Goverance and Fraud in Health Care Organizations – Legal and Ethical Responsibilities
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Assignment #2: Goverance and Fraud in Health Care Organizations – Legal and Ethical Responsibilities (12.5 points)
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Instructions
From the list below, choose one topic related to financial management in health care organizations. Include a cover page and a list of references at the end of the paper in APA Format. Paper will be double spaced and be 4-5 pages in 12 point New Times Roman font.
TOPICS
False Claims Act
Physician Self-Referral Act (Stark Law)
Anti-kickback Statute
Civil Monetary Penalties Law
Exclusion Authorities
Tax Exemption (Non-profit Hospitals)
Anti-trust & Accountable Care Organizations
Deficit Reduction Act
The assignment is to be written in clear, concise narrative. All sections in the outline for Assignment #2 are required.
Outline: Must use the headings from the outline below in your paper and the paper must be in narrative form not outline or bullet format. A penalty will be deducted from paper if underlined headings not used in your paper.
1. Name of the Law and or laws:
State the official title of the federal and/or state law, the statute and section number. Must be either a federal statute or state statute and you must cite both if applicable. Thus if there is both a federal and state law that covers your subject picked then you must cite both. Do not assume that there is just a federal and or state law. In most cases there is both a federal and state law. You must use the laws cited in this section throughout the rest of the paper.
2. Management’s Financial Responsibilities:
What are the health care organization’s responsibilities under this financial management statute you stated above? Provide a comprehensive discussion of three (3) specific responsibilities under the financial management statute. State specifically after each responsibility where this responsibility is stated in the federal or state law. Describe the appropriate behavior and expectation. Include the citations and source of documents describing the organization’s responsibilities.
Consequences for Ethical or Legal Breach:
Discuss in general the civil and criminal consequences from the law. Then identify from the news, three (3) specific case examples of health care organizations or health care providers found guilty of a legal or ethical breach relative to the law you have cited in first part of paper. Identify the specific legal and/or ethical breach and the penalties assessed to the health service organizations and/or individuals found guilty of violating the law or ethics [provide citation of law]. At the end of each case, discuss in detail whether you agree or not with the decision and why. Bring in the facts of the case to support your comments. Students should use a minimum of three (3) documented specific examples retrieved from the print media.
HCO Management’s remedial steps to reverse the non-compliance organizations:
Describe in detail three (3) specific management actions or remedial steps you would take to ensure the financial management in the health care organization meets or exceeds the federal law or state law relative to the requirements of the law you cited above. Discuss specifically how each of the three management actions specifically meets or exceeds the specific federal or state law you cited. Note: These actions may include specific uses of technology, procedures, human resource training, and other management tools. However these action steps must be within the control of a manager.
5. Conclusion: Summary your findings above
Reference List [APA Format]
The paper must be:
Late penalties: See Course Syllabus.
Be sure and use the underlined headings found in the outline below in your paper. Paper must be in narrative format not outline or bullets.
Double spaced and be 4-5 pages in 12 point New Times Roman font.
Include a cover page [not counted as a page] which should have student name and title of your paper [Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting ]
A the end of the paper a list of references in APA Format [not counted as a page]
Be prepared using word-processing software and saved with a .doc, .docx, or .rtf extension. No pdf.
Be uploaded to your Assignments Folder by 11:59 p.m. EST on the due date.
The paper is to be posted in Assignment #2 drop box.
Must cite to the source for all your facts in the text of your paper in APA format.
Example of an in text citation:
(Ernst, & Young, 2000 p14).
Example of source cited on Reference page:
References
Healthcare Financial Management Association (U.S.), Ernst, & Young. (2000). Health care system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial Management Association.
Except where noted, the assignment is written in clear, concise narrative. All sections of Assignment #2 are required.
Grading Rubric for written Assignment #2 is in Assignments area of the class.
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