Description

HEALTHCARE FIANCIAL MANAGEMENT

The US Health care Industry is heavily regulated as such failure to comply could result in heavy financial fines, prison and other legal jeopardy.

This paper is intended to get you familiar with some of the regualtions set by  Federal – States  and Local governemnts. we must ensure that our organization remain compliant to avoid financial liabilities and or even prison terms in certain cases.These regualtions  influencing healthcare services daily operations.

The US healthcare delivery system is heavily regulated . This assignmennt focuses on hospitals and other delivery settings. Write a  report  how each of these entities or regulations that regulate or influence hospital’s policy and operatios etc. Give exemples.

1.      Regional Home Health Intermediaries

2.      Board of Medicine

3.      Board of Nursing

4.      State and Local governments

5.      Organ Procurement Organizations

6.      Medical Administrative Contractors

7.      Securities and Exchange Commission

8.      Internal Revenue Services

9.      Environmental Protection Agency

10.Federal Trade Commission

11.Federal Communication Commission

12.Federal Bureau of Investigation (FBI)

13.Health & Human Services (HHS)

14.National Institutes of Occupational Safety and Health

15.Joint Commission on Accreditation of Healthcare Organizations( Joint Commisssion)

16.National Research Council

17.Department of Labor/Employment

18.Department of Justice. Ie. ( The ADA)

19.Occupational Safety and Health Administration

20. Department of Transportation

21.Food and Drug Administration ( FDA)

22.Department of Interior                                                                                          

23. United States Congress

24.Office of the Inspector General

25 The judiciary system 

26.Professional  Standards Review Organizations

27. Department of Appeals Board

28. National Labor Relations Board

29. Department of Health

30.Agency for Health Care Administration

31. Medicare Integrity Program Contractors

32. Provider Reimbursemnet Review Board

33. Center for Medicare & Medicaid ( Intermediaries/Regional offices)

34. EMTALA

35. Sarbanes/Oxley Act (SOX)

36. Stark Law I & II

37.Consolidated Omnibus Budget Reconciliation Act ( COBRA) of 1985

38. Recovery Audit Contractor Demonstration Project

39. Qui Tam Provisions

40. MACRA

41. The Fair Debt Collection Practices Act.

42. The Truth in Lending Act

43The Fair Credit Reporting Act

44The Affordable Care Act imposes new requirements on tax-exempt

hospitals regarding billing and collection.

45. Florida (Certificate of Need) CON program

Exemple: