Facebook Pixel Code
x
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

CMS policy regarding reduced reimbursement Essay Example

Show related essays

CMS policy regarding reduced reimbursement

CMS policy regarding reduced reimbursement. After all, hospital-acquired pressure ulcers are preventable and the health professionals should be in a position to undertake preventive tasks (Kalb, 1998). In the process of critical care, the professionals should be able to learn if a particular patient is at risk of contracting pressure ulcers and, consequently, needs to be given extra care. Ethically, health facilities are more challenged to live up to their responsibilities by ensuring that patients receive maximum care once at the facility. These points notwithstanding, it can clearly be seen that the reimbursement for hospital-acquired pressure ulcers would put much pressure on hospitals to intensify care more than they would naturally have done (Grayson, 2008).

From this perspective, hospitals should have a legal basis to ask for increased payment for general care, which would cover the extra care to be given to patients to avoid incidents of hospital-acquired pressure ulcers.The need to maintain high standards in healthcare practice should continue to remain an important priority for all healthcare facilities. The standardization in relation to the kind of facility involved should not be respected. This means that even though smaller facilities like clinics, maternity homes, and skilled nursing facilities may not be in a position to deliver the kind of services given in hospitals, this should not be a basis for them to deliver poor and sub-standard services. In the event of the scenario given, the hospital administrator can ensure that the system is not impacted by gargantuan payments due to such negligent practices; he or she can do this by acting as an informer so that this nursing facility’s standard practices are critically checked. Even though the need for the mutual respect and cordiality between the hospital and the skilled nursing facility ought to remain of high priority, it is equally important that patients are protected and that adverse conditions do not result in the plague of payments. CMS policy regarding reduced reimbursement.

References

Bennett R. S., & Medearis, D.M. (2003). Health care fraud: Recent developments and timeless advice. Texas Medicine, 99(10), 50-56.

Friedman, M. (2006). Health care fraud: Your risk may be greater than you think. Maryland Medical Journal, 45, 825-826.

Grayson, M. (2008). License to steal: Combating health care fraud. Spectrum: Journal of State Government, 71, 1-3.

Kalb, P. E. (1999). Health care fraud and abuse. Journal of American Medical Association, 282(12), 1163-1168.

McKessy, Ana-Maria, & Robert J. Saner II (2008). Protecting your practice with a Medicare and Medicaid Compliance Program. Family Practice Management, 5(7), 57-66.

Morris, L. (2003). Health care fraud: a primer on the schemes and the tools to fight health care fraud. Journal of Insurance Medicine, 25, 415-419.

Morrow A. (2009) Pressure ulcers: Knowing the risks. Retrieved from

http://dying.about.com/od/caregiving/a/pressure_ulcer.htm

Sparrow, M. K. (2006). Health care fraud control: Understanding the challenge. Journal of Insurance Medicine, 28(2), 86-96.

Stanton, T. H. (2001). Fraud-and-abuse enforcement in Medicare: Finding middle ground. Health Affairs, 20(4), 28-41.

Torrey T. (2011). Learn about Medicare's Never Events Policy. Retrieved from

http://patients.about.com/od/patientempowermentissues/a/medicare08never.htm

Close ✕
Tracy Smith Editor&Proofreader
Expert in: Health Sciences & Medicine, Medical science, Nursing
Hire an Editor
Matt Hamilton Writer
Expert in: Health Sciences & Medicine, Nursing, Medical science
Hire a Writer
preview essay on CMS policy regarding reduced reimbursement
  • Pages: 4 (1000 words)
  • Document Type: Case Study
  • Subject: Health Sciences & Medicine
  • Level: Undergraduate
WE CAN HELP TO FIND AN ESSAYDidn't find an essay?

Please type your essay title, choose your document type, enter your email and we send you essay samples