Author name: Rosemary Mosco

HCAD 650 Discussion 3

HCAD 650 Discussion 3

HCAD 650: Legal Aspects of Health Care Administration

Discussion 3 Questions –

 

Instructions: Please answer using your own words in a minimum of 400, maximum 550 words (2.5-3 paragraphs). PER QUESTION 3 in total. Referenced with Three (3) peer-reviewed journal articles or qualified text publish within the past five years and follow APA Manual 6th or 7th editions scholarly writing guidelines. APA in-text Citation formatting is required. When writing replies, please provide your experiences, new ideas, add probing questions to engage readers and new literature on the topic to enhance the learning opportunity.

Questions 1. Federal and State Regulation

 

Part 1: Critical Analysis of the Law

Address (Answer) ALL questions in part 1 in a minimum of 400, maximum 550 words

The Affordable Care Act (ACA) created a number of legal requirements. Review preventive service requirements at https://www.healthcare.gov/coverage/preventive-care-benefits/

  1. Discuss the strengths and weaknesses of the current coverage of preventive services. Give reasons to support your discussion.
  2. Birth control benefits and regulations have been controversial and have changed several times since the ACA was put in place. Evaluate the impact of current requirements on individuals, health care providers, health insurers, and religious employers. Support your conclusions with solid reasons.

Part 2: Strategic Application of the Law

Address (Answer) ALL questions in par 2 in a minimum of 400, maximum 550 words

You are the Vice President for Network Operations of Regnat Populus Health System, comprised of three hospitals and two clinics. The system is located in “the Delta,” the most rural parts of Arkansas. You want to inform the In-House Counsel (Attorney) and the Chief Medical Officer (CMO) about the value of telehealth.

  1. Describe the Medicare and Medicaid populations serviced by the hospitals and clinics. Indicate how they will benefit from telehealth.
  2. Find the laws of the state of Arkansas that pertain to telehealth. How will these laws impact your ability to implement telehealth services across the health system and clinics?
  3. Discuss common legal barriers to telehealth. Make a recommendation on how to overcome these barriers. Support your recommendation with reasons.

Question 2. Medicare and Medicaid

Address (Answer) ALL questions in a minimum of 400, maximum 550 words

Medicare and Medicaid provide health insurance for many people and often lead the way in terms of health insurance policy reform.

  1. CMS maintains an extensive list of Conditions of Participation (CoP). For what reason and how it is developed?
  2. Who certifies providers’ compliance with the CoPs? Explain “Deemed Status”. Is the Joint Commission a regulatory agency? Why or why not? Is JCAHO accreditation mandatory? Why?
  3. Explain the role of waivers with CMS. How do these contribute to the development of State Medicaid Plans (SPAs)?

Question 3: Fraud and Abuse Laws

Address (Answer) ALL questions in a minimum of 400, maximum 550 words

  1. Consider the settlement in U.S. v. Halifax and the Corporate Integrity Agreement entered into by Halifax Hospital Medical Center, which addresses methods for preventing Anti-Kickback violations.
    1. What measures required by the Corporate Integrity Agreement do you believe will be most effective in preventing future violations?
    2. Which, if any, do you think will be least effective or ineffective in preventing future Anti-kickback violations? Explain your reasoning.
  1. What is a Medicaid Integrity Plan? Who is responsible for creating and maintaining it? What does it cover?
  2. The Physician Self-Referral law (Stark law) prohibits physician referral to designated health services (DHS) in which the physician or family member has an ownership interest. As a health care administrator what could you do to monitor this?
  3. The False Claims Act is often linked to billing problems such as upcoding, billing for non-medically necessary services, services not provided, unbundled services, etc. What billing strategies could you implement to lessen the likelihood for a False Claims Act problem?

Requirements: .doc file

Attached are the readings you can also use others materials that you deem appropriate. Please make sure you 3 use in-text citations per question.

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Occupational Health Influences Blog

Occupational Health Influences Blog

Review a historic situation where our understanding of disease and health practices grew out of occupational health concerns. Choose your own topic, or select one from the learning activities readings, and be sure to include original research or a review of the original research that led to the discovery of negative health outcomes due to the environment’s influences.

Here are some topics which might be of interest, which are examples of how occupational health has led to a greater understanding of disease and better health practices:

Your blog post should be 350 words in length with a minimum of two references required. Responses are encouraged but not required.

Requirements: .doc file

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ECT vs. TMS therapy- Discuss the topic….. either confirm or disprove via the literature.

ECT vs. TMS therapy- Discuss the topic….. either confirm or disprove via the literature.

 

Requirement:

Posts to demonstrate quality and critical thinking as noted per the syllabus must be no less than 300 words (not including references). Failure to meet the criteria will result in 0 points being awarded.

Per APA and graduate studies standards, all references must be 5 years or newer and posts are required to have in-text citations and refernces (1 point will be deducted from each post that do not meet the standards). At least 3 references peer review articles within 5 years of publication in the United States of America.

DB2667:

1.What is Visual Spatial Memory?

 

  1. Why and how is it important in the case examples?

 

Requirement:

Posts to demonstrate quality and critical thinking as noted per the syllabus must be no less than 300 words (not including references). Failure to meet the criteria will result in 0 points being awarded.

Per APA and graduate studies standards, all references must be 5 years or newer and posts are required to have in-text citations and refernces (1 point will be deducted from each post that do not meet the standards). At least 3 references peer review articles within 5 years of publication in the United States of America.

ECT vs. TMS therapy- Discuss the topic….. either confirm or disprove via the literature. Read More »

Aviation Safety:OSHA & EPA

Aviation Safety:OSHA & EPA

The Administrative Procedure Act sets the rules on how a regulatory agency such as the Federal Aviation Administration, Occupational Safety and Health Administration (OSHA), and the Environmental Protection Agency (EPA) turns law into the regulations that dictate much of what we do in aviation.

When you are working in the field of aviation safety it is important to understand the differences between the various governing agencies and know which agency provides oversight for the various components of aviation operations.

Research and explain the differences between OSHA and the EPA and their relevancy to aviation safety, and discuss the economic impact these organizations have on the aviation industry.

For your paper, please cite some examples. You must have a title page and at least two references.

Requirements: .doc file

The Administrative Procedure Act sets the rules on how a regulatory agency such as the Federal Aviation Administration, Occupational Safety and Health Administration (OSHA), and the Environmental Protection Agency (EPA) turns law into the regulations that dictate much of what we do in aviation.

The following links will open sections of the Attorney General’s Manual of the Administrative Procedure Act at FSU College of Law:

16 hours ago

Additional resources are located in the National Archives in the Supplemental Materials section.

Hunt Library/Gale Group: Administrative Procedure Act (Links to an external site.) – You may also view the introduction and these four sections of the APA as text on an ebook.

The following presentation provides a further explanation of the Administrative Procedure Act and how the law is turned into regulation. This presentation summarizes the making of federal regulation. The presentation also shows how you can participate in the process and how you can influence the regulations with which you will need to comply:

The Making of a New Federal Regulation (PPTX)Preview the document

Some presentations may take a while to open in preview. For best results, you can download them onto your computer.

16 hours ago

Webpages

Visit the following websites and ascertain the scope of duties that each organization performs. You should be able to identify how each agency or organization impacts the standards and operation of aviation, nationally and globally. Be prepared to explain the mission of each organization and its cause and effect on aviation safety.

Supplemental Material

Here are some other materials that may be helpful with research. You are encouraged to explore them.

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