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Essays 181 - 210

Health Care Economics and Funding in the United States - A History

the consideration of dozens of microeconomic systems that operate as a function of the national macroeconomic picture. It is often...

Medical Coding and Billing

for those over 65. For many people, it is their only means of obtaining a doctors care. This paper discusses Medicare as well as m...

Medical Insurance - Appeal Processes and Potential Claim Errors

a minimum value hurdle met, so avoid wasting time on small claims. In Medicare cases where there is a denial as a result of a mi...

Hospital-Acquired Infections and the Vulnerability of Medicare

costs to the tune of more than $10,000 dollars and also have to stay in the hospital an average of 3 to 4 days longer than they wo...

Medical Coding Procedures

one might imagine that in a hospital, when someone undergoes surgery, there are a number of things added to the bill. A surgery ch...

MEDICARE MODERNIZATION - AN OVERVIEW

Medicare Part D has the ability to impact millions of individuals who are currently enrolled in Medicare and who were unable to ge...

Heath Insurance Coverage and Bariatric Surgery

the long run, providing bariatric surgery is the most efficient answer to this problem as it can result in tremendous net savings ...

Medicare/Medicaid Fraud

doctor is simply unaware of changes in the coding system, but, for the purposes of this paper, it will be assumed that the errors ...

MEDICARE DONUT HOLE - BACKGROUND AND SOME SOLUTIONS

In 2003 the Medicare Prescription Drug, Improvement, and Modernization Act (also known as MMA) passed amid a lot of hoopla and cel...

Medicare Crime Deterrence and the FCA

then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of legal directive or its enf...

Fraud in Medicare Deterrence and the False Claims Act

payments is more lucrative then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of...

Formal Plan of Compliance and Medicare Fraud

This is one of the largest settlements reached in the many similar cases that have come under review. Aside from the fraud involv...

Deborah Stone's Policy Paradox Analyzed

back to rationality and politics (and the fact Stone believes the two cant be combined), she notes that the theoretical rational d...

Prescription Drugs and Medicare Controversy

that a means test would be supported by Democrats but that is far from the case. The article points out that Medicare is embraced ...

Senior Citizens and Public Policy

forgetful. It can be a very serious problem for the elderly who are often on a smorgasbord of necessary pills to treat a variety o...

Government Organization and Its Sociological Influences

care is no more a right than is the "right" to drive fast cars (Marmor, 2000); far more subscribe to the view that access to healt...

Health Care Economics and the Impact of Medicare

with advancing age. Care providers cannot set lower fees for uninsured individuals and then penalize the insured and their insure...

Fraud and Medicare

$3 billion annually, that is about 10 percent of all claims (Albert, 2004). There are a number of laws that specifically address ...

Fraudulent Billing and Medicare

frameworks include the "Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act in 1998" (Texas Le...

Medicare Donut Hole, An Overview

This research paper offers an overview of the gap in prescription drug coverage that is a component of Medicare Part D. Ten pages ...

Abuse and Fraud in Medicare

American Medical Colleges, American Medical Assn. et al. v. United States), which alleged the government is conducting illegal Med...

Mobility Scooters and Health Care Policy

electric scooter to virtually anyone over the age of 65, CMS current position is that no individual will be approved to receive on...

PPS Health Care Payment Systems

The provider may not charge either the patient or supplementary insurer an additional amount. "If the provider does not take assi...

Pneumonia and Tool for Data Collection

"yes" response to a question requiring clarification takes the user directly to the point where that clarification can be entered....

Medicare, Health Care Issues, and the Presidential Election of 2004

that gives patients more options while maintaining fewer requirements (McKelvey, 2004). It is something that should strengthen the...

Physician Assistants, Nurse Practitioners and Clinical Nurse Specialists

This paper considers the distinctions between non-physician practitioners and how these distinctions might affect Medicare reimbur...

Medicare Prescription Drug Coverage, Power Point presentation

This paper presents the speaker notes for a Power Point project, khspnmedD.ppt, that describes the gap in prescription drug covera...

Payment Transfers in Welfare States

This paper compares the United States to other countries of the world with regard to payment transfers within the welfare system w...

Medicare and Medicaid Options' Evaluation

In ten pages Medicaid and Medicare options are evaluated with several policy issues discussed and an examination of Kingston's the...

Fraud Involving Medicaid and Medicare

In ten pages this paper examines what is being done to prevent instances of fraud in Medicaid and Medicare. There are 12 sources ...