Health Care Spending Marsha Whiteside October 1, 2012 HCS/440 Caryn Callahan Health Care spending is on the rise and is going to continue to rise year after year. The United States spends more on health care than any other country and with the loss of many jobs and low income families the spending is going to continue to rise. The United States spends nearly $2 trillion annually and spends two-and-half times more than the Organization for Economic Cooperation and Development (OECD) average
Words: 1312 - Pages: 6
The False claim act is a law that inflicts liability on an individual or company that takes advantage of governmental programs. With the False Claim Act individuals are able to recover money stolen through fraud (False Claims Overview, 2014). According to the Office of Inspector general in order to qualify for financial incentives a state’s false claim act must: • Establish liability to the state for false fraudulent claims • Contain provisions that are at least as effective in rewarding and facilitating
Words: 296 - Pages: 2
Health Insurance Portability and Accountability Act Case The indictment of a former Cleveland Clinic Florida employee for conspiracy to commit health care fraud with personal information of more than 1,100 Naples patients isn’t likely to bring a hammer of civil fines against the hospital by the federal government, which has yet to sanction a hospital or other health care entity for patient privacy breaches. But the former hospital employee at Cleveland Clinic in Weston and her Naples cousin
Words: 432 - Pages: 2
For Our Patients With Medical Insurance Benefits: We participate in most major health plans. We have contracts with many HMO's, PPO's, insurance companies and government agencies including Medicare and Medicaid. Our business office will submit claims for any services rendered to a patient who is a member of one of these plans and will assist you in any way we reasonably can to help get your claims paid. It is the patient's responsibility to provide all necessary information before leaving the
Words: 897 - Pages: 4
benefit the people of this country, and how can we benefit from this law. I think Obamacare has given rise to many benefits which includes Protecting Consumer Rights, Better Access to Care with Affordable Coverage, the Strengthening and Expansion of Medicare and Medicaid. Obamacare protects the rights of people by preventing the discrimination of people with preexisting conditions. In the past, insurance companies have turned down people with preexisting conditions: They deny coverage to children who
Words: 851 - Pages: 4
Medicare Funding Crisis David Holt Healthcare Finance Ron Evans July 20, 2013 At the heart of America's fiscal crisis is the impending collapse of our entitlement system. And the primary cause of that looming collapse is the explosion of costs in Medicare, the federal program that provides health insurance to every American over 65. Without major reforms of the program, there is simply no way for us to address the federal deficit, contain the national
Words: 4082 - Pages: 17
basic accounting principles and guidelines. A few articles will be examined and examples that mirror ethical standards of conduct and financial reporting practices will be cited. The articles are Medicare Fraud: California Is Well-Represented on Federal List of Health Fraud Fugitives and Medicare Fraud Arrests. The Four Elements of Financial Management The four elements of financial management are controlling, planning, directing, organizing, and decision making. These four elements are the
Words: 984 - Pages: 4
CENTERS FOR MEDICARE & MEDICAID SERVICES Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about: • What is a Medicare Supplement Insurance (Medigap) policy • What Medigap policies cover • Your rights to buy a Medigap policy • How to buy a Medigap policy This guide can help if you’re thinking about buying a Medigap policy or already have one. 2013 Developed jointly by the Centers for Medicare & Medicaid
Words: 13813 - Pages: 56
Gloria Vheremu ACC 444 Honors Contract Fraud in the healthcare system EXECUTIVE SUMMARY The purpose of this research is to learn about fraud cases that have been happening in the healthcare system for the past few years, and how those fraudulent acts were pioneered and executed. The main focus will be on three of the many pillars that make fraud a reality fraud – committing, concealing and detecting; that is; how the fraudulent was committed, how the perpetrator concealed it and how
Words: 1936 - Pages: 8
outpatient rehabilitation centers, 230 surgery centers, 129 diagnostic centers and 124 occupational medicine centers.2 HealthSouth has always participated actively in the Medicare program and they’ve received Medicare reimbursements since the eighties and nineties, to extent that over 40% of their revenues came from the Medicare program and beneficiaries in that time period, and in their more recent filings this percentage has increased to a whopping 70% in 2010.3-4 HealthSouth’s stock trades on
Words: 1942 - Pages: 8
