d).
The health care industry is heavily regulated and has several special risk areas that need to be looked out for. An effective compliance program is necessary in order to mitigate these risks. In addition to the challenges that are associated with taking care of patients, health care providers are subject to huge and sometimes intricate sets of rules that govern the coverage and reimbursement of medical services. Because federal and state sponsored health care programs play such a big role in paying for health care, compliance with these rules are necessary in order to avoid penalties that can occur. These penalties can include such things as recoupment of improper payments, along with sanctions imposed by Medicare and Medicaid against health care businesses that engage in abuse or fraudulent practices (Corporate Responsibility and Corporate Compliance: A Resource for Health Care Boards of Directors, (n.d.).
A good health care administrator will define and implement a good risk management plan in order to avoid as many problems as possible. The health care administrator is responsible for making sure that the health care facility runs a smoothly as possible. This includes making sure that the facility has an effective compliance program along with managing any accreditation and licensing actions that they facility may be undergoing.
Other risks that must be taken into account are those that deal with abuse and fraud. This is also an area that the health care...
Healthcare Legal Legal Aspects of Health Care Administration Please answer the question below: Give and support two arguments for and two arguments against Euthanasia. (Note: Pages 430 to 433 in Pozgar's textbook will provide some background on the issue). In modern medical practice the meaning of euthanasia is an action that assists dying in someone who has requested it and countries such as Belgium, where it is a legal practice, require that the person
Healthcare Legal Issues: Care and Treatment of Minors The evolution of the hospital is a unique social phenomenon reflecting societal attitudes toward illness and the welfare of the individual and the group. Hospitals existed in antiquity, in Egypt and in India. After Christianity became the state religion of the Roman Empire, hospitals were built in Christian nations. Subsequently, after Islam arose, hospitals were built in Moslem countries as well. Regardless of
Healthcare Legal Issues Discuss the impact Federalism has on the regulation of health care delivery; how do the different sources of law as they related to the federal and state governments matter, if at all? In general, federal regulation of health care delivery would be much more appropriate and efficient than state or local law, at least in so far as major aspects of health care delivery are concerned. That is because
Legal medical measures that had to be taken in advance so that people's live would not be at risk, because individuals would actually postpone treatment for the fear of being judged about something that a patient was embarrassed about. It became more of a public health issue to not enforce the rights of individuals who sought medical attention for a pertinent matter. Although the privacy, safety, and comfort level of
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry. Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in
Attorneys, however, note that the suits are reflective of an increase in negligent doctors, who are hard pressed to serve a larger and more demanding patient load. Medical care is more costly and it is true that doctors fail to establish bedside relationships with their patients. Others point out that problems lie at the door of the insurance industry and management of hospitals (Committee, p. 1). Because we discovered the
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