Healthcare Qui Tam Term Paper Example | Topics and Well Written Essays - 1000 words

Healthcare Qui Tam - Term Paper Example Healthcare Qui Tam In Virginia, many hospitals were billing for outpatient procedures with codes kept for physician’s office visits rather than an outpatient procedure performed at the health center. Medicare pays a high rate for physician’s office appointments to mirror the cost of their operating cost (Warren & Benson Group, 2009). Hospitals obtain a separate facilities fee to settle the overhead cost. Therefore, the correct repayment rates for hospital outpatient services are lesser. The hospitals agreed to a payment of $3 million. A Pennsylvania hospital settled on paying a $2.7 million defrayal due to its upcoding fraud. The center was submitting claims for a multifaceted form of pneumonia when the accurate diagnosis showed a simpler form, which is compensated at a lower rate. The hospital decided to pay $500,000 for other upcodings with counterfeit claims for septicemia (Warren & Benson Group, 2009). A Florida hospital decided to pay $2,531,000 for issuing false claims for laser procedures executed as part of post cataract elimination surgery by demonstrating that the procedures were executed after the 39-day post-operative phase. It is also issued claims for actions, which were either never upcoded or rendered. Finally, they issued claims for two management services and evaluations per patient visit. Finally, a Hawaii doctor agreed to recompense a $2.1 million settlement for issuing false claims to Medicaid. The doctor operated a pharmacy in his hospital. The doctor billed Medicaid for providing expensive drugs when the clinic issued cheaper generic substitutes (Warren & Benson Group, 2009). ... A Florida hospital decided to pay $2,531,000 for issuing false claims for laser procedures executed as part of post cataract elimination surgery by demonstrating that the procedures were executed after the 39-day post-operative phase. It is also issued claims for actions, which were either never upcoded or rendered. Finally, they issued claims for two management services and evaluations per patient visit. Finally, a Hawaii doctor agreed to recompense a $2.1 million settlement for issuing false claims to Medicaid. The doctor operated a pharmacy in his hospital. The doctor billed Medicaid for providing expensive drugs when the clinic issued cheaper generic substitutes (Warren & Benson Group, 2009). Question 3 The following procedure could be used to admit a patient to a hospital, which upholds the law about the required number of Medicare and Medicaid referrals. Permission letter always should be issued before the admission of the person in the hospital (McCarty, 2008). The patient sho uld be given Pre-requisite permission for a medical procedure and not for general consultations. The beneficiary will be urged to furnish a photocopy of a valid CGHS card, a request letter from CGHS, or a photocopy of the specialist’s professional advice. After that, then the patient will be offered an admission memo. In case of a therapeutic emergency, the hospital accepted under CGHS, shall not refuse or deny admission or demand early deposit from the concerned patient. Nevertheless, the hospital accepted under CGHS, shall offer credit facilities to the respective patient on issuing of a valid CGHS card (McCarty, 2008). Rooted in the virtues of the case study on an

Geographical Market Area of Life Telecom Essay Example | Topics and Well Written Essays - 2750 words

Geographical Market Area of Life Telecom - Essay Example We are an avant-garde alternative telecommunications provider with fully converged IP architecture and selective use of wireless technologies as well as an optimized and technologically superior delivery of integrated services of Voice, Internet, Video, Surveillance and many single broadband connections. Telephony, Broadband Internet Connectivity, Advanced IPTV and Video Services, Advanced Communication (video conferencing and live even video streaming) Tele-Surveillance (large, small and medium-sized business, small offices and homes) Broadband Wireless (hotspot Wi-Fi) Virtual Private Networks (VPNs). Life Telecom’s competitive advantage is built on the execution of its commitment: dependable delivery of advanced wireless services and breakthrough technological solutions backed by dedicated 24/7 network management support. We are a distinguished company in Bahrain and one of the few worldwide; to optimize the extensive use of IPs for the integrated deployment and management of voice, data, video, and value-added services over wireless networks. With us, no limits can hold you back from realizing your goals and â€Å"make your dreams come true†. The core product of Life Telecom for its initial rollout consists of a list of services including connectivity through the ISP providers. This is referred to as the Infrastructure Business Service. Life Telecom’s products and services are divided into three (3) main categories namely Wireless services, IP services (VPN, VoIP) and ISP related services. In the following phases, once the network is constructed, Life Telecom will introduce business services as a value-added service which can add value to Life Telecom subscribers including Web Applications and Web Consultations, etc.