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Assesment 2 - Essay Example

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The prevalence of the global economic crisis is one phenomenon that elicited insights on the realities about the economic and social environment within various communities. This scenario enable people to visualize the complexity and continuous change that take place around them…
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Download file "Assesment 2" to see previous pages... In the health care setting for example, there are numerous forms of predicaments and this includes health care fraud. The sapping of financial resources in the health care system, along with several other consequences, problems associated with personnel development plans and shortage of competent staff are just few of the magnified issues.
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The concerns on fraud and abuse greatly affected the everyday life of health care personnel particularly the nurse practitioners; since these professionals are the “front liners” in terms of delivery of care. Nurse practitioners (NPs) can hardly go away from working in clinical environments; and this expose them further to fiscal issues of billing, reimbursement and revenue production issues. In other words, the described situation is somewhat stressful for them. Fraud is actually described as “any act, omission, expression, or concealment calculated to delude another individual,” Merriam-Webster Dictionary of Law stated.
Medicare and other government funded health benefit programs are usually the targets of these schemes. Billing for needless or the double billing schemes, unperformed tests, and kickbacks are few of the most common fraudulent activity that burden most patients;this is reported by the Social Security Act, Section 1128C reiterates that (a) of the designed the Health Care Fraud as well as Program for Abuse Control Program (Department of Justice, 2000).
There are several approaches to address concerns in an organization. One very important is the evaluation of the organization’s strengths, weaknesses, as well as opportunities. If limitations in the human and/or financial resources are identified, it may be a necessity to provide attention to the organizations opportunities through the use of phased approach.
On the other hand, based on the Economic and Social Research Council Strategic Plan, (2009; p 5-7). Extensive consultations are very necessary to identify areas of strategic ...Download file "Assesment 2" to see next pagesRead More
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