statute (Oachs and Watters‚ 2016). In our readings‚ it is discussed that the main reason for EMTALA‚ by Congress‚ was to ensure public access to emergency medical services regardless of ability to pay. Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services
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for the Elderly provides community-based services to assist seniors aged 60 and older. Case Management is a method used by professionals who work with elders in need of services. They work with the elder and their families to evaluate needs‚ develop a plan of care and coordinate services to maintain the elder’s well-being. You can look in the Yellow Pages or in the Community Directory section of the telephone book for local resources that provide services to elders‚ those with certain disease conditions
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Reimbursement Methodologies‚ HIT 115 Research Project Number 02386600 According to the Centers for Medicare & Medicaid Services (CMS) website‚ a law became effective as of October 1‚ 2007‚ that all acute-care healthcare providers must identify whether a diagnosis was present upon inpatient admission. This concept was summoned due to many concerns about the quality of care within the healthcare system and how the government was overpaying due to hospital errors. After
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and to increase. In review from the author point-of-view the Obamacare law does not address or control the sudden increase of health care cost. The next question was stated was will the Obamacare reduce reimbursement for Medicare physicians? The Centers for Medicare and Medicaid department has predicted Americans will spend $36.8 trillion over the next 10 years in health care. “The author’s opinion without passing the Obamacare law‚ the country will spend less than $500 billion in the next ten10
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homes “must provide services and activities to attain or maintain the highest practicable physical‚ mental‚ and psychosocial well-being of each resident in accordance with a written plan of care.” To participate in Medicare and Medicaid‚ nursing homes must comply with the federal requirements for long term care facilities. Within this Reform Act it specifically states some of the following requirements that facilities are to provide residents; Provide pharmaceutical services to meet the needs of
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Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985. EMTALA was enacted to prevent hospitals with Emergency Departments from refusing to treat or transferring patients with emergency medical conditions (EMC) due to an inability to pay for their services. This act also applies to satellite locations whom advertise titles such as “Immediate Care” or “Urgent Care‚” and all other facilities where one-third of their patient intake are walk-ins. Several rules and regulations to this act have been established
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disabilities. As a result‚ long-term care is becoming an important part of service to the elderly population. The US General Accounting Office (1994) reports that more than 12 million Americans need long-term care and 55% of them are people aged 65 or older (Binstock‚ Cluff‚ & Mering‚ 1996). Accordingly‚ the government spends substantial amounts of money to provide care through nursing homes and community/home based services. In 1994‚ more than $100 billion was spent on long-term care in the US in
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are able to provide better care at lower cost due to their focus on efficiency. For-profit hospitals ’ focus on efficiency has raised questions of whether cost-cutting impacts consumer health. Both nonprofit and for-profit hospitals provide similar services‚ each faces demands to cut health care costs. For-profit hospitals have a duty to investors in paying dividends and taking the company in an approved direction.
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Pay-for-Performance Reimbursement and Pay-for-Performance are at the heart and soul of every health care organization. Without money coming in there is no way to pay for the services in which are offered to the individuals that need them. The individuals that need the services are required in one way or another to provide payment for these services. Individuals’ chose the health care coverage needed and than the insurance companies develop plans to fit needs to the people. The insurance or reimbursement organizations
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1. Evaluate and discuss the potential liability (negligence or other torts) of the various parties in the scenario involving but not limited to Bobby‚ ACE Sports‚ the nurse‚ the surgeon and City General. (Avoid simply restating the facts/scenario. Incorporate them into your discussion.) 2. Be sure to discuss the elements of negligence as they apply to each party separately‚ and also discuss the application of EMTALA. 3. Define comparative negligence and discuss its application to
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