Financial management in health care organizations: False Claims Act

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timer Asked: Feb 8th, 2019
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Question Description

Write about one law related to financial management in health care organizations. False Claims Act

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.

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.

  1. 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.

  1. 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

  1. Reference List [APA Format]

The paper must be:

  • 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.
  • 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.

Tutor Answer

ProfJamesmiller
School: Purdue University

hey there, I have completed the assignment. please find attached. its nice working with you😇

Running head: FALSE CLAIMS ACT

1

False Claims Act
Institution Affiliation
Date

FALSE CLAIMS ACT

2

Introduction
The False Claims Act refers to the American Federal law which has established liability
on individuals or institutions who defraud any government programs. The False Claims Act is a
tool used by the Federal government to deal with fraud against the government. The law involves
whistleblowers who are non-affiliates to the government that file any defrauding actions on
behalf of the federal government. For those people or relators who file under the False Claims
Act, they usually receive a portion of any recovered damages. There have been several claims
brought by relators to the government from 1987 to 2013 where some involved health care.
Name of the laws relating to financial management in health care organizations
Concurrent and Retrospective review is one of the laws relating to financial management
in healthcare organizations. According to the statutory law article 2, section 42610, C, of the
California law, medical care under concurrent review shall be the type of care to cure and relieve
so that a self-insurer shall only be liable for those services. While the retrospective review state
statute is under article 2, section 4610, 2 (Cook, John, Chung, Tseng and Lee, 2017). On the
other hand, the federal statute article 49, section 4902 also addresses the law concerning whether
to approve medical provisions retrospectively or concurrently. Another law is a medical
necessity which states that proposed health care services are only for plan enrollees based on
statutory Act Article 5, Section 14059, 1 of the California law. On the other hand, the Federal
law for medical necessity is based on Article 49, section 49...

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Anonymous
awesome work thanks

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