...information about Medicare than social worker students about to enter the professional field. This should not be the case, students should be trained on information pertaining to Medicare so they can assist clients who need help with the Medicare process. I know that social worker is a broad field, but those who will be working with seniors should be familiar with the programs that benefit seniors. There were many areas where students answered “I don’t know” this is unacceptable in a field educators and advocates for the older population. They should at least know where to find resources about the information that they do not know. The Details The research will be conducted with five older adults suffering from chronic illnesses...
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...Medicare will be improved through a quality payment program which helps Medicare to target the goal for care quality and making patients healthier which is the most important part of the mission. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) discontinued the Sustainable Growth Rate formula, which made doctors and primary care physicians who participated in Medicare worried about possible payment cliffs for 13 years. The Quality Payment Program has 2 pathways to choose: 1. Advanced Alternative Payment Models (APMs) - To earn an incentive payment, you have to participate in an Advanced APM, through Medicare Part. You can be a part of the Quality Payment Program in 2017 if you joined the Advanced APM or if you have more than $30,000 worth of Medicare bill which is the allowed charges a year in Part B. The healthcare provider must also see and treat more than 100 Medicare patients a year. It has to meet both the...
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...We often spend our lives living in the moment instead of preparing for the future. Many people do not consider that they will grow old and may require extensive healthcare needs in their elder age. For many, Medicare assumes the responsibility for the payment of their end of life care. Every employed citizen that pays taxes is contributing to the Medicare fund. Therefore, Medicare should continue to pay for the end of life treatment for patients. Needless to say there should be procedures and regulations in effect to reduce the amount of spending on end of life care. Physicians should not order test and procedures that are not beneficial to extending the patient’s life or improving their quality of life. Physicians are preying on the aging...
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...Definition of Terms Paper Definition of Terms Paper In today’s health care environment patient safety has become one of the most important objectives in all health care institutions. One of the main issues when it comes to safety of patients is errors that can occur when abbreviations are not used properly when dealing with health information technology. It is important for health care employees to have knowledge and a clear understanding of what the abbreviations stand for, as well as the purpose of them. When dealing with a patient’s personal information that concerns their medical history, there must be the use of accurate written or computerized documentation at all times. This paper will define the following abbreviations: AMR, CMR, CMS, CMS 1500, CPT, DRG, EPR, HL7, ICD-9, UB-2, and the important role each plays in health care information technology. AMR The abbreviation AMR refers to what is known as Automated Medical Records. An Automated Medical Records system is used to record all information concerning a patient’s care from the initial consultation, the admission into the hospital if applicable, any treatment involved and medications dispensed, to the final billing (Pinkerton, 2006).When an AMR is used the amount of paperwork associated with a health care practice or hospital can be lessened. Automated patient information has the capability to provide health care workers and organization with patient information that can be critical when treating them. The information...
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...Final Exam: AGNG 200 Spring 2014 AGNG 200 Final Exam Spring 2014 Below are 3 essay questions, worth 33 and 34 points respectively for a total of 100 points Please synthesize (bring together), critically think about, and apply the material covered in class to write thorough essays. Also, please remember to cite references both in the text of this exam and on your reference list for all ideas and facts that are not your own! - Examples of citations are provided in your syllabus. Failure to use proper citation in the text of the mid-term exam constitutes plagiarism and is a violation of academic integrity policy at UMBC. - Your essays must be typed and double-spaced with your name(s) on the first page! DUE: Monday May 12, 2014 @ 12 midnight BY Electronic submission only Good Luck! 1. Ms. Natale is a 73 year old woman who is thinking about returning to school to complete her Bachelor’s degree in English. She left the university she was attending five years ago in order to care for her dying spouse. She has been a widow for four years and still wants to complete her degree. She has about 24 credits to complete before she can earn her Bachelor’s degree. Some of her friends tell her she’s a bit old for that and wonder why she wants to complete her degree since she’s financially well-off. Ms. Natale, though, says she loves to learn and that it’s important for her to complete her degree. PLEASE ANSWER THE FOLLOWING: Is Ms. Natale too old to complete...
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...Essay 1--Medicare Medicare is a social insurance program administered by the United States federal government to guarantee access to health insurance to citizens age 65 and older, those with end-stage renal disease and former workers who have been receiving Social Security Disability Insurance for at least two years. Signed into law on July 30, 1965 by President Lyndon B. Johnson as Title XVIII of the Social Security Amendment of 1965, Medicare was designed to close major gaps in the Old Age, Survivors, and Disability Insurance program (OASDI). Prior to the enacting of Medicare, less than half of the elderly in the US were covered by health insurance. The most significant impact of this law was the establishment of two related health insurance programs to provide protection against the high costs of hospital expenses (Part A), and a voluntary supplemental plan that covers payment for physician services and other medical expenses (Part B). The original budget for Medicare was approximately $10 billion and covered 19 million Americans during the first year. Early legislation to provide a national health plan for seniors was first introduced by President Harry Truman in 1945 when he called for the creation of a national health insurance fund. Every Congress from 1952 to the passage of this bill received proposals, primarily from Democrats, for providing hospital insurance and health benefits as part of the social security system. Medicare Part A, financed by a portion...
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...Policy Interview Analysis For this essay I chose to interview Carla, a Registered Nurse, with twenty years of experience, from the Operating Room. She has seen many changes occur in healthcare during his career. This paper will discuss some of the values he finds most important for creating an equal healthcare system. In order to establish an equal healthcare system, coverage needs to be affordable, with equal opportunities for everyone, and American’s need to feel they have the freedom of choice for the type of coverage they want. Healthcare coverage first of all, needs to be affordable. Employers should pay all or most of the healthcare premiums to cover their employees. The coverage should be competitive and at the same time the employee should have the right to choose if they want to be covered or seek private insurance. Mandatory physical exams and blood work should be discussed in detail at employee forums and human resources should not just assume all employees know their coverage rights. Physician’s office staff should be well educated in insurance literacy to let their patients know what their coverage rights are. This will keep the patient from getting a surprisingly high statement in the mail. Those who are eligible for Medicare should not have deductibles. If they are on Medicare then they obviously fall below some standard and therefore do not have the money to pay for medical coverage. Carla states, “Medicare should not be eliminated unless the...
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...Centers for Medicare and Medicaid Services Centers for Medicare and Medicaid Services Centers for Medicare and Medicaid, once called the Healthcare Financing Administration was signed into law on July 30, 1965 by President Johnson. The Medicare and Medicaid programs were created under the social security act to provide health insurance to people with disabilities, low income families, people 65 or older, or people with terminally ill disease. Medicare was once the responsibility of Social security administration, and Medicaid was once the responsibility of the Social and Rehabilitative Service Administration until in 1977 the Healthcare financing Administration was created administer both services. What led the production of these two health insurances was the belief in the 1940s that everyone is entitled to health insurance no matter what, but since then health care cost has risen drastically. Many health care providers are reluctant to offer services or the appropriate services to people with this type of insurance because only a set amount is covered and not all expenses are paid for. In America Medicaid and Medicare provide health insurance to millions of people every day, and it would be devastating if they failed and were no more, throughout this essay I will show shocking statics and facts on both of these health services and how they work. It is important for Americans to be knowledgeable on what our country’s health runs on and how financially Medicare and Medicaid...
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...Appendix C, according to the following case study: A 67-year-old Medicare patient presents to the office, exhibiting symptoms of HIV infection. After detailed examination, symptoms are determined to be advanced AIDS with manifestation of Kaposi’s sarcoma and other opportunistic infections. Name: James Brown Account Number: 080811 Insurer: Medicare Policy Number: 1098765 ID number: 12345678910 DOB: 02/01/1940 Gender: Male Insured: James Brown Address: 1600 Pennsylvania Ave. Wash. D.C. 60000 Marital Status: Widowed Patient’s Employer: Retired Nature of Condition: HIV, AIDS, Kaposi’s sarcoma Date of Illness: 06/01/2007 Referring Physician: Thomas Glassman, M.D. Physician ID: 1080808080 Federal Tax ID: 5551116679 Dates of Service: 06/01/2007, 06/15/2007, 07/07/2007, 08/01/2007 Procedure: Detailed examination, screening blood panel, pathology services Patient Signature Include ICD (categories only), CPT, HCPCS, and insurance information. If you believe there is insufficient information provided to fill a required field with data, indicate this by typing N/A. Post the completed CMS-1500 form as an attachment. Final Project: How HIPAA Violations Affect the Medical Billing Process Part Two: Write a 1,500 to 1,750 word essay in which you discuss implications of both forms of the patient’s diseases, HIV and AIDS, from the perspective of HIPAA confidentiality. Include the following in your essay: Discuss why...
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...such as pneumonia, cholera, and massive heart attacks, have been replaced by chronic and, often, degenerative diseases such as advanced cancers, diabetes, lung disease, and Alzheimer’s, leading to a slow death for most (Gardner, 2012). This places a great financial burden on the Medicare system as well as patient’s families. Atul Gawande (2010) reports that twenty five percent of all Medicare spending is for the five percent of patients who are in their final year of life, and most of that money goes for care in their last couple of months, which is of little apparent benefit (p. 3). Even more concerning is the suffering that many patients are forced to endure due to the lack of other options. Patients must have the right to make autonomous decisions regarding the end of their lives. They need to be confident that those decisions will be upheld, even if they conflict with the wishes of their families or physicians. However, patient confidence in knowing that their final wishes will be met is complicated by a lack of education and empowerment for those who face these difficult decisions (Frank & Anselmi, 2011). The purpose of this essay is to discuss the benefits to patient autonomy and the Medicare budget, by the legalization of physician-assisted suicide and voluntary euthanasia. Legalizing Euthanasia: A Practical Approach Imagine that your beloved pet suffered a stroke and could no longer eat, drink, walk, or care for itself the way it had been able to do previously...
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...Medicare Policy Process The health care, policy-making process is composed of three major stages; the formulation stage, legislative stage, and the implementation stage. The policy process refers to the specific decisions and events that are required for a policy to be proposed, considered, and finally either implemented and/or set aside. It is an interactive process with multiple points of access providing opportunities to influence the multiple decision makers involved at each stage (Abood, 2007). Each stage presents a unique set of events for a policy to be proposed, considered, and either implemented or rejected. In the formulation stage there is an input of ideas, information, and research from government officials, citizens, and special interest groups. The issue is framed and the purpose and outcome is defined. Finally strategies are chosen and the necessary resources are identified. In the legislative stage the policy must be discussed by congress, agreed on and signed into law. In the implementation stage the policy is put into effect, human resources and funding are allocated. After a new policy is implemented, advocates, opponents, or other “interested parties” begin to consider the consequences of the decision and its implementation (Cockrel, 2007). Abood (2007), “The overall health care system, including the public and private sectors, and the political forces that affect that system are shaped by the health care, policy-making process” (The Policy Process...
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... The Commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, and infection control and consumer rights. Most state governments require that healthcare organizations be accredited by the Commission as a condition for licensing and Medicaid reimbursement. JCAHO evaluates and accredits approximately 18,000 health care organizations, including hospitals; ambulatory surgery centers (ASCs), health care networks, and clinical laboratories. The Joint Commission was founded in 1951 as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Joint Commission Resources (JCR), a global affiliate group, oversees the Joint Commission International (JCI). In this essay I will continue to use the monopolistically...
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...Trident University | MHM502, MOD 6, Essay | Health Care Finance | | Horal, Thomas J | 1/27/2014 | [Type the abstract of the document here. The abstract is typically a short summary of the contents of the document. Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] | MHM502 Health Care Finance has broadened my horizons not just on the financial aspect of the Healthcare system, but the Health Care system as a whole. This health care finance course has laid out clear and specific objectives, and insured that the student, has not just a broad overview, but a specific and detailed orientated understanding of all the topics covered. I now have a very clear understanding of not just how health care is financed, but also its distribution across all demographics. Not only is health care financed by both public and private funding, funding can even be broken down further by each state. I have also learned that there are some very key difference when one compares different states to one another. Health insurance coverage in the United States is drastically different among socioecomimic class, race, nativity, and age. I have also learned the differences in fully and self-insured plans and the risks associated with both. Through the modules I have a much greater understanding of the PPACA act and the changes that it imposes, though it seems like in order for this act to have solid effect on the people it...
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...changes will be more significant. The budget battles in Congress in 2012 while the country was deemed to be heading for a fiscal cliff resulted in tax code changes that are supposed to raise revenues for the federal government while simultaneously leaving the economic recovery in the United States unaffected. The main change in the federal tax code to be highlighted in this paper is the Unearned Income Medicare Contribution. It is also referred to as the Medicare contribution tax, the 3.8% tax, the investment tax, and the Medicare tax. This new tax is unique or different from other taxes in a number of ways. First, this tax is levied on income in addition to an income tax. Income is always subject solely to the income tax. Under earned income includes rents, dividends, earnings to subchapter S corporations and various partnerships and other entities. Surprisingly, the government revenues from this tax will be deposited into the general fund and will not be sent to Medicare directly. It is highly unlikely, due to the politics involved, that these funds purportedly raised to help Medicare will ever be spent for that purpose (Viard, 2012). It is expected that this tax could adversely affect small business owners and especially self-employed farmers. 2 senior citizens on Social Security and other people who received fixed incomes will also be subject to this tax this could be viewed as having a tax that could be especially burdensome to those that it was trying to help (Perez, 2013). ...
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...TEST ESSAY QUESTIONS FOR HUMANITIES 1. Although there have been others, Volti writes about only two recipients of the Jarvik-7 artificial heart: Barney Clark, who survived for 112 days after surgery; and an unnamed recipient who lived for 620 days. Why would a device that has extended human lives for such a substantial periods of time be banned by the FDA as a permanent replacement organ, as was the Jarvik-7 in 1990? Describe the specific post-operative negative side-effects suffered by Barney Clark and those that the unnamed patient mentioned above went through. a. Barney Clark underwent great suffering as a result of the immaturity of this technology. Seizures, severe nosebleeds, pneumonia, kidney disease, epidymitis and an intestinal ulcer followed the implanation. 2. Beginning at the bottom of page 122 of our text, with the congressional approval of Medicare payments for dialysis, we gain some insight into how our legislative system works---in this case to the tune of $17 billion a year. With the general aging trend of our population, this price tag is expected to rise considerably, putting further strain on our health care system. It is clear that Dialysis is a legitimate medical need. Yet one main question remains that throws doubt on continued Medicare support of dialysis. What is this question? In your opinion, does this constitute a medical ethics issue? b. In my opinion I don’t really think that this constituted a medical ethical issue. Just like...
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