Health Association (American Medical Association)

Eventually, the minimum standards evolved and began to encompass physical safety, equipment and administrative standards. Survey teams started to branch out across the nation in an attempt to keep up with the increased demand for accreditation. As a result, the American College of Physicians, the AMA, and the Canadian Medical Association joined the ACS to form an independent, not-for-profit organization, The Joint Commission on Accreditation of Hospitals in

The American Health Information Management Association (AHIMA) is a recognized, respected association of health information management (HIM) professionals worldwide. Founded in 1928, AHIMA has become a respected authority for professional education and training in the effective management of health data and medical records needed to deliver quality healthcare to the public. Throughout AHIMA’s history back to 1928, the American College of Surgeons established the Association of Record Librarians of North America (ARNLA) to “elevate the standards of clinical records in hospitals and other medical institutions” (www.ahima.org, 2015). Since its formation, the Association has undergone several name changes in its evolution of the profession. In 1938 the Association changed its name to the American Association of Medical Record Librarians (AAMRL) for a more concise representation. When the Association became the American Medical Record Association in 1970, health information professionals had increased their involvement in hospitals, community health centers, and other health service facilities. As the health industry continues to evolve, the Association changed its name in 1991 to American Health Information Management Association to capture the expanded scope of clinical data beyond medical records to health information comprising the entire continuum of care.

The U.S. Government Accountability Office (GAO) is an independent, nonpartisan agency that works for Congress (GAO 2014). The GAO falls under the legislative branch of the federal government and works extensively with the executive branch, or more specifically, the Department of the Treasury and the Office of Management and Budget.

Another strength for the fight against fraud is the formation of the different teams, groups and organizations to help combat Medicare and Medicaid fraud. Among those that we started to alleviate the amount of fraud that has happened are; Office of Inspector General (OIG), the Healthcare Fraud Prevention and Enforcement Team (HEAT) and the General Services Administration (GSA). According to the Department of Health and Human Services “the OIG protects the integrity of HHS’ programs, including Medicare, and the health and welfare of its beneficiaries” (Department of Health and Human Services, 2014). The OIG carries out its duties through a nationwide network of audits, investigations, inspections, and other related functions. HEAT was established to build and strengthen existing programs combatting Medicare fraud while investing new resources and technology to prevent fraud and abuse. HEAT created the Stop Medicare Fraud website which provides information on how to stop and protect yourself and others from Medicare fraud as well as how to report fraud. The last system that was created was GSA which has strengthened the fight again fraud by converging several government groups into one group known as SAM or System for Award Management. According to the Department of Health “SAM includes information on entities debarred, suspended, proposed for debarment, excluded, or disqualified from receiving Federal contracts or certain subcontracts and from certain

Collectively, the Department of Health and Human Services and the Department of Justice work to reduce healthcare fraud and investigate dishonest providers and suppliers. The Health Care Fraud Prevention and Enforcement Action Team recouped almost 3 billion in fraud, this year alone. Also, aggressive strategies exist to eliminate Medicare prescription fraud. Patients abusing or selling painkillers received by visiting several doctors and obtaining multiple prescriptions costs Medicare millions annually. Fraud affects everyone, preventing it requires government officials and citizens diligently working together.

The National Institute of Health (2014) listed the most common form of familial hyperinsulinism to be an autosomal recessive genetic defect that is common among the Ashkenazi Jewish population. This condition affects 1 in 66 carriers who are Ashkenazi Jews since they have reported consanguineous marriages (NIH, 2014). Among Ashkenazi Jews, two single ABCC8 mutations account for 90 percent of cases of familiar hyperinsulinism (Mazor-Aronovitch, et al, 2007). The incidence of FHI in individuals of northern European descendants is approximately 1:30,000 live births. The incidence is increased in genetically isolated populations with a high prevalence of consanguinity (UpToDate.com).

The American medical association, or known as AMA, is a lobby group that group that is well organized, professional association that is focused on practicing U.S. physician members and the general public. AMA has a professional opinion that's they can use to help push their agendas over members of the congress to sway rulings in their favor.

The United States Department of Health and Human Services is run through an organizational structure. One which is regulated through the Immediate Office of the Secretary, whom which is responsible for operations and coordination of work for the secretary. This office consists of the Deputy Secretary, as well

The Office of the Inspector General (OIG) was established by § 2-56-010 of the Municipal Code of the City of Chicago. § 2-56-030(b) of the Municipal Code charges OIG with the duty and authority to investigate the performance of government officers, employees, functions and programs in order to detect and prevent misconduct, inefficiency and waste in the City government. Municipal Code, § 2-56-030(b). The Municipal Code mandates a duty to cooperate with OIG to every City officer, employee, department, agency, contractor, subcontractor and licensee of the city, and every applicant for certification of eligibility for a city contract or program. § 2-56-090. Those with a duty to cooperate must provide information to OIG upon its request. §

To assist in the prevention of errors, abuse and fraud in healthcare, the Federal OIG (the Office of Inspector General) and Medicare respectively publish the Compliance Program Guidance for Individual and Small Group Physician Practices and the Medicare Carrier’s Manual. In order to stay in federal compliance and prevent errors or worse, is it beneficial to be familiar with these documents. In a large company, while the Medical Office Specialist is the person that must be familiar to with the Medicare website this person is also the designated Compliance Officer and is responsible for providing the information on rules and guidance to the coders. To contact your medical office specialist, please refer to the company website or phone directory for your division. Remember, the federal government is not forgiving on errors when your response is ‘I don’t know’.

American Medical Association (AMA) represents the nation of doctor’s. It was founded in 1847 by a group of physicianswho worried about the society's education for health, believing that this education was not an adequate level for the quality of a nation. AMA ensures that schools dedicated to medicine are teaching to an adequate level as well as increasing educational standards.It is considered one of the longest associations of medical specialists and medical students in the United States.

GAO is unique in that GAO is one of the only ombudsman offices that handles all of the DHS agency program complaints as opposed to a University Ombudsman, a Children’s Ombudsman, or a Corrections Ombudsman who have a more limited scope of complaint issues. Likewise, many Ombudsman offices pick and choose the cases they will investigate, often only reviewing what appears to be a systemic issue, whereas GAO responds to any and all incoming complaints regardless of merit.

American Medical Student Association is taking action so that residents cannot work more that 16 hour shifts. American Medical Student Association believe that resident duty hour requirements should be based on the most current research on sleep, learning, patient safety and care, and resident well-being. Research has shown that acute and chronic sleep deprivation are detrimental to learning, which is in-fact a primary goal of residency training. (AMSA). They want to provide a better work schedule for the first-year residents, so they get the experience to working the long hours.

In 1975, The International Conference for the Ninth Revision of the International Classification Diseases, was convened by the World Health Organization (WHO), in Geneva. During discussions that lead up to the conference, the original intent was that there should be little change, other than some updating of classifications. This was mainly due to the expense of adopting data processing systems each time the classification was revised.

General association of the healthcare organizations and institutions is with the government which imposes. a lot of rules and regulations. The policies are mostly unclear which creates a lot of confusion in the workspace. Some doctors might also find it unsafe to join in with the industry due to the similar reasons. [8]