Healthcare
Health Care Fraud Billing Scheme
Read the Department of Justice story, “South Jersey Doctor Charged in Health Care Fraud Billing Scheme.” Then, write a 1–2 page report in which you:
Summarize three quality issues in the case that resulted in fraudulent billing and coding.
Describe three violations that were stated in the case, including how the violations applied based on regulations.
Illustrate how this case could be used as a training tool for your organization. You may base your work on the Department of Health and Human Services Office of Inspector General (DHHS-OIG), the Center for Medicare and Medicaid Services (CMS), and the Department of Justice (DOJ) information on quality, fraudulent billing,
Chronic illness and disabilities
Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.
Identify chronic illness and its relationship to rehabilitation.
Choose from one:
COPD, CHF, Stroke, Hip fracture
Create interventions that support an older adult’s adaptation to the chronic illness or disability.
Describe the nurse’s role in assisting older adults in managing chronic conditions.
From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disabilities.
Health Research Methods
Develop research questions related to a relevant health care issue.
For your assignment this week, you will be developing a research question. Share with the class three possible research questions that you are considering in order to obtain feedback from your peers. Provide rationale and justification for each. Include at least one scholarly article to support one of the proposed topics.
Poor management methods
For this assignment, you will prepare a 15- to 20-slide PowerPoint presentation with detailed speaker’s notes of 100 to 150 words for each slide, not including the title and reference slides.The presentation will be created from the perspective of an upper-level administrator of one of the following types of health care organizations:
Physician’s group
Long term care facility
Community health system
Rural hospital
Home health organization
Over the past year, the organization has received numerous negative reviews from patients and clients using the services at your chosen organization. Overall, the organization’s reputation in the community has suffered due to
poor quality of service,
lack of empathy of the care providers and administrative staff including biases in care,
Health care professionals
describe an important event in your life, how that event shaped who you are, and how you anticipate that event will shape you as a physician
Those are the questions that need to be answer in a 3 pages long professional essay.