Centers for Medicare and Medicaid Services

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  • The Affordable Care Act ( Aca )

    1730 Words  | 7 Pages

    the Social Security Act has increased the financial accountability of healthcare organizations for preventable readmissions. Hospitals have increased their awareness and are looking for system ways to assist in the reduction. The Centers for Medicare and Medicaid Services (CMS) have initiated a process for decreasing the reimbursement for readmitted patients within a 30-day period. CMS identified readmission measures for applicable conditions of acute myocardial infarction (AMI), heart failure (HF)

  • Disadvantages Of Long Term Care

    734 Words  | 3 Pages

    Care Long term care is a growing service within the health care system in the United States. Long term care is a complex system that helps individuals that can no longer perform normal daily activities. These individuals are comprised of the elderly, the disabled, and the cognitive impaired. There are a variety of long term care services and settings that are structured to fit the individualized needs for a patient. Long term care is defined as a variety of services that are individualized and coordinated

  • The United States : A Multibillion Dollar Industry

    1370 Words  | 6 Pages

    Healthcare in the United States is a multibillion-dollar industry. Over time, the number of elderly people which have fallen victim to Medicare and Medicaid billing fraud has sky rocketed at an alarming rate. The Elder Abuse & Nursing Home Neglect Attorneys refer to this as an “overbilling epidemic” (n.d.). This means that many elders are being charged more money for the services they are receiving or in some circumstances, paying healthcare providers without receiving any care. Since most of them are unaware

  • Medicaid Fraud

    1530 Words  | 7 Pages

    Medicaid Fraud HCS/545 July 9, 2012 Medicaid fraud comes in many forms. A provider who bills Medicaid for services that he or she does not provide is committing fraud. Overstating the level of care provided to patients and altering patient records to conceal the deception is fraud. Recipients also commit fraud by failing to report or misrepresenting income, household members, residence, or private health insurance. Facilities have also been known to commit Medicaid fraud through false billing

  • Medicare, Medicaid

    692 Words  | 3 Pages

    Introduction The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not. Medicaid Medicaid is a joi8nt federal and state program. It provides health coverage to nearly 60 million Americans including children, pregnant women, seniors, and individuals

  • My Organization 's Customer Service Model

    1208 Words  | 5 Pages

    performance (OneSource, n.d.-a) Press Ganey found that hospitals that were doing well five years ago are doing well now, while lower performing hospitals are still performing low (Rau, 2015). In this post, I will discuss my organization’s customer service model, evaluate the effectiveness of customer satisfaction initiatives, describe the role of the manager and staff nurse in

  • Quality Initiatives That Has Increase Patient Satisfaction And Potentially Reduce Healthcare Cost

    1278 Words  | 6 Pages

    -Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support your response with examples of the successful application your chosen quality initiatives. The first quality initiative that could increase patient satisfaction and potentially reduce healthcare cost is the national data warehouse. According to Brennan, Cafarella, Kocot, McKethan, Morrison, Nguyen, Shepard & Williams II (2009), “this type of quality

  • A Brief Note On Medicare And Medicaid Services

    1499 Words  | 6 Pages

    Both Medicare and Medicaid are managed by the Centers for Medicare and Medicaid Services (CMS), which is a division of the U.S. Department of Health and Human Services. Medicare was created in 1965 when people of over 65 found it impossible to get private health insurance coverage. Medicare is a Federal health insurance program that pays for hospital and medical care for elderly and certain individual with disabilities. The program consists of two main parts for hospital and medical insurance

  • Essay on Budget Analysis II | ABC Facility

    1406 Words  | 6 Pages

    Hi, When you write the paper, please don’t use a excel spreadsheet, only use analysis of the data in Microsoft word sheet. I mean explain everything in words. Thanks! Case Study Assignment Part II Budget Analysis II | ABC Facility This is your second budget analysis, but more detailed to review a skilled nursing facility based on a prior year budget. As a health care administrator/manager it will be your responsibility to analyze your current year’s budget based on your prior year’s

  • The Importance Of Designing A Program Proposal

    826 Words  | 4 Pages

    Gastroenterology Associates, the educational program being carried out is impacted by the new quality reporting requirements called MIPS. The main goal of our program is to educate the physicians and the administrators in order to provide the Centers for Medicare and Medicaid with the most efficient quality data to receive the maximum amount of reimbursements. In order to perform efficiently, there are several resources that