...evaluate how the Healthcare Qui Tam affects health care organizations while providing (4) examples of Qui Tam cases that exist in a variety of health care organizations. Other responsibilities discussed, are devising a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals; the ability to recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth. The know how to devise a plan to protect patient information that complies with all necessary laws. Evaluate how the Healthcare Qui Tam affects health care organizations. The Healthcare Qui Tam affects health care organizations in that well over more than 450 hospitals across the country were the subject of Medicare fraud investigations. Whether or not Medicare violations are found, the costs of responding to an investigation can be significant. Westchester Medical Center of New York, being investigated for possible health care fraud and violations of anti-kickback laws, received a subpoena for extensive records in some thirty-seven categories going back to 1997. Millions of dollars may be spent in legal fees and other costs associated with the investigation (e.g., hiring or reassigning staff to assist with compiling requested data) (Degnan & Scoggin, 2007). According to Degnan & Scoggin (2007), where violations are found, the liability...
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...Ethics in Healthcare is a crucial component in many diverse areas of the Healthcare Industry. The definition of ethics is hard to narrow down and is usually different with no particular individual’s opinion being wrong. Ethics in general to some can be defined as respect of their personal religious beliefs. Ethics can also be defined as merely following what the law requires of us in respect of others in all areas such as professional differences, ethnic differences, as well as an overall feeling to be non-judgmental towards others. Ethics can also pertain to a patient’s right to reject treatment such as blood transfusions, chemotherapy, or any medical treatment they choose. Ethics in Healthcare branches out into many important aspects such...
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...compliance across the nation with the privacy and security standards for protected health information This paper focus on how the audit program of HIPPA works, what the covered entity can do to prepare for the audit, and what happens once the audit is complete. Introduction Ever since implementation of the HIPAA privacy and security standards, entities have been required to establish and maintain a variety of compliance mechanisms, including written policies and procedures, training of responsible workforce members, business associate agreements, relevant notices to patients or plan participants, and health plan document amendments. Until now, most compliance actions have been complaint-driven investigations arising from alleged violations of the HIPAA privacy or security standards (Arant, 2011). Pursuant to the HITECH Act, a more robust enforcement program was created to make a more ???? The U.S. Department of Health & Human Services' Office for Civil Rights (OCR) administers HIPAA (including the HITECH amendments) by investigating complaints, enforcing rights, promulgating regulations, developing policy and providing technical assistance and public education. Since the enactment of HITECH in 2009, OCR has assumed another function: compliance audits. HITECH requires periodic audits to ensure that covered entities and business associates are complying with the HIPAA privacy and security rules and breach notification standards (ICEMiller Legal Counsel, 2013). In November...
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...bland. So they sit back with their fingers crossed in hopes that an ideal candidate will walk through the door that is a fit for the position and the company. According to Adler (2013), the leaders of the companies are focusing on 17% of those that are looking for work while hoping to employ the 83% that are not looking. In their quest to hire the top candidates, employers must find the most effective way to do so without violating laws such as anti-discrimination and others that are significant. “There are a variety of reasons that hiring managers have a hard time finding the best recruits, including that: employers depend on a surplus of candidates during the hiring process, but seek them in a talent scarce environment; candidates do not know how to engage in the hiring game; and few hiring managers take responsibility for attracting quality candidates because they are focused on attracting quantity, hoping to discover that diamond in the rough. These are all significant issues that need to be addressed, dissected, understood, and reframed in a strategic manner to produce the most effective hiring programs that will attract top talent” (Adler, 2013). In this essay I will submit an advertisement for a position that is needed by my manager. The ad will contain a job description, job responsibilities, and the minimum skills and qualifications for that position. Then I will submit ten questions for the potential employee that are...
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...SPECIAL REPORT Top 10 Best Practices in HR Management For 2011 30610860 SPECIAL REPORT Top 10 Best Practices in HR Management For 2011 30610860 Executive Publisher and Editor in Chief: Robert L. Brady, J.D. Managing Editor–HR: Legal Editor: Editor: Production Supervisor: Graphic Design: Production & Layout: Patricia M. Trainor, J.D. Susan E. Prince, J.D. Elaine V. Quayle Isabelle B. Smith Catherine A. Downie Sherry Newcomb This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional services. If legal advice or other expert assistance is required, the services of a competent professional should be sought. (From a Declaration of Principles jointly adopted by a Committee of the American Bar Association and a Committee of Publishers.) © 2006-2011 BUSINESS & LEGAL REPORTS, INC. All rights reserved. This book may not be reproduced in part or in whole by any process without written permission from the publisher. Authorization to photocopy items for internal or personal use or the internal or personal use of specific clients is granted by Business & Legal Reports, Inc. For permission to reuse material from Top 10 Best Practices in HR Management for 2011, ISBN 1-55645-317-5, please go to http://www.copyright.com or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive...
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...Think about the following questions from the point of view of violation of public policy or breach of a covenant of good faith and fair dealing, and see what the outcome would be. * a. An employee was suspended pending discharge for sleeping and “loafing” on the job. The employer offered to change the penalty to suspension without pay if the plaintiff would sign a “last-chance agreement” under which he waived and released “any claims, suits, or causes of action” against the defendant. The employee refused to sign because he was unwilling to waive his rights to state unemployment benefits or workers' compensation. Under state statute, agreements to waive such rights are invalid. The employee is discharged. [Edelberg v. Leco Corp., 236 Mich. App. 177 (1999).] * b. A nurse is asked by her employer to sign a backdated Medicare form. She refuses and is terminated that day. As a healthcare provider, she is required to complete that particular form. [Callantine v. Staff Builders, Inc., 271 F.3d 1124 (8th Cir. 2001).] Exceptions to the Doctrine of Employment-at-Will States vary in terms of their recognition of the following exceptions to the doctrine of employment-at-will. Some states recognize one or more exceptions while others might recognize none at all. In addition, the definition of these exceptions also may vary from state to state. * • Bad faith, malicious, or retaliatory termination in violation of public policy. * • Termination in breach of the implied...
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...Barack Obama. The thing that immediately comes to mind when I think of Obamacare is healthcare for every citizen in the United States. This sounds great to me, and without research with in-depth investigation, I would say it has been homerun for Obama with acquiring votes in the past, as well as giving every citizen healthcare. I am interested in the topic of Obamacare because of the simple fact that many people of this generation believe it is a great thing; my intuition tells me that same thing. I know that the main goals of Obamacare are to provide affordable health insurance to all Americans and to ultimately reduce health care costs. This means extending coverage to about 32 million Americans who lack insurance and protecting consumers from discriminatory and unfair practices established by insurance companies. This system must work great because, after all, Canada uses this exact same socialized health care system and I hear all of the time from news media such as MSNBC and CNN about how well the healthcare system in Canada works. In fact, I have heard Michael Moore, a very well-known member of the Democratic Party, say that citizens in Canada on average live 3 years longer than American citizens because of this great healthcare system. I am very impressed by that statistic! I have heard that because Canada has a single-payer system for healthcare, the administrative costs for the healthcare very low. The Affordable Care Act offers benefits for a wide cross-section of people...
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...Contemporary United States Rebecca Hall, RN There is a large ongoing list of social issues that are facing the U.S. today. One of the top contenders on that list is the topic of abortion. Abortion in relation to this issue means a termination of a pregnancy. Abortion can occur in any trimester of pregnancy. The issue that faces the U.S. is whether or not abortion should be legal. (Henslin, 2011) To many, abortion is equivalent to murder. It is taking the life of an innocent unborn child. It is inhumane and should be considered illegal. Many people that support the anti-abortion cause base their foundations not only emotionally but also biblically. These people often use biblical scripture that relates to “thou shalt not kill” or the importance and preciousness of human life. (Henslin, 2011) On the opposing end, abortion activists view abortion as a choice for the mother. To this group a law against elected abortion is a violation of a woman’s right to make decisions in relation to her own body. Many debates that arise from this point of view vary from issues of rape causing the unplanned pregnancy, to the simple inconvenience of having a child at that point in time. (Henslin, 2011) Another issue that arises when the issue of criminalizing abortion, is that fact that some people may continue to get abortions illegally and will not receive the proper healthcare that coincides with that type of procedure. Many believe that some women will still have the procedure done even if the conditions...
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...Consumer Healthcare Ltd. | | Conduct on Behalf of the firms | 1 | Relations with Home Govt | It is the Company’s policy to comply fully with all applicable laws and regulations governing contact and dealings with government employees and public officials, and to adhere to high ethical, moral and legal standards of business conduct. This policy includes strict compliance with all local, state, federal, foreign and other applicable laws, rules and regulations. If you have any questions concerning government relations, contact the Company’s Legal Department at Complianceandethics@infosys.com. | GSK employees must ensure that dealings with Government Officials are carried out according to the highest standards of integrity required for all GSK business and in compliance with all relevant laws and regulations. | How should the top management behave with respect to ….. | 2 | Relations with Customers | Customer Relationships If your job requires interfacing or contacting any Company customers or potential customers, it is critical to remember that you represent the Company to the people with whom you are dealing. Act in a manner that creates value for our customers and help build a relationship based upon trust. The Company and its employees have provided services for many years and have built up significant goodwill over the years. This goodwill is one of our most important assets, and you must act to preserve and enhance our reputation. | Interactions with Healthcare Organisations...
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...and work ethic of everyone that works there. The relationship with the employee and management is also vital to that person’s success and longevity in that position and as a company you want the most seasoned employees working for you. After the selection of the appropriate candidate has been done, training is the next big task to tackle. You want to make sure that the training is done properly to ensure that the job performance is up to the standards expected by company executive and produce the best outcome possible for the company. This is why it is so important to be able to integrate training and job performance. In an article in Global Knowledge that discusses the integration in how people learn and the job that they do, they named top 10 strategies for a company to keep in mind to help facilitate performance and learning/training integration. The strategies are: • Understand the Job/Role as a System • Link Learning to Business Process • Build a Performance Support System • Build a Community of Practice • Use Social Media to Facilitate Informal Learning. • Implement a Continuous Improvement Framework • Use Action Learning • Use Organizational Learning Practices • Design Jobs for Natural Learning • Bring the Job to the Learning Whatever strategy that your company comes up with will have some derivatives of these...
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...Wal-Mart Case Study Dr. Tonya D. Moore MNGT 5650 November 24, 2013 Introduction Wal-Mart can be defined as Goliath in the biblical story of David and Goliath (only he doesn’t fall), the “strategic Corporal,” a self-licking ice-cream cone, the industry benchmark, labor exploiter, cost cutting surgeons with chain-saws, and America’s company. Wal-Mart perceptions are across the board and in essence reflect all of our societal issues and problems in one massive company. They survive and thrive on their ability to shape perceptions of their business model to consumers while exploiting their workforce. Goliath was perceived to be too big of a giant to fall or loose in battle until David succeeded. Wal-Mart is perceived that they are too big to fall by their competitors, society, and the country. They are the largest employer in the country, they own massive supply chain networks, and stores in every town across the country. However, in the case of Wal-Mart, there is no David out there to knock them down. Arguably they are no true competitors in their industry. Because of being this perceived giant, Wal-Mart is able to be a bully with vendors, associates, and competitors. Further, because of being a giant everyone is watching them. Threats and Challenges The simple answer of what threats and challenges Wal-Mart currently faces centers around their associates wages and health care. However, why do they face this challenge instead of what they are doing to...
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...2. Data mining search parameters A data mining algorithm is a set of heuristics and calculations that creates a data mining model from data. To create a model, the algorithm first analyzes the data you provide, looking for specific types of patterns or trends. The algorithm uses the results of this analysis to define the optimal parameters for creating the mining model. These parameters are then applied across the entire data set to extract actionable patterns and detailed statistics. The mining model that an algorithm creates from your data can take various forms, including: * A set of clusters that describe how the cases in a dataset are related. * A decision tree that predicts an outcome, and describes how different criteria affect that outcome. * A mathematical model that forecasts sales. * A set of rules that describe how products are grouped together in a transaction, and the probabilities that products are purchased together. Microsoft SQL Server Analysis Services provides multiple algorithms for use in your data mining solutions. These algorithms are implementations of some of the most popular methodologies used in data mining. All of the Microsoft data mining algorithms can be customized and are fully programmable using the provided APIs, or by using the data mining components in SQL Server Integration Services. You can also use third-party algorithms that comply with the OLE DB for Data Mining specification, or develop custom algorithms that can be...
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...Health Information Technology Career Overview I am here to tell you what I’ve learned in my first 4 weeks of being in Introduction to Health Science class at Kaplan University. The profession I chose is Health Information Technology. Health Information technology is very interesting. I have learned a lot about that I didn’t know even though I do this job on a daily basis. Health information technology (health IT) involves the exchange of health information in an electronic environment. Widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and expand access to affordable health care. It is imperative that the privacy and security of electronic health information be ensured as this information is maintained and transmitted electronically. (US Department of Health and Human Services, n.d.) As a health information technician career opportunities exist in: doctor offices, medical facilities, hospitals, insurance offices, pharmaceutical companies and labs. (Associate of Applied Science in Health Information Technology, n.d.) Health information technicians have multiple duties/task that are done. The following are some of the duties that I’ve learn that health information technicians have to do: * Review patient records for timeliness, completeness, accuracy, and appropriateness of data. * Organize and maintain data...
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...Abstract A regulatory agency related to prevention and monitoring of communicable diseases will be identified. The impact in which this organization protects and serves the health industry and its communities will be revealed. A primary health care organization that is directly responsible for reporting to the disease control agency will be described. The correlation between both the Center of Disease Control (CDC) and ProMedica Health System (PHS) will be presented as to their responsibilities and purpose in providing controlling, monitoring, evaluating, research, and education services while following regulatory health care guidelines will be presented. Introduction Regulatory agencies play an important and vital role in securing the protection, safety and welfare of our nation’s population. People, agriculture, health care industries and its affiliate employees need guidance and resources to protect the nation from dreadful diseases. Efforts to ensure the safety of the nation in the face of all kinds of diseases are developed through regulatory agencies such as the Center for Disease Control (CDC) (cdc.gov.od). Health care organizations that impact the regulatory agencies objectives of evaluating and monitoring conditions within disease control measures are found in associative organizations such as ProMedica Health System (ProMedica) as well as state and local governmental organizations. The CDC introduces the regulations, guideline and services available to our growing...
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...Table of Contents WELCOME FROM ACADEMIC PROGRAM DIRECTOR ............................................................................ 1 MEET THE FACULTY................................................................................................................................... 2 ORIENTATION SCHEDULE ....................................................................................................................... 10 ACADEMIC CALENDAR ............................................................................................................................. 11 MASTER OF SCIENCE IN FINANCE PROGRAM SUMMARY ................................................................. 12 GETTING STARTED .................................................................................................................................. 13 JHED ID .................................................................................................................................................. 13 Blackboard FAQs .................................................................................................................................... 13 Integrated Student Information System (ISIS) ........................................................................................ 14 LIFE AT THE CAREY BUSINESS SCHOOL .............................................................................................. 15 HEALTH INSURANCE FOR STUDENTS...........................................
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