical billing process is really important to the financial health of the practice, if claims are not submitted promptly, the doctors including us, would not get paid. Submitting Claims The medical biller and coder makes sure all forms are completed and approved and enters the information into the medical billing software, including doctor’s information, patient’s information, insurance information, medical billing codes, payment information, and any special notes on the account. Medical billing codes are necessary for a doctor to be properly reimbursed for the services provided. These codes are some of many: • ICD 9 codes (and ICD 10 codes)- international classification of diseases • CPT codes- current procedural terminology • CPT modifiers- these provide additional information to payers to make sure doctors get paid correctly for services provided • Medicare billing codes- explained for provider services and hospital insurance • CDT codes (dental)- code on dental procedures • NDC drug codes- national drug codes • DRG Medicare codes- diagnosis related group • Taxamony codes- used to categorize a provider or group specialty Our responsibility as Medical billers and coders • Collect the information necessary to prepare insurance claims and bill patients • Enter patient’s information and...
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...Job description Inpatient Medical Coding Inpatient Medical Coding job involves coding charts for patients whose treatment requires hospitalization for more than 24 hours. Inpatient Medical Coders use the coding systems ICD-9-CM, ICD-10 as well as DRG (Diagnoses Related Groups). Inpatient Medical Coding requires greater knowledge and experience because the groupings and sequencing of codes for specific diagnoses and procedures in a hospital are significantly greater. Daily tasks usually include: • Review patient histories, operations, chart reviews, consultation and discharge summaries to support codes selected for billing. • Utilize ICD-9-CM and/or ICD-10 to select the diagnosis-related group (DRG) assignments for each case. • Identify mistakes in reports. • Enter coding information into electronic billing system. Many Inpatient Medical Coders work for hospitals, although insurance companies and long-term health-care facilities may also employ inpatient coders. They typically must have at least 2 years of experience to be hired and may work at the facility or off-site in their homes. Hours vary based on the employer. Accuracy is critical in this position, as much of a hospital’s revenue depends on the correct coding of the diagnoses, procedures, and treatments administered. Coders often interact with physicians, nurses and other medical professionals in order to select the proper codes. Critical thinking and communication skills, great attention to detail and the ability...
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...Compensation and Benefits Strategies Recommendations The following paper will be about the development of the compensation and benefit recommendations for Mr. Bradley Stonefield. This development will have a market evaluation with researches on what companies in the relevant market are providing to employees from a total compensation perspective. With the results of the research, we will then take a look at the compensation structure. With these two outcomes, we will be able to recommend a position in the market. We will also be creating a total compensation and benefits strategy, consider the use of performance incentives and merit pay to recognize and engage employees. In creating these compensations we will have to identify laws related to the benefits and pay program. Results for the Market Evaluation The results for the market evaluation will show that it will be very competitive for a small startup business to hire qualified and experienced limousine drivers in Austin, Texas. According to the Yellow Pages (2014), Austin has over 113 limousine business competing in the same market. With these many companies operating in the same market may result in several issues when it deals with human resources (HR). One of the issues with this type of market is that should assume high employee turnover rates because of low wages limousine drivers fall under. One more issue to consider is the decreasing numbers of applicants, because of the increasing numbers of the...
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...Compensation and Benefits Strategies Recommendations Elizabeth Copeland, Emily Krzyzaniak, Frederick McFarland, and Mary Thomas HRM/531 9/23/15 Maria Ziegler Compensation and Benefits Strategies Recommendations Landslide Limousines will be opening soon and they will be employing twenty-five people to keep the business in operation. The owner, Bradley Stonefield, wants to be comparable to the other limousine services around town so this must be considered when recommendations for compensation and benefits are made. Although the company is projected to see a 5% revenue growth over the first few years, they are estimating to have a net revenue of -$50,000 for the first year. The recommendations provided in this paper shall assist Landslide with securing their place in the transportation market in Austin, Texas. Market Research Evaluating companies in the relevant market will keep you competitive. We have researched 2 established car service companies in Austin, Texas operating with 25 employees or less. We started with a company you may be familiar with. Founded in 1989 by Tony Alyassin, Royal Carriages Limousine operates a substantial fleet of more than 25 vehicles (http://royalcarriages.com/). Employee are independent contractors with a compensation package of a flat wage rate and a corporate contribution to the National Taxi Drivers Association of Austin. The National Taxi Drivers Association is an organization that was founded in 2009 that focuses on taxi and limousine...
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...Pay enough, don’t pay too much or don’t pay at all? An empirical study of the non-monotonic impact of incentives on job satisfaction Pouliakas, K1 Centre for European Labour Market Research (CELMR), University of Aberdeen Business School, Scotland Keywords: Incentives, intensity, job satisfaction, non-monotonic JEL- Code: C23, J28, J33. Abstract This paper attempts to test the non-monotonic effect of monetary incentives on job satisfaction. Specifically, 8 waves (1998-2005) of the British Household Panel Survey (BHPS) are used to investigate the ceteris paribus association between the intensity of bonus/profit-sharing payments and the utility derived from work. After controlling for individual heterogeneity biases, it is shown that relatively ‘small’ bonuses exert a significant negative effect on worker satisfaction. In contrast, job utility is found to rise only in response to ‘large’ bonus payments, primarily in skilled, non-unionized private sector jobs. The empirical evidence of the paper is therefore consistent with a ‘V-effect’ of incentives, suggesting that employers wishing to motivate their staff should indeed “pay enough or don’t pay at all”. 1 Research Fellow, Address: CELMR, University of Aberdeen Business School, Edward Wright Building, Dunbar Street, Old Aberdeen AB24 3QY, UK; Tel: ++44 01224 272172; e-mail: k.pouliakas@abdn.ac.uk. 1. Introduction The principal-agent model, with its convincing illustration of the trade-off that arises between risk...
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