Blue Cross And Blue Shield

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    Code of Ethics

    demoralize their readers, generating a sense of profound pessimism in them: A pharmacist bilked the state Medicaid program out of $7.7 million by billing for drugs his patients never got. A physical therapist defrauded Medicare, Medicaid, and Blue Cross Blue Shield of more than $1 million by causing those programs to be billed for expensive nerve conduction studies and needle electromyography tests that he did not perform. He was also laundering the proceeds of his fraud scheme in order to avoid taxes

    Words: 822 - Pages: 4

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    Capital Purchase

    Capital Purchase Justification HCA-240 Paula Arceneaux 10/13/2013 Angela Seip I know the hospital has been planning on making an investment on equipment to boost services. I would recommend investment on the General Electric Prodigy Bone Density equipment. Making decisions especially on major equipment must factor in various considerations, such as the cost of the equipment and projected returns that the equipment is likely to bring in to the hospital. The Bone Density scan has been selected

    Words: 847 - Pages: 4

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    Medical

    Medical Billing Process There are several different steps in the medical billing process that have to be followed. Each step is very unique and should be followed accordingly. The first step in the medical billing process is to pre-register all patients. This process requires you to schedule patients for new treatment. You are also required to update appointments for new and old patients. Upon preregistration it is also your job to collect both demographic and all of the patients insurance information

    Words: 935 - Pages: 4

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    Data Mining

    Data Mining Prepared by: Kirsten Sullivan Strayer University CIS 500 Dr. Baab September 9, 2012 Data mining is a concept that companies use to gain new customers or clients in an effort to make their business and profits grow. The ability to use data mining can result in the accrual of new customers by taking the new information and advertising to customers who are either not currently utilizing the business's product or also in winning additional customers that may

    Words: 1778 - Pages: 8

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    Whistle Blower Rewarded by Fbi

    You never hear a lot of medical business ethic issues. Dr. Bander, from Saint Louis University, used to work for a company called Gambro Healthcare. According to multiple websites, Gambro Healthcare is the world’s third largest kidney dialysis service provider (Savat, 2011). Well, when you think of healthcare, you think of health insurance, customer service, and advertisements. Not in this case. Dr. Bander worked for Gambro as a chief medical officer from 1995 to 2000 (Vitale, 2011); he stated that

    Words: 1309 - Pages: 6

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    Case Analysis

    Primary Care Physician Initial Evaluation: Patient Name: Mrs. Wright (53 years old) Description: Rheumatoid arthritis and osteoporosis HISTORY: Mrs. Wright is a 53-year old female who visited Dr. Curtis on 9/21/2013 for devastating pain dealing with her rheumatoid arthritis. She was diagnosed with rheumatoid arthritis on 4/2/2010 by Dr. Ruppert. She was later diagnosed with osteoporosis on 8/5/2010. Along with her arthritis pain, she has other conditions such as: Raynaud syndrome, irritable

    Words: 6657 - Pages: 27

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    Randy Pazen

    ------------------------------------------------- Randy Pazen ------------------------------------------------- 2086 Koala Way Ventura, CA 93003 805-377-2323 randypazen@yahoo.com A results-oriented Senior-level Leadership and Organizational Development professional with over 20 years experience, specializing in driving workforce engagement by aligning human capital strategies with business drivers and focusing on strategic outcomes. Skill sets include; instructional design, creative facilitation

    Words: 741 - Pages: 3

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    Economic Terms and Healthcare History

    technology and medical care. “To help ease the healthcare problem, Baylor Hospital in Dallas created a system - which eventually became Blue Cross - to help people pay their hospital bills. As science, medicine, and hospitals grew more sophisticated and more successful, more people turned to hospitals and doctors for care - and costs continued to rise. Blue Shield insurance for doctors' services started gaining ground in the late '30s as a way for doctors to protect their interests and their payments”

    Words: 952 - Pages: 4

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    Work Place Diversity

    Workplace diversity refers to the variety of differences between people in an organization. That sounds simple, but diversity encompasses race, gender, ethnic group, age, personality, cognitive style, tenure, organizational function, education, background and more. So why should companies concern themselves with diversity? Is this just because discrimination is wrong, both legally and morally? Or is there more to it? A recent Harvard Business Review article asked this question to 24 CEOs from around

    Words: 924 - Pages: 4

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    Proposal to Implement 1st Providers Choice as/Pc® Practice Management Software System

    Running Head: MANAGEMENT BRIEFING MEMORANDUM AND PROPOSAL FOR IMPLEMENTING 1st PROVIDERS CHOICE AC/PC® SOFTWARE SYSTEM Management Briefing Memorandum and Proposal For Implementing 1st Providers Choice AC/PC® Software System HCAD 610/9042 July 18, 2010 M E M O R A N D U M TO: President

    Words: 1717 - Pages: 7

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