Centers for Medicare and Medicaid Services

Accountable Care Organization Ralph Edwards Grand Canyon University Operations in Risk Management in Health Care HCA-460 Dr. Smith March 24, 2013 ACO Even although, the cost of the health care system and the care it offers my not allow the national debt to decline to a level that will or would enhance the economy forward the cost of running a system that is backed by the government is too costly, and it will not help the deficit. , the legal responsibility of the organization is that every

improving the quality of hospitals. The Hospital Quality Alliance (HQA) program that is overseen by and public and private entities, that include the Centers for Medicare and Medicaid Services (CMS) as well as the Joint Commission, is dominating this effort in the hospital district, generating reports quarterly on the delivery of effective services for mutual conditions. Even though the Hospital Quality Alliance has made this data more available to the public, there has not been enough information

The Joint Commission is a nonprofit organization that certifies more than 18,000 health care organization and programs throughout the world. Founded in 1951, the Joint Commission provides a national symbol of quality for health care as well as analyzes each organization’s commitment to meeting high quality performance standards. The Joint commission focuses on accrediting Acute Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical laboratories, health care

made discussions on end-of-life care much easier for patients and professionals alike.     False   Incorrect Question 5 0 / 2 pts To receive certification from Medicare, hospices must adhere to the Medicare Conditions of Participation. To receive certification from Medicare, hospices must adhere to the Medicare Conditions of Participation.    True Quiz 7 Question 1 2 / 2 pts The majority of elders prefer to remain in their homes as they age.   True

and provide loopholes for those that are conducting business in the gray areas. In the Health Care Reform Law which was signed into law by President Barack Obama in March of 2010, require health care providers to return overpayments by Medicare and Medicaid. In the Act, medical health care providers and suppliers are governed by the stipulations that require them to render repayment from overpayments within 60 days of being identified along with a written explanation of why the overpayment is

quality is Basile Care Center. Basile Care Center nursing home is located in Basile, Louisiana . It is a for profit corporation. Heritage Manor of Franklinton accepts Medicare and Medicaid. The nursing home is a 78 bed facility with 51 residents., which offers a variety of services besides long term care. The overall quality of Basile Care Center ranks pretty low when placed on a scale of stars. Basile Care center has a rank of one star out of five stars. Basile Care Center nursing home quality

range of DHS and other services in the group practice through the joint use of shared office space, facilities, equipment and personnel; 3) substantially all of the services of the physicians must be provided through the group and billed under a billing number assigned to the group and amounts received must be treated as receipt of the group ; 4) group overhead expenses and income must be distributed in a manner that is established before payment is received for the services that create the overhead

as research project. (Krager & Krager, 2008) HIPAA implemented specific code sets for diagnosis and procedures to be used in all transactions. Covered entities must adhere to the content and format requirements of each standard. (Center for Medicare and Medicaid Services, n.d)The security rule supplements the privacy rule; it deals specifically with electronic PHI or ePHI. It applies to covered entities that transmit health information in electronically. The Security Rule requires covered entities

term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with

jobs. The BLS also offers resources such as frequently asked questions, a glossary, a teacher’s guide, and occupational outlooks. Centers for Medicare and Medicaid Services. Retrieved from http://www.cms.gov/ The Centers for Medicare and Medicaid Services (CMS) website offer a variety of information on Medicare, Medicaid, and Chip. For information concerning Medicare this site offers you an abundance of information such as eligibility and enrollment, health plans, prescription drug coverage,