Medicaid

and their families. Now even though this nursing home and rehabilitation center is said to show the upmost care for their residences deficiencies has caused violations with a ‘penalty fine of $6,500’ according to the U.S. Centers for Medicare and Medicaid (Trismen, 2013). The problems at Bridgewater Nursing Home of Bridgewater, MA started in 2010 when a resident was given a hot dog even though they were not allow solid foods (Trismen, 2013). This resident later died from choking. Another resident

• Which organization(s) accredit this facility: Joint Commission International, Centers for Medicare and Medicaid Services (CMS), Lab is accredited by College of American Pathologist (CAP) (K.E., personal communication, 2016). • What community outreach/activities does this facility sponsor or support: Ladies night out, Breast Cancer; Survivor’s Day once a year; Mission Arlington, Arlington Night Shelter, Cuisine for Healing, Health Fairs with city of Arlington and senior centers (K.E., personal

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 being

imminent event. Majority of care delivery is provided in the patient 's home. Nonetheless, hospice care also is delivered in freestanding hospice centers, hospitals, nursing homes and other long-term care facilities. Most private insurances, HMO’s, Medicaid and Medicare cover for hospice care. Currently in America seven out of ten people die due to chronic illness. And it is estimated that 157 million people will have at least one chronic illness by the year 2020(National Hospice and Palliative Care

OBAMACARE” at best The Patient Protection and Affordable Care Act, often referred to as “Obamacare,” was signed into law March 23, 2010, by President Barrack Obama and has been at the center of highly and critical debate in healthcare coverage since than. The Affordable Care Act (AAC) purpose is intended to provide a large majority of uninsured Americans including those with insurance with reasonable and fair health care coverage that is affordable, adequate and accessible to high quality treatment

Case Study Assignment Part I Budget Analysis I | GHIAL 2012 As a health care administrator/manager it will be imperative for you to work with the organizational budget but also have an exemplary understanding and purpose of the budget for your health care organization. Medicare payments for health care organizations have a complex set of rules. Medicare has paid skilled nursing facilities on a prospective basis since July 1, 1998. The rate is a per diem rate that is calculated to include

accrediting bodies and government agencies that have the same interest in 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

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 to keep

What empirical evidence supports the theoretical approach of the agency in which you are doing your practicum? When looking at the agency that I am doing my practicum it would be considered a private nursing home that accepts Medicaid and Medicare, however after further investigation I found that it is for-profit corporation and that “Golden Living operates. nursing homes and provides services related to rehabilitation therapy, hospice and home health, and temporary staffing. Catering to Golden

would play a critical role in EHR adoption (Ground, 2011). Stakeholders would include patients, family, clinicians, billing, registration, and coding as well as the external users such as Centers for Disease Control (CDC) and Centers for Medicare and Medicaid Services (CMS). Bottom line is that the new system being purchased would need to provide meaningful use to the clinic based on the current certification standards. Health information technology (HIT) consultants would be able to provide valuable