StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...

DISCUSSION BOARD PART 7-1 - Essay Example

Cite this document
Summary
Mixed Research Methods 17th, October, 2012 The extent of Medicare fraud can be seen in the ever-increasing number of people who are served by the Medicare program and the increasing strain on the government financial plan. Nonetheless, every individual has a dynamic role to play in the veracity of this health care program…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER98.1% of users find it useful
DISCUSSION BOARD PART 7-1
Read Text Preview

Extract of sample "DISCUSSION BOARD PART 7-1"

Download file to see previous pages

Vanasco, R. R. (1998). Fraud auditing. Managerial Auditing Journal, 13(1), 4-71. Retrieved from http://search.proquest.com/docview/274706011?accountid=45049 Vanasco looks deeper into the role played by various institutions and professional associations such as government agencies and auditing bodies in setting up standards which are used to detect fraud in various capacities such Medicare, insurance, and banking industry. The main motive of this survey is to show the mixed method research survey of the level of Medicare in the US.

Vanasco notes that Medicare fraud involves theft such as taking money, assets, or information, concealing the information, money, or assets obtained in order to hide the fraud from other concerned parties, and converting the stolen assets into cash. Moreover, he notes that GAO has estimated the total loss per year to Medicare fraud and abuse to amount to US$47 billion, which is 10 percent of overall Medicare expenditure in the US. Stanton, T. H. (2001). Fraud-and-abuse enforcement in Medicare: Finding middle ground.

 Health Affairs, 20(4), 28-42. Retrieved from http://search.proquest.com/docview/204639339?accountid=45049 According to Santon, Medicare fraud and abuse draws many resources from the Medicare scheme at a time when there are limited resources. He aims at finding a middle ground since there is a budding for savings because of rigorous exertions to bring to a halt fraud and abuse in Medicare. The question derived from his research is “Can there be a middle ground in Medicare and fraud laws?

” However, he notes that care must be taken in order to report the authentic concerns of suppliers caught in an antagonistic antifraud net. In addition, he notes that a good time must be provided in order to contemplate the intrinsic worth of finding a middle ground. His mixed method research notes that fraud and abuse are grave problems that gutter resources from Medicare at a time when means are scarce. This kind of provider backlash results from lack of consensus from the congress and therefore the congress should provide limits to the kind of excesses that provoke the entire Medicare project into anger.

He further recommends steps to be taken to prevent fraudulent activities and provide legitimate providers to conduct their services. His qualitative research recommends the creation of a law that will address these kinds of concerns. An example of such a law is the False Claims Act and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. This act permits private citizens to take legal action on behalf of the government and to get a certain fraction of any recovered funds. This act applied to Medicare and Medicaid.

Hollis, M. (2005). Experts fear more fraud if Florida’s Medicaid system is privatized. Knight Ridder Tribune Business News. Retrieved from http://search.proquest.com/docview/460380850?accountid=45049 Hollis notes that several legislations have been put in place in Florida to allow laws to guard the healthcare subscribers. He further notes that without a proper safeguard into the Medicare program, the risk of Medicare frauds would even increase. This led him to conduct a mixed method research in Florida’s Medicare program.

In his research, he notes that Florida loses $1 in every $10 invested. This is a large sum considering that it reflects 10% of the sum invested. According to the statistics

...Download file to see next pages Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“DISCUSSION BOARD PART 7-1 Essay Example | Topics and Well Written Essays - 750 words”, n.d.)
Retrieved from https://studentshare.org/business/1459084-discussion-board-part
(DISCUSSION BOARD PART 7-1 Essay Example | Topics and Well Written Essays - 750 Words)
https://studentshare.org/business/1459084-discussion-board-part.
“DISCUSSION BOARD PART 7-1 Essay Example | Topics and Well Written Essays - 750 Words”, n.d. https://studentshare.org/business/1459084-discussion-board-part.
  • Cited: 0 times

CHECK THESE SAMPLES OF DISCUSSION BOARD PART 7-1

HCM367-0801B-01 The Health Care Organization - Phase 2 Discussion Board

Vitruvian Physicians Partners, and Vitruvian Health Plan perform functions which obviously differ but blend to meet the aims and objectives of the organization as a whole. Our network HCM367-0801B-01 The Health Care Organization - Phase 2 discussion board HCM367-0801B-01 The Health Care Organization Phase 2 discussion board Titus Rock ManickamOrder No.... 209428 05 March 2008HCM367-0801B-01 The Health Care OrganizationPhase 2 discussion BoardDr Montenegro nurtured and shaped Vitruvian Inc....
2 Pages (500 words) Essay

HCM477-0802A-01 Finance in Health Care - Phase 3 Discussion Board

The fact that Fullhealth owns several multiple healthcare businesses including the health plan, three… rm care assisted living facilities, and two home healthcare agencies; Fullhealth was able to maximize its existing resources in terms of increasing the number of its Medicaid, Medicare and employer sponsored health plan enrolees. The role of third party payers plays a HCM477-0802A-01 Finance in Health Care - Phase 3 discussion board To Whom It May Concern: The secret behind the profitability of Fullhealth lies behind the fact that the company was able to maximize its profitability by reaching reasonable economies of scale....
2 Pages (500 words) Essay

HCM611-0803A-01 Managing the Health Care Organization - Phase 2 Discussion Board

2006) Nurses can be convinced about working under renewed policies and procedures HCM611-0803A-01 Managing the Health Care Organization - Phase 2 discussion board Policies and procedures related to the improvement of nursing care and efficiency includes quality assessment and improvement program.... Further, problem solving strategies in times of need will become a part of their duty and they will not blame the hospital policies for any issues in their work....
2 Pages (500 words) Essay

HCM621-0804A-01 Ethics, Policy, and Law in Health Care Management - Phase 3 Discussion Board 2

As the Assistant Director of Quality Improvement and Risk Management for Rosewood Children's Medical Center, a health care facility specializing in inpatient and outpatient health care services for children and adolescents, I will help the organization to provide a list of… Enumerated below are the rights and responsibility of the healthcare provider base on legal standards and professional standards for health care organizations. Assure the members that their medical records are kept confidential and HCM621-0804A-01 Ethics, Policy, and Law in Health Care Management – Phase 3 discussion board 2 As the Assistant Director of Quality Improvement and Risk Management for Rosewood Children's Medical Center, a health care facility specializing in inpatient and outpatient health care services for children and adolescents, I will help the organization to provide a list of rights and responsibility of healthcare provider....
2 Pages (500 words) Essay

DISCUSSION BOARD PART 2

The paper addresses the issue of Medicaid fraud by pinning down the core problem bringing about the fraud in the first place and then seeks ways in which by using quantitative, qualitative,… To gain clarity of objective, the issue is addressed from different world views and more importantly, aligns the world view with the research methodologies. Medicaid fraud discussion board part 2 This paper is a precursor to one of the overarching problems in the healthcare industry....
2 Pages (500 words) Essay

DISCUSSION BOARD PART 2-2

The doctoral students use the rubrics as a guide to develop high quality proposals.... In addition, the same is used to as a means of feedback.... This paper… valuates three problems that might pose a problem to my project, a plan of action for demonstrating competency in each area of assessment, and the characteristics of a successful student-doctoral study chair relationship. Doctoral study rubrics require that the research problem Doctoral Study Rubric 7th, November, Doctoral study rubrics refer to a standard measure of evaluating proposals and doctoral study drafts as students develop them....
2 Pages (500 words) Essay

Work of the Board of Hackney Homes

This paper "Work of the Board of Hackney Homes" will present a reflection of the board meetings that the author attended and was part of.... The board of Hackney Homes is an organization that looks after the welfare of tenants and leaseholders.... hellip; board committees are convened to oversee specific functions....   The reflection will focus on the work of the board, its approach to key issues, opportunities, and challenges for boards in the voluntary sector....
11 Pages (2750 words) Coursework

Fan Message Board

If a large number of fans take part or view these boards, the volume of content that can be communicated or exchanged is enormous.... The focus of this paper "Fan Message board" is on message boards as a genre of communication that exists prior to the present-day Internet, were widely known and used among early adopters and nerds in the 1980s when dial-up message boards were currently in vogue.... A message board remains popular to fans because its entries are stored....
5 Pages (1250 words) Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us