BC 112 Coastline Community College How Much Does It Cost Case Study

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HC 260 PU The Doctor with A Felony Conviction and Healthcare Fraud Project

HC 260 PU The Doctor with A Felony Conviction and Healthcare Fraud Project
Introduction Negligence in a hospital setting encompasses the whole realm of medical practice (Berg, n.d.).There are 2 main types.  The first type is negligence of the employees (Berg, n.d.). The second type is negligence of the organizations itself (Berg, n.d). This includes negligence in hiring, supervising staff, and maintaining equipment (Berg, n.d.). The second type of negligence will be the focus of this assignment. Reference Berg, D. (n.d.). Hospital liability for errors by its staff. (Links to an external site.) Retrieved from http://www.alllaw.com/articles/nolo/medical-malpra… Unit Learning Outcome ULO1: Explain the legal issues associated with negligent hiring practices (CLO 3). Directions Initial Posting For this week’s discussion question, we will explore the hiring practices of a healthcare organization.  You are the General Counsel for LongTwig General.   It is a mid-sized facilities that offers standard services such as pediatrics, general surgery, cardiac, and neurology. It has come to your attention that we recently hired a manager with prior fraud convictions. The billing fraud of this manager was a matter of public record that should have been discovered during the hiring process. There was no documentation of criminal background in the employee’s file. We are now facing a lawsuit that we billed Medicare fraudulently for rehab services on a non-responsive patient.  The lawyers for the plaintiff plan to use this information against us. You are to prepare a memorandum to the Medical Center Director on the potential impact of this hire.  Is it a case of negligent hiring? Why or why not? What steps should we now take to mitigate the effect on the pending lawsuit and potential government actions? How do we prevent it going forward. The initial posting should be prepared as a word document, and then attached to the unit discussion thread. There is no minimum or maximum in terms of the word count; however, the response should explicitly address all required components of this discussion assignment. The document should be prepared as a practical business deliverable (single-spaced) and reflect higher-level cognitive processing (analysis, synthesis, and evaluation).   Support the initial posting with at least 3 references of credible or peer-reviewed sources. The in-text citations and the list of references should be consistent with the APA writing style (7th ed.). To earn the maximum number of points for the initial posting, the overall quality of the writing should be consistent with that expected of a college student and industry professional.  Peer Responses It is important that healthcare managers become comfortable receiving and giving constructive criticisms, since this is an important component in one’s professional growth and development, and a core competency for supervisory roles. Students will be expected to read the initial posting of at least TWO peers, and then provide thoughtful comments addressing the following: Point out what you perceived to be the strengths of the initial posting along with supporting rationale. Identify specific opportunities for improvement regarding the content in the initial posting. Furthermore, you should provide supporting rationale for your stated position, as well as concrete suggestions and guidance intended to strengthen the effectiveness of the content. Peer responses should be typed directly into the discussion thread and not attached to a posting. Each response should include at least one reference of credible or peer-reviewed sources to support the content within ing. Proper in-text citations and correctly formatted references should be prepared consistent with the APA writing style (7th ed.). The list of references should be physically positioned at the end of ings. To earn the maximum number of points for the peer responses, postings should contribute something new to the discussion thread. part 2 The Doctor with a Felony Conviction Introduction Most of us hold medical professionals in high regard. However, they are human and subject to making mistakes. Considering that the organization can be held liable for hiring a dangerous or incompetent person, the question becomes should we hold past mistakes against an otherwise competent employee.  Unit Learning Outcome ULO2: Explore the rights of the governing board in hiring decisions (CLO 3). Requirements Carefully read Bouquett v St. Elizabeth’s Corp (43 Ohio 3d 50) Ohio, 1989 (Links to an external site.). This is a case of a provider who sought relief when his privileges were suspended after a felony conviction. The students are expected to summarize the facts of the case (what happened that led to the lawsuit and how it progressed through the courts) and prepare a case brief using the IRAC method. IRAC (Issue, Rule, Analysis, and Conclusion) is an acronym for a method for summarizing legal opinions. The “Issue” is the question or problem that the court was addressing (this should be in a form of a question). The “Rule” is how the court answered the issue and the relevant law the court used to solve the issue question. The “Analysis” is only the summary of the court analysis – how the court applied the rule to the facts.  Finally, the “Conclusion” first note the final outcome of the case – the court’s ultimate finding. Then, evaluate the significance of the case. (Tip: there is no wrong conclusion unless it is totally unsupported). This is your, the student’s commentary on the case, from your point of view (which is not a lawyer point of view) as an administrator or a risk manager of a healthcare facility. Conclusion is NOT simply a summary of what has been stated above.   Case Study: The students are expected to carefully read the assignment instructions, then thoroughly and explicitly address each component of the case summary and brief. The submission should reflect higher-level cognitive processing (analysis, synthesis, and evaluation), which is essential for someone being prepared to serve in an operational capacity within the healthcare and related industry. To earn the maximum number of points, the submission should reflect college-level execution with clear evidence of critical thinking, synthesis of relevant information from credible sources, and clear mastery of the concepts necessary to successfully execute each component of the assignment. This submission should not exceed two (2) pages in length, excluding the title and reference list pages, and explicitly address all required components of this assignment. If more pages would be needed, then the business letter can be accompanied by an to add more detailed information. The submission should be prepared as a practical business deliverable (single-spaced) and include at least three (3) references of credible or peer-reviewed sources to support any suppositions and recommendations. The in-text citations and the list of references must adhere to the APA writing style (7th ed.). Finally, the document should be prepared as a Microsoft Word document and uploaded to Submit Assignment part 3 Explain the concepts behind healthcare fraud. What are the advantages and disadvantages of using the criminal law to punish billing errors in a complex billing system? With respect to violations of false statements and anti-kickback statute, is it important whether a person knew conduct was wrongful?  How did the corresponding amendment to the federal statue by the Patient Protection and Affordable Care Act impact the Ninth Circuit’s Hanlester Network v. Shalala decision? If doctors receive a fixed percentage of joint venture revenues, while this percentage does not depend on the number of referrals, is it legal under Medicare and Medicaid statute? 

Introduction to Public Health Summary Essay

Introduction to Public Health Summary Essay
Read Chapters 5 -10 from the power point presentations. Based on the reading, write 260 words essay summarizing the content.

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