The current level of national healthcare spending is at an all time high and expected to steadily climb. The U.S. Centers for Medicare & Medicaid Services (CMS) explain that National Health Expenditures (NHE) “rose 4.0% to $2.5 trillion in 2009, or $8,086 per person, and accounted for 17.6% of Gross Domestic Product (GDP)” (The U.S. Centers for Medicare & Medicaid Services, 2012). The rise in health care expenditures has resulted in mounting stress for families, businesses, and community
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from 2013 to 2015. These cases include a psychiatrist from Chicago, Lloyd Torrez who was found guilty of defrauding insurance companies; Empowerment Non-Emergency Medical Transportation, Inc. an enrolled Medicaid provider being led by its owner, Ms. Shorter, which was defrauding the Indiana Medicaid; and Paula Cluding, owner of Prairie View Hospice in Oklahoma who provided millions of dollars’ worth of fraudulent claims to the federal Medical Care program. INTRODUCTION Fraud is deliberate deception
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just one component of the NHE total. For example, an insured’s copay as well as a hospital’s new cancer center construction costs all count towards the NHE total. Governmental spending is limited to expenditures from the public sector (i.e. Medicaid, Medicare, VA and single disease funds) ( | The Nation’s Health Dollar 2013: Where It Went(Expenditures Table) | Category of expenditure | % allocated to this category (1 pt each) | | Answer the questions below
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and started receiving coverage by January 1st 2014. Obamacare is not for those who already have health coverage through an employer, Medicare or Medicaid. If you already have insurance you do not have to worry about this. “Obamacare does not replace private insurance Medicare or Medicaid” (obamacarefacts.com). The Healthcare Law will benefit those on Medicare Medicaid and private insurance providing better options, better values and better healthcare. A topic that has been trending is
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First, Medicare patients whose hospital stays are paid through Diagnostic Related Groups (DRGs) which are a set of case types established under the prospective payment system (PPS) identifying patients with similar conditions and processes of care. CMS is in the process of adopting a new set of 745 Medicare Severity Long-Term Care Diagnostic Related Groups (MS-DRGs) that replace the existing 538 DRGs with ones that better recognize the severity of the illness. This was developed for Medicare as part
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will affect any hospitals reimbursement because a vast majority of the patients being serviced will now qualify for more Medicaid programs than last year. This patient population has been determined to be indigent, not having any source of income or insurance to pay for their hospital bill. Research shows that if hospitals are not in alignment with the CMS Medicare and Medicaid patient satisfaction rules and regulations, we could lose this patient population and funding. It was expressed in the
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reading on health care terms is not an easy task. With a vast amount of information on health care terms and defining these terms in short is not an easy assignment. Researching the term Medicare opened up an immeasurable amount of data on the subject, and I have chosen to write about the different parts of it. Medicare is a federally funded program, which has 4 different parts that include Part A, which is coverage for inpatient care in hospitals and skilled nursing facilities, hospice, and some home
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Definition of Terms Health care as its own language and abbreviations and so does the systems used to manage health care beyond the patient. Many systems are required to perform tasks like billing, scheduling, and receive payments from payers. Each system has a purpose and function that fulfills the needs of the organization to operate. The systems are used for administrative, statistical, and financial reasons. Organizations need to have the right system to perform the needed tasks correctly
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Health Care Information Systems Terms Cassandra Jackson HCS/483 10/26/2015 Mr. Mathis Banks, Jr Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite
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Negro March on Washington for Jobs and Freedom The March on Washington was a protest of about 250,000 people that was held in front of the Lincoln Memorial. This protest was aimed to attract attention to the ongoing challenges and discriminations faced by African Americans at the time. March on Washington was also the occurrence of Martin Luther King’s “I Have Dream” Speech. March on Washington was organized by Philip Randolph and Bayard Rustin. The purpose of the march was to campaign for the civil
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