Medicare Journal of Nursing
Legislature Ought to Increase Rewards up to 10 Million Dollars to Whistleblowers who Combat Medicare Fraud and Abuse
Tags: Legislature Medicare Medicare Fraud Whistleblowers
The legislature ought to enact this proposed rule to increase rewards to combat Medicare fraud and abuse, in an attempt to increase more whistleblowers to come forward. Empirical research shows that this proposed rule has had the following good effects to increase rewards up to 10 million dollars to whistleblowers for reporting Medicare fraud and abuse and should therefore be seriously enhanced by legislature. The role of legislature in combating Medicare fraud and abuse to increase the amount of the rewards paid to whistleblowers whose tips about suspected fraud and abuse lead to the successful recovery of funds up to 10 million dollars. The intent of this proposed rule is to provide reward to whistleblowers in case of actual fraud or reckless disregard in the submission of claims.
Read More →
Six Sigma and Healthcare Finances
Tags: emergency department healthcare finance Medicare methodology performance sigma six sigma
This article is a brief primer on Six Sigma methodology and its impact on healthcare finance and nursing.
Read More →
Funding Health Care as a Basic Human Right
Tags: health care Health Care Reform health care systems home health care human right Medicare
The United States of America is a nation known and heralded worldwide for its democracy, freedom, and wealth. Through our commerce, we have become a prosperous nation. Through our commonalities we stand united. Through our shared citizenship, we establish our community. Through our voices, we are heard. So why is it, our nation has been divided against the idea of health care being funded as a basic human right? U.S. Senator, Ted Kennedy, once said,
Read More →
Closing the Donut Hole: Who Will Pay?
Tags: donut hole Health Care Reform healthcare system Legislature Medicare Medicare Supplement prescriptions
The dark black hole in the Medicare Part-D prescription plan called the donut hole is finding the light, or is it? Health care reform has promised to close the donut hole for Medicare recipients completely by the year 2020 (Gionfriddo, 2010). The Consumer Report on Health (2012) confirms medication costs continue to rise with no end in sight. Who will pay the gap between what is currently covered and the predicted added coverage with Health Care Reform? According to the Center for Medicare and Medicaid Services (CMS, 2011) the Medicare trust fund is currently running in a deficit. Reducing the burden of our Medicare population, with associated out-of-pocket expenses for prescription drugs, cannot be achieved by a system already running in a deficit. As we start to unravel the mystery behind closing the donut hole, can we identify who will pay?
Read More →Get Published for Free
Browse by Tag
advocate aging anesthesia behavior cardiac care Case Study child children clinical compassion COVID-19 death diabetes disease education emergency department end of life ethical principles ethical values ethics family graduates health health care ICU medication mental health nurse Nurse Education nursing nursing education nursing ethics nursing faculty nursing school nursing students PACU patient care patient outcomes patient safety pediatric poem profession risk factors stress student nurse students teaching therapy treatment
Most Popular Last Month
More from RN Journal
Assessing Clinical Outcomes at Discharge with the Modified Rankin Scale (mRS) for Burn Patients
The Importance of Networking in Nursing School
Exploring Communication Technology In the Family Birthing Center
Is Reform Needed in License Disciplinary Procedure?
Not Just Another Day
It Is Time to Openly Assess & Discuss Mental Illness
A Husband's Difficult Decision
Caregiver Role Strain due to Bipolar Disorder in Children
The SSRI debate -Some thoughts