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Essays 151 - 180

Heath Insurance Coverage and Bariatric Surgery

the long run, providing bariatric surgery is the most efficient answer to this problem as it can result in tremendous net savings ...

Medical Coding and Billing

for those over 65. For many people, it is their only means of obtaining a doctors care. This paper discusses Medicare as well as m...

MEDICARE DONUT HOLE - BACKGROUND AND SOME SOLUTIONS

In 2003 the Medicare Prescription Drug, Improvement, and Modernization Act (also known as MMA) passed amid a lot of hoopla and cel...

Medicare/Medicaid Fraud

doctor is simply unaware of changes in the coding system, but, for the purposes of this paper, it will be assumed that the errors ...

Long Term Care/Medicare Reform

majority, if not all, Medicare part D plans will offer incentives for participants to choose generic drugs. It is believed that "g...

The Australian Health Care System: A Comparison with the U.S. System

government reimburses thirty percent of the insurance premiums paid by the patient. In addition to those noted above, the...

Medicare, Part D

to the medications needed to ensure their health. Beginning in 2004, Medicare began to offer aid, $600 a year, for covering the co...

The United States - A Reluctant Welfare State

the challenge of numerous social problems throughout its history (Jansson, 2000). During the colonial period, indentured servants ...

Federal Health Care Legislation

included doctors, hospitals, lab work, dentistry and nursing (The history of Medicare). In addition, medical insurance for the nee...

Factors Affecting Health Care

now our nations elderly have depended on Medicare/Medicaid for their medical needs. The Medicare/Medicaid system upon which these...

Australia and Medicare

the poorest communities, in terms of income level, have the lowest standard of health: a group which practises low-risk behaviours...

Medicare Part D and Insurance Planning

most of the differences between them rest on the types of drugs covered under each specific plan. The mechanics of each plan are ...

Medicare Program Part D

income which is far from adequate, they sometimes have to literally make the decision whether to eat or buy the drugs which have b...

Medicare Crime Deterrence and the FCA

then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of legal directive or its enf...

Formal Plan of Compliance and Medicare Fraud

This is one of the largest settlements reached in the many similar cases that have come under review. Aside from the fraud involv...

Fraud in Medicare Deterrence and the False Claims Act

payments is more lucrative then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of...

An Article on PT's Medicare Audits Summarized

billing stipulations. Also in 2004, spending on services rendered by physical therapists (PTs) increased dramatically. Wallace lis...

PPS Health Care Payment Systems

The provider may not charge either the patient or supplementary insurer an additional amount. "If the provider does not take assi...

Medicare, Health Care Issues, and the Presidential Election of 2004

that gives patients more options while maintaining fewer requirements (McKelvey, 2004). It is something that should strengthen the...

Home Health Service Provider Business Plan

or may not have a market, home health care is a service that always has a market of some size. The business is a proven one, one ...

Long Term Healthcare Evolution

and their insurers by operating under two distinct fee schedules. Medicare requires that care providers fees be "normal and custo...

Abuse and Fraud in Medicare

American Medical Colleges, American Medical Assn. et al. v. United States), which alleged the government is conducting illegal Med...

Mobility Scooters and Health Care Policy

electric scooter to virtually anyone over the age of 65, CMS current position is that no individual will be approved to receive on...

Pneumonia and Tool for Data Collection

"yes" response to a question requiring clarification takes the user directly to the point where that clarification can be entered....

Fraudulent Billing and Medicare

frameworks include the "Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act in 1998" (Texas Le...

Fraud and Medicare

$3 billion annually, that is about 10 percent of all claims (Albert, 2004). There are a number of laws that specifically address ...

Prescription Drug Costs and Medicare

to be able to liberalize their policies, something that has made life difficult for many people, and not just seniors or the disab...

Budgeting for Healthcare and the Impact of Government Regulation

that health insurance is simply a fringe benefit as opposed to a fundamental right (1994). Another issue that comes into play is...

Deborah Stone's Policy Paradox Analyzed

back to rationality and politics (and the fact Stone believes the two cant be combined), she notes that the theoretical rational d...

Prescription Drugs and Medicare Controversy

that a means test would be supported by Democrats but that is far from the case. The article points out that Medicare is embraced ...