Background Many people, both young and old, utilize Medicare/Medicaid for the treatment of several chronic illnesses such as kidney disease and End Stage Renal Disease (ESRD) which is the last stage of chronic kidney disease and is characterized by permanent irreversible kidney failure. ESRD patients include those who are treated with dialysis—and those who have a functioning kidney transplant. According to the National Kidney Foundation’s website (National Kidney Foundation, http://www.kidney
Words: 1004 - Pages: 5
HIPAA Law of 1996 Timothy Glover HCA210 Introduction to Health Care Martha Schlagel 02/26/2012 HIPAA Law of 1996 HIPAA was enacted on April 26, 1996 to establish a set of national standards for the protection of certain health information. Standards for Privacy of Individually Identifiable Health Information (a.k.a. the Privacy Rule). HIPAA addresses the use and disclosure of individual health information, a.k.a. Protected Health Information. HIPAA establishes standards for privacy rights
Words: 467 - Pages: 2
and stabilize them regardless of their ability to pay (Sara Rosenbaum, 2012). Advantages and Disadvantages One of the advantages of EMTALA is that is applies to all 50 states in America and any hospital that is certified by the Center for Medicare and Medicaid Services (CMS) must provide care to patients under the law (Singer, 2014). A revision that was completed in 2003 by CMS stated that hospitals had to have written policies regarding emergency services offered at the hospital and listed the
Words: 709 - Pages: 3
hospital should continue to be heavily patient focused. The rate of follow up mammograms indicates a low-level of cancer missed and a low rate of unnecessary testing. There is no data for readmission with Pneumonia because the “Centers for Medicare and Medicaid Services are not reporting five admission measures and one complication measure due to an issue with categorization of hospitals as better, worse and no different than the national average.” (www.ahanews.com July 9,2013). Since Peninsula rates
Words: 536 - Pages: 3
enacted in 2000, effort has been made to improve the quality of health care. To implement correctly a quality improvement plan (QIP) the perception of the organization culture and the stakeholder’s culture need to be explored (Centers for Medicare & Medicaid Services, 2013). Quality improvement plan improves quality and efficiency of services to the highest levels rendered. In the United States, for example, consumers have the right to choose, bargain, and express their dissatisfaction or concerns
Words: 1501 - Pages: 7
Module 1 Assignment 3 Jennifer Raley My client has agreed to substance abuse treatment for 30 days. Since we do not have a 30 day treatment center in our county, nor in our immediate area, I would have to refer her to OSF in Peoria, Illinois. Peoria is approximately one hour away and is located at: 5409 N. Knoxville Ave. 309-691-1055 I believe this is a good fit because the overall rating is a 4.0 (including environment, food, and success rate). Proctors substance abuse treatment center
Words: 547 - Pages: 3
Texas Health Compare link, and many others. Under Federal you can link to offices such as Social Security Administration, Department of Health and Human Services, Centers for Medicaid and Medicare Services, and others. Under the Other Stakeholders option you can link to Advancing Excellence in America’s Nursing Homes, Texas Medicaid Healthcare Partnership, and Texas Home Quality Improvement Coalition. These examples are just the tip of the iceberg. In a narrower or more personal search you can find out
Words: 1269 - Pages: 6
file (.pdf). This means you will submit two attachments to the Week 2 Dropbox: (a) a Word document with the questions and your answers and (b) a copy of the proposed regulation you used for this assignment. (10 points) - Centers for Medicare Medicaid Services (Department of Health and Human Services) is the department that has introduced this regulation. When it comes to health care it affects every citizen of the United States. I show interest in this because it can affect me with the
Words: 1047 - Pages: 5
False Claims Act The False Claims Act was established to prevent intentionally inaccurate claims against or to the government for property or money. This applies to all federal programs, although it is applied to health care most frequently due, in part, to the large dollar amounts involved1, but also to the volume of claims regarding health care made to the federal government each year. There are five elements pertaining to the establishment of a false claim under the False Claims Act; 1) a claim
Words: 947 - Pages: 4
born. Let’s take a closer look… Evaluate: Who makes up the new department? What are recovery audits? The Centers for Medicare and Medicaid (CMS) was issued a mandate to implement the Recovery Audit program (RACs) to investigate and correct the overpayments made by their Medicare Administrative Contractors (MACs) who are contracted to payment Medicare claims presented by Medicare participating providers. A demonstration program was implemented and running for a year before the Recovery Audit Contractors
Words: 1301 - Pages: 6
