Organizational Responsibility And Current Healthcare Issues

Submitted By lemonade_stewart
Words: 1778
Pages: 8
Open Document
Organizational Responsibility and Current Healthcare Issues
Nadia Ge
HCS/545
May 25, 2015
Dr. Shawna Butler

Organizational Responsibility and Current Healthcare Issues Not many of us loves the healthcare system in the United States because it’s the hospitals, pharmaceutical contractors, and physician that fleece the government of around 100 billion dollars (healthcare fraud). Some hospitals bill services for doctors who are not even alive (healthcare fraud). Some of these people who commit these crimes are hospital administrators (healthcare fraud). These people are very clever. As a result, they set up complicated billing structures to cover their tracts (healthcare fraud). This can, therefore, make it difficult for healthcare investigators (healthcare fraud). One of the most egregious healthcare fraud is false billing (healthcare fraud). Sometimes the hospitals bill Medicare for treatment that was not even prescribed (healthcare fraud). For instance, sometimes doctors order a wheelchair for a person that is not in need of a wheelchair (healthcare fraud). The organization would bill Medicare 3 or 4 times the cost and pocket the rest (healthcare fraud). Identity theft is the main culprit of healthcare fraud (healthcare fraud). This type of healthcare fraud account for about 60% in total of healthcare crime (healthcare fraud). This happens when physicians sell a patients information to a criminal who will use their information for other stuff. (Healthcare Fraud). Medical information should be confidential and should not be used in this way (healthcare fraud). For instance, a healthcare administrator or physician would sell the patients information for a profit (healthcare fraud). The criminal would then sell this information to a person who is in desperate need for insurance like an uninsured person (healthcare fraud). Sometimes these criminals can hack medical record to get patients information (healthcare fraud). They may then have the patients' medical information and social security that they may use for other means (healthcare fraud). Because of this multi-billion dollar industry, this makes the government the biggest victim of healthcare fraud (healthcare fraud).

Healthcare fraud and abuse affect in healthcare organization Roughly 2.27 trillion is spent on healthcare (The challenge of healthcare fraud). Besides, there are about a billion health insurance claims that are processed in the United States (The challenge of healthcare fraud). As a result, health care fraud causes higher premiums and out of pocket expenses for the consumer (The challenge of healthcare fraud). Healthcare fraud increases the cost of providing insurance benefits to employers (The challenge of healthcare fraud). Therefore, this increases the cost of doing business (The challenge of healthcare fraud). Healthcare fraud is committed by dishonest healthcare providers (The challenge of healthcare fraud). The most trusted individuals such as the physicians are the ones who commit these crimes (The challenge of healthcare fraud). The entire population of the patient is affected by fraud-doers (The challenge of healthcare fraud). There are false claims on medical conditions and treatments (The challenge of healthcare fraud). As a result of this, many insurers receive false billings that include the public programs such as Medicare and Medicaid (The challenge of healthcare fraud). There are several ways in which this is common among fraud-doers that are committed by dishonest providers (The challenge of healthcare fraud). Sometimes the bills are never rendered, or they fabricate claims (The challenge of healthcare fraud). The physicians also bill for more services and procedures that were not performed (The challenge of healthcare fraud). This is known as up coding (The challenge of healthcare fraud). When using up coding, the physicians falsely bill for a higher priced treatment (The challenge of healthcare fraud). The
Show More

Related Documents: Organizational Responsibility And Current Healthcare Issues

Project Overview Essay

slides will describe an organizational technology plan for a business that the team selects for this assignment. Weekly assignments for sections of the paper and the presentation are listed below. Both the paper and presentation are due in Week Five. The organizational technology plan will explore and define plans for an organization (including managers and individuals) for use of new and emerging technology. The plan should include the following sections: Overview, Current Technology Assessment,…

Words 1387 - Pages 6

Ethical Issues In Healthcare

From a leader’s perspective, every individual will be held accountable for the role he/she played in covering up these issues. Deliberate deception in the workplace includes misrepresenting services that were not received, the act of covering up information that you know is untrue, collaborating with a co-worker, physicians, other healthcare providers/specialist, management, and staff to deliberate cause deception to any patient or another individual is unethical. Disregard to company’s policies…

Words 1135 - Pages 5

20150630 750 Disc Essay

Clinic deals with improving flow within the Supply Chain Management Department. Specifically, I am working with the Master Data Management and Sourcing Pricing Quoting teams to document current flow and resource use to better determine a smoother system and uncover any gaps in research and processing. In healthcare there is a continual push for optimization and SWOT and force field analysis provide a valuable assessment of opportunities and barriers to change. Through this project I’m gathering data…

Words 879 - Pages 4

Demographic Variation In Health Care

GEOGRAPHIC VARIATION IN HEALTH CARE PRESENTED BY : JOGESHWAR SINGH INTRODUCTION • The US healthcare system is characterized by both productive and allocative inefficiency. • In aggregate, healthcare spending could be lowered by nearly a third without adversely affecting health, while access to care and the quality and safety of care need to be raised to improve population health. • There is considerable variation in health care utilization and spending across geographic areas in the United States…

Words 1108 - Pages 5

Advanced Nurse Practitioner Case Study

Abstract The changing health care and the reform efforts of the current legislation is resulting in an increase of health care providers, specifically the Advanced Nurse Practitioner (APN) in the primary settings. The purpose of this paper is to focus on the vital role of the Family Nurse Practitioner (FNP) in the health care system. Throughout the paper, emphasis will be given to the APNs historical background, education, core competencies as well as the strengths and limitations of the nursing…

Words 2802 - Pages 12

Clinical Nurse Specialist Case Study

Role, Title, Position, and Responsibilities A Clinical Nurse Specialist (CNS) is an advanced practice nurse competent in direct care, systems leadership, collaboration, coaching, consultation, research, ethical decision-making, and advocacy (DeNisco & Barker, 2016). The interviewee is currently a Neonatal Intensive Care Unit (NICU) CNS, position described as a traditional CNS role, with over 20 years of experience. The CNS follows three spheres of practice, including the patient, nurses, and organization…

Words 861 - Pages 4

Implementing Organizational Change Research Paper

Implementing Organizational Change October 22, 2012 Implementing Organizational Change Health care organizations that choose to convert to an electronic medical record system (EMR) have several advantages; most important it increases patient safety, efficiency, cost-effectiveness and security. Accepting such a transition also presents with its share of challenges like preparing for the required significant time obligation and resources that will make the transition a successful one. Leadership…

Words 1597 - Pages 7

Nurse Turnover Paper

My discussion will focus on effective leadership and multidisciplinary collaboration in the face of nurse turnover. That is, the main issue would be nurse turnover. The quality of care given to patients is implicated by the widespread problem of nurse turnover in healthcare settings. Nurse turnover, which is defined as the frequency at which nurses leave their jobs within an organization, has a big impact on employee morale, patient outcomes, and effectiveness of the entire business. In 2020, the…

Words 1537 - Pages 7

Term Paper

Georgia Correctional Health Care Increasing Staff Motivation and Satisfaction MGMT 591: Leadership and Organizational Behavior Professor Brett Gordon December 17, 2012 The organization that will be the topic of discussion in my final project paper is Georgia Health Sciences Universities (GHSU), Georgia Correctional Healthcare (GCHC) division. GHSU is both a hospital and teaching institution based in Augusta, Georgia. GHSU was founded in 1828. Georgia Health Sciences University…

Words 2285 - Pages 10

Nursing Leadership

Nowadays, it is widely accepted that the rapid growth of healthcare services have led a rising demand on the medical and nurse workforce. Apparently, working in the stressful environment reckoned as hospital, almost all colleagues including physicians, nurses, patients and other medical staffs have a tendency to interact each other no matter that is a good or bad impact (Tim, 2011). Theoretically, a warmhearted atmosphere among health care parties is always necessary to maintain perfect health services…

Words 2088 - Pages 9