Medicare and Medicaid

organization the event needs to be reported to The Joint Commission. The serious reportable events are important to health care organizations because they are preventable and that is they are under major pressure to eliminate never events. Medicaid and Medicare will no longer pay for…

facility is doing in order to locate where a facility has the potential to or has already failed to maintain standards (Centers for Medicare & Medicaid Services, 2016). Towards this end, Quality Assurance and Assessment Committees (QAAC) are pivital in nursing homes maintaining quality QAAC in Nursing Homes The QAAC is highly regulated by the Centers for Medicare and Medicaid Services…

Medicare is an insurance plan that is geared into providing health support and care to individuals living in the United States without paying any attention to their income level or their health status. The federal health insurance program caters a number of expenses that concern Medicare. These expenses are catered for by an external body, Centers for Medicare & Medicaid Services (CMS), which happens to be an affiliate of the United States department of Health and Human Services. Citizens who…

formed according to In 1975 the American Medical Association (AMA) approved a universal claim form called Health care financing Administration also known as HCFA-1500. During the transition of HCFA-1500 AMA joined forces with the Centers for Medicare and Medicaid Services (CMS) to form a Uniform Claim Task Force to promote and standardize the use of the universal health claim form, which was later replaced by the National Uniform Claim Committee (NUCC). In 2001 the HCFA-1500 become known as…

Pasadena Adult Day Health Care Center is a for profit organization that was founded on October 9, 2014. The location of our facility is within a banquet hall of a Western Dioceses Church of Northern America, known as St. Gregory Church. On the same property of our facility is a grade school, known as St. Gregory School. Our ADHC will have a religious emphasis and will have multigenerational communication with the grade school. The address of our Adult Day Health Care Center is 2215 East Colorado…

of this paper is to explain the history Medicare, Medicaid and evaluate the role of the Centers for Medicare & Medicaid Services in healthcare and to provide insight on the socioeconomic drivers. The Centers for Medicare and Medicaid Services a Division of Health and Human Services and previously known as the Health Care Financing Administration was established to oversee the administration of several health care programs which include Medicare, Medicaid, Children’s Health Insurance Program…

Healthcare Compliance Programs Lawyers The concept of healthcare compliance programs began in 1997 with a publication by the Office of Inspector General (OIG) within the US Department of Health and Human Services (HHS). That first program was designed for individuals and small group physician practices. Since that time, there have been an entire series of HHS OIG compliance guidelines addressing other segments of the health care industry that includes: nursing facilities, HHS research grants…

Introduction: One in four Americans ages 18 and older experiences a behavioral health illness or substance abuse disorder each year and the majority of those individuals have a comorbid physical health condition. Many of these individuals enter care without having their underlying behavioral health disorder addressed. These patients typically have poor medical outcomes and higher rates of utilization compared to the general population without a comorbid behavioral health diagnosis. With a…

Medicare Medicare refers a United States insurance program that has been in operation since the year 1966. Under the Social Security Amendments done in1965, the Medicare legislation crafted a health insurance program targeting the aged persons so as to supplement the retirement, as well as disability insurance benefits under Title II of the Social Security Act(Bryan, 2004). The program targets individuals aged 65 years and above and the young persons with end stage renal problem, amyotrophic…

regulation and any ethical issues regarding who receives care at the organization. An analysis of the reimbursement status of the state of Washington and the federal government programs such as the Medicare and Medicaid services. In Washington there was a legislation procedure that allowed for an increase in Medicaid payments for certain hospitals that have been…