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Essays 61 - 90

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...

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 ...

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....

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...

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...

History and Future of HMOs

also had increased dramatically: by 1994, that percentage of GNP had increased to 15 percent and had topped the $1 trillion mark ...

Senior Citizens and Public Policy

forgetful. It can be a very serious problem for the elderly who are often on a smorgasbord of necessary pills to treat a variety o...

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...

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...

Medicaid Fraud and Medicare

of how the treatment may be paid for. Other problems erupt when patients ask their doctors to fudge a code through the system beca...

Medicare and Pharmaceutical Benefits

In ten pages this paper discusses Medicare and the financial problems associated with supplying pharmaceutical benefits across the...

Baby Boomers and Medicare Problems

In five pages this paper examines the statistics regarding the generation of Baby Boomers and how this has affected Medicaid and M...

Budget Surplus, Medicaid and Medicare

In five pages this paper examines the present system of Medicaid and Medicare in a discussion of the need for change, long term re...

Medicare Program Implications and Managed Health Care

In twelve pages this paper examines how Medicare affects managed care programs. Ten sources are cited in the bibliography....

Issues in Health Care

to focus more upon running smooth production rather than customer needs. By skewing the focus in this way, health care organizati...

Medicare and Medicaid Costs and the Impacts of Senior Citizen Care, AIDS, and Teen Pregnancy

In sixteen pages this paper discusses how Medicare and Medicaid costs are impacted by senior citizen health care, AIDS treatment a...

The Environment of Modern Healthcare and Ambulatory Payment Systems

This fifty page paper provides an extensive examination of ambulatory payment systems development in the environment of modern hea...

Medicare, Fee for Service, and Managed Care

In fifteen pages this paper examines Medicare in an assessment of fee for services vs. managed care plans. Fifteen sources are ci...

Fraud Involving Medicaid and Medicare

In ten pages this paper examines what is being done to prevent instances of fraud in Medicaid and Medicare. There are 12 sources ...

Democrats and Republicans on Medicare

In five pages this paper examines the 1995 and 1996 time period in a consideration of Medicare and the continuing political debate...

Entitlement, Autonomy, and Medicare Issues

In ten pages this paper examines the future costs involved in Medicare and the need for reform program applications. Eleven sourc...

Medicare and Medicaid Options' Evaluation

In ten pages Medicaid and Medicare options are evaluated with several policy issues discussed and an examination of Kingston's the...

Overview of Health Care Costs

In ten pages this research paper examines the costs of health care at consumer, private, state, and federal levels with a consider...

Payment Transfers in Welfare States

This paper compares the United States to other countries of the world with regard to payment transfers within the welfare system w...