Midterm Paper Information

Your midterm paper will focus on healthcare fraud & abuse.  Unfortunately, there is an abundance of unsavory activities in the industry leading to a significant cost to the public.  A variety of regulatory agencies conduct investigations that can lead to significant penalty including monetary, recovery of funds, civil and criminal prosecution.  When cases are finalized, results determined, information is public.

Use the internet to search for cases.  Examples include oig.gov, civil monetary penalties, federal false claims act, Stark violations, anti kickback statute, qui tam (whistleblower) cases, healthcare fraud & abuse.  Select one or several cases.  Develop your paper 8-10 pages, double spaced, 12-14 font.  Include works cited for direct quotes.  Include the case specifics, what triggered the investigation & outcome.  At the end of your paper, discuss how you would approach a situation in your workplace in which you are suspicious of fraudulent activity.

Due October 14

Original Work, No Plagiarism, Cite and Reference

In a brief response (no more than 1-2 paragraphs), describe why research collaborations are important and provide an example of how collaborative research impacts responsible conduct of research.  You may include an example from something you have experienced in an academic, professional or organizational setting, or an example from the readings.

RUBRIC FOR GRADING

 Subjective Documentation in Provider Note Template: Subjective narrative documentation in Provider Note Template is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe. =  Documentation is detailed and organized with all pertinent information noted in professional language….Documentation includes all pertinent documentation to include Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS). 

 Objective Documentation in Provider Notes – this is to be completed using the documentation template that is provided. Document in a systematic order starting from head-to-toe, include what you see, hear, and feel when doing your physical exam using medical terminology/jargon. Document all normal and abnormal exam findings. Do not use “WNL” or “normal”. You only need to examine the systems that are pertinent to the CC, HPI, and History. Diagnostic result – Include any pertinent labs, x-rays, or diagnostic test that would be appropriate to support the differential diagnoses mentioned. Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list (#1). =  Documentation detailed and organized with all abnormal and pertinent normal assessment information described in professional language….Each system assessed is clearly documented with measurable details of the exam. 

 

Transportation

This major airline had a rocky road at its start. Incorporated in 1967, it never actually started flying planes until June of 1971 because of lengthy legal challenges by other major airlines. When it finally started services between Dallas and Houston and Dallas and San Antonio, it used three Boeing 737 aircraft and offered $20 one-way fares. Soon, the company introduced a $10 “night fare” and several other attractive schemes. In 1973, it ended the year with its first profits since starting operations and began developing a loyal customer base.

By the 1990s, this airline had become well-established as a major passenger carrier with popular campaigns that focused on families such as the “Family Fare.” By 2000, the company had moved up to number two on this famous list and had expanded its rewards program for customers. Beyond that, as the decade progressed and moved into the second decade of this century, this airline instituted a number of other discount flight initiatives that encouraged air travel and expanded its customer reach.

Assignment Details

Answer the following questions :

1. Based on what you read here and learned on the airline’s Web site, what are the company’s strengths related to customer service?
2. Would you fly this airline, if you have not already? Why or why not?
3. As a current or potential customer of the airline, what would you expect as a service experience from the airline?

 

This learning activity aims for a full understanding and unbiased view of the family—not just its problems, but also its strengths, values, and goals.

Understanding family structure and style is essential to caring for a family in the community setting. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.