Business Law Medicare and Medicaid Program

Question: Describe about the Business Law for Medicare and Medicaid Program. Answer: Introduction: Meaningful use is a Medicare and Medicaid program issued by CMS which gives incentives which is financial in nature for using Electronic health records technology (EHRs) which is certified to improve the health of patient. For getting the incentives related to EHR, providers need to show that certified EHR technology is meaningfully used by them, and they are also meeting the certain requirements such as recording the information of patients as data which is structured to exchanging summary care records. These requirements are set up by CMS for eligible hospitals, professionals and critical access hospitals. This EHR Medicare and Medicaid program is divided into three stages (HealthIT.gov, n.d.). In this paper, we discuss the background of meaningful use, and also state the requirements of meaningful use. The next topic contains effect on healthcare organizations if they are meeting or not meeting the requirements of meaningful use. We also discuss problems faced by healthcare organizations in fulfilling the requirements of meaningful use and also their possible solutions, and there is a brief discussion which includes why some organizations choosing not to meet the requirements and just bear the resultant penalties. Meaningful use: Background of meaningful use: Meaningful use defines as using the certified HER technology for the following purposes: For improving quality, safety, efficiency, and reducing disparities related to health. For increasing the engagement of patients and their families. For improving the public health, care coordination, and population. Maintain the confidentiality of health information of patient. It was assumed that this program will result in number of benefits such as better clinical outcomes; outcomes related to professional health will be improved; this will increase the efficiency and transparency of transaction, empower the individuals, and give access to the health system research data which is more accurate (HealthIT.gov, n.d.). If any eligible patients and hospitals adopt, upgrade, and demonstrate how to use certified EHR technology in a meaningful manner then financial incentives are awarded to that eligible patients and hospitals by Medicare and Medicaid EHR incentive program. Demonstration of meaningful use program requires time and resources, and this is the reason that CMS provide financial support to EPs and EHs for the demonstration of this program. EPs can qualify for this program up to $44000 from Medicare EHR Incentive Program and $63750 from Medicaid EHR Incentive Program, and eligible hospitals including CAHs can qualify up to $2 million or more (HealthIT.gov, n.d.). The three main components of meaningful use are stated and defined by Recovery Act: It is necessary that EP or hospitals use the certified EHR technology in manner which is meaningful. This technology is used to exchange the health information through electronic mode to improve the healthcare quality. This technology is used to submit the clinical quality measures and some other specified measures also, and these measures are selected by secretary (CMS, 2010). Following is the conceptual approach for meaningful use, and we also called the three stages of meaningful use: Capture and share the data Advanced clinical processes Improved outcome Requirements of meaningful use: This meaningful use program is conducted in three stages that are stage 1 which was initiated in 2010 and it main purpose is promoting the adoption of EHR technology, stage 2 was finalized in last of 2012 and this stage introduce more clinical decision support, care coordination requirements, and Stage 3 will focus on accurate exchange of information related to health and also other guidelines also which are introduced in earlier stages (Techtarget, n.d.). Following are the overview of three stages: Stage 1: following are the requirements of stage 1: 90 days is specified as reporting period for 1st year in this stage and also for 1 year subsequently. Reporting in this period must be done through attestation. EP and EH must achieve defined objectives and clinical quality measures. It is necessary to meet objectives and CQM that at least 80% patients have their records in certified EHR technology (HITEC/LA, n.d.). Stage 2: On 23rd August 2012, the Centers for Medicare Medicaid Services published a rule that is known as final rule, and that rule states the criteria for stage 2 that eligible professional and hospitals and CAHs must meet the objectives stated in stage 2 so that they can participate in the Medicare Medicaid Electronic Health Record Incentive Programs. Core objectives and also the menu structure for those core objectives are specified in Stage 1 and these objectives must be achieved by the providers for demonstrate meaningful use. Stage 2 keep these core objectives and menu structure specified by stage 1for use them in meaningful manner. There are number of stage 1 objectives which become core objectives for stage 2 (HRSA, n.d.). For demonstrating the meaningful use under stage 2 it is necessary that: In case of EPs it is necessary that they meet at least 17 objectives that are core objectives and they are selected from the list of 6 core objectives or from list of 20 core objectives. In case of EHs and CAHs, they must meet at least 16 core objectives and at least 3 menu objectives which are selected from the list of 6 core objectives or from list of 19 core objectives (CMS, 2012). Stage 3: Third level of stage of meaningful use mainly focus on following objectives: This part of the stage mainly focuses on improving the quality, safety and efficiency which result in good health outcomes. Support is provided by this level of stage to national high priority conditions. Patients can easily access to tools which help in promoting self management. It helps in improving the health of population. Access to data of patient which is comprehensive through the patient-centered HIE. Rule which is known as final rule is issued by CMS and ONC, and this rule is related to Medicare and Medicaid EHR Incentive Programs and the 2015 Edition Health IT Certification Criteria respectively on 6th October 2015 (Himms, 2015). Effect of meaningful use on health organizations: Research conducted by RAND shows strong evidence related to health IT improves patient outcomes. A large number of healthcare providers are using and adopting the information technology tools related to health such as certified EHRs which are mention in the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009. This act provides number of incentives if EPs and EHs meaningfully use certifies EHR technology which result in better care, health improvement, and lower costs. This program not only effect providers but to patients also such as: Many requirements of meaningful use program directly affect the patients by providing them easy access to the information related to their health, enhanced the engagement of patients and collaboration of patients with their providers. These requirements take care of many things such as whether patients get electronic reminder for their appointment, or they easily accessed the copy of information related to their health. Therefore now patients are experiencing positive changes in the health care system, and the reason behind this is health care technology. EPs send almost 190 million electronic prescriptions to their patients. Almost 13 million patients or more who aged up to 65 or more and under 5 years received reminders for their appointments. 33 million or more patients are now easily access the information through electronic mode related to their health (CMS, n.d.). Problems faced by health organizations: following are the problems faced by health organizations in meeting the requirement of meaningful use: There are large numbers of providers who have existing systems that are already performing functions related to HIE/EHR, and there are some other systems also which provide information related to lab results which are required to integrate into EHRs information to attain the requirements of meaningful use. It is the problem for providers to move data between these systems, and this will also bit expensive for providers especially for the medium size providers who do not have large IT stuff. The other problem for providers is that stage 3 criteria is not clearly defined till now, and those organizations which make investment in HER/HIE systems face uncertainty. Evaluating the current system against the standards issued by CMS will become the difficult challenge for the providers, especially for those providers who are looking to make new investment in this technology (Reich, n.d.; Backers, n.d.). Therefore, there are number of organizations which are ready to face penalty but did not meet the requirements of meaningful use. Conclusion: This report contains the background and definition of meaningful use, and also the three stages of meaning full use which are stage 1 Capture and share the data, stage 2 that is advanced clinical processes, and stage 3 improved outcomes. After this it contains the effect of meaningful use on providers and patients which state that both patients and providers get number of benefits from the meaningful use. Later we discuss the problems faced by providers in implementing the requirements of meaningful use such as problem for providers to move data between different systems, and stage 3 criteria is not clearly defined till now, and those organizations which make investment in HER/HIE systems face uncertainty. At last, we conclude the report with brief conclusion which state that meaningful use is beneficial for providers and patients but is also cause number of difficulties to providers in implementing the certified EHR program. References: HealthIT.gov. Meaningful Use Regulations. Retrieved on 8th December 2016 from: https://www.healthit.gov/policy-researchers-implementers/meaningful-use-regulations. HealthIT.gov. Meaningful Use Definition Objectives. Retrieved on 8th December 2016 from: https://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives. HealthIT.gov. EHR Incentive Programs. Retrieved on 8th December 2016 from: https://www.healthit.gov/providers-professionals/ehr-incentive-programs. Techtarget. meaningful use. Retrieved on 8th December 2016 from: https://searchhealthit.techtarget.com/definition/meaningful-use. CMS, (2010). Medicare Medicaid EHR Incentive Program. Retrieved on 8th December 2016 from: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/MU_Stage1_ReqOverview.pdf. HITCHLA. STAGE 1 MEANINGFUL USE CHECKLIST. Retrieved on 8th December 2016 from: https://www.hitecla.org/sites/default/files/HITEC-LA%20Stage%201%20MU%20Checklist_2011%200613.pdf. HRSA. Meaningful Use Stage 2. Retrieved on 8th December 2016 from: https://www.hrsa.gov/healthit/meaningfuluse/stage2/. CMS, (2012). Stage 2 Overview Tipsheet. Retrieved on 8th December 2016 from: https://www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms/downloads/stage2overview_tipsheet.pdf. Himms, (2015). Meaningful Use 2015-2017 Modifications, Stage 3 Final Rules 2015 Certification Criteria. Retrieved on 8th December 2016 from: https://www.himss.org/library/meaningful-use/stage-3-final-rules. CMS. The Real World Impact of Meaningful Use. Retrieved on 8th December 2016 from: https://www.cms.gov/eHealth/ListServ_RealWorldImpact_MeaningfulUse.html. Reich, M. The technical challenges of attaining meaningful use. Retrieved on 8th December 2016 from: https://www.seabourneconsulting.com/the-technical-challenges-of-attaining-meaningful-use/index.html. Backers. 8 Problems Surrounding Meaningful Use. Retrieved on 8th December 2016 from: https://www.beckershospitalreview.com/healthcare-information-technology/8-problems-surrounding-meaningful-use.html.

The Children Watched The Old Womans House As The Townsman Light It Afl

The children watched the old woman's house as the townsman light it aflame. They never knew a little lie could go so far. They didn't have to kill her, a boy whispered loud enough for the other children to hear. She was known as 'the old lady with too many cats.' Though she mostly kept to herself, she wasn't bitter. When children hit a fly ball over her fence she gladly let them get it back while making jokes about not needing a baseball. The older women around town invited her to various knitting and tea parties. She always kindly refused. That's when the children started to make up stories about her. She raises them cats so she can eat 'em, one boy would say. No she eats the rats the cats catch for her, another child squealed, as all the others laughed. Then the stories grew more intense. I saw green light coming from her windows. She's a witch! She's a witch! the children chant and laugh. The children didn't know the adults took their stories seriously. Soon the adults started making their own false accusations. She cast a spell so a drought would dry up our farms. One day when a child didn't come home for dinner in time, the parents went insane and made the whole town go out and search for him. When the child was found in the old lady's back yard the townspeople automatically came to the wrong conclusion. While the boy was just getting a baseball, which got hit over the fence, the parents concluded that the old lady kidnapped their little boy to cast horrible spells on. The townspeople screamed with fury. Burn her, burn her house down! the men chant with anger. The old lady didn't have much of say as they barricaded her door and lit the house aflame.

Why Our Medical College Essay Sample Is Written?

Why Our Medical College Essay Sample Is Written?In a medical career, you would come across many people, who are very eager to share their knowledge, and the reason why they are attending medical college. This medical career essay sample is designed for such individuals, who want to get admission in various medical colleges.The best way to start your admission to the best medical college is by writing a well-researched, well-written medical college essay sample, which will be presented to your interviewer. Although there are many professional writers, it is not possible for them to write everything perfectly. This is the reason why you should find someone who can draft an essay that can stand out from the rest.There are many reasons for applying for admission to the best medical college, especially if you want to pursue a career as a doctor. It is not always easy to go out to the best colleges because some of them may not offer any seats. Some colleges simply do not have enough spaces available, which makes it impossible for applicants to apply.However, if you are good enough, you can still enroll in such universities, which have the requirement of a specific requirement such as an academic and general educational level. They may even require high academic grades or letters of recommendation. The advantage of enrolling in these universities is that you can have the possibility of earning a degree, which is deemed as the top of its kind. There are some other institutions which can also help you with getting admission to a college, which is considered to be the best one in the area.Those who are looking forward to getting admission in medical colleges must make sure that they prepare for this process in a perfect manner. By preparing for the entrance exam, you will ensure that you score well and get the best marks possible. Furthermore, you must have an excellent study material, which can help you learn the basic knowledge about the course. This will make your app lication different from others.One good medical college essay sample will be helpful for preparing the essay, and for you to get through the medical entrance test. A college essay sample can help you in creating a summary of what you would like to present in your admissions essay. This can help you when you write the essay, especially when you are writing the introduction.This essay can provide you with the information, which you need for academic level. These days, most students, who enroll in the best medical colleges, have chosen to take up medical school after they have graduated from high school. The last thing that you need is to tell the interviewer that you want to do a higher education to get a better job. This is exactly why you need to work hard in this application.There are many colleges that offer good medical college essay sample, and it is not easy to find the one that is best for you. But, in this case, you should choose one that is written well and which can help yo u write a good essay, which you can use for your medical college application. This is one of the best ways to get admission into a better medical college.

Frank McCourt essays

Frank McCourt essays Informal Essay on Angelas Ashes Angelas Ashes is a moving book full of poverty, suffering, and death that shows that no matter how difficult things seem, the hard tines can always be overcome. Angela and Malachy McCourt, both Irish, were married in America after a passionate night together that ended up producing their first son, Francis(or Frank as introduced to the reader). Later, the couple had another son, twins, and a daughter while living in a small apartment in New York. Margaret soon died and the family moved to Ireland where their lives were only worsened. Angela had two more children that lived, but the young twins died. Malachy was an alcoholic who rarely held a job and spent his wages at the pub instead of on his family. They were forced to beg for food and other necessities because relatives were cruel and selfish. This novel tells the tell of young Frank having to endure extreme poverty, starvation, and a broken family with strength and courage. He eventually raises enough money to go to America and break free from his depressing childhood. In my opinion, the theme of this book is that no matter how bad things seem to be, anyone can survive and become successful through perseverance and determination. For example, Frank grew up in just about the worst environment possible but was determined enough to get himself to America and eventually become the author of a Pulitzer Prize winning novel! Frank achieved his goals by taking any extra jobs that he could find and saving every penny possible until he could finally afford his passage to America. Because his father never brought home any money, Frank supported the family with what little wages he earned at his job and was determined to make a good life for himself, his brothers, and his poor mother. Frank learned to depend upon no one but himself and his determination to succeed won him ...

High School Seniors Start NOW on your Letters of Recommendation (LORs)!

High School Seniors Start NOW on your Letters of Recommendation (LORs)! What was your favorite class in high school?   What class did you do best in?   Who was your favorite teacher?   How well do you know your guidance counselor?   Who knows you the best (both adults and fellow students)?   Who will write you the best recommendation? These are questions to answer now! Once you have your answers, make a list of the people who would be your best recommenders. After identifying your best recommenders, ask them if they are willing to write you a letter of recommendation.   Ask in particular  if they will write you a strong one.   If they can’t, see if there’s someone on your list who can. Teachers will appreciate having as long as possible to work on your LORs.  Ã‚  Get a leg up by approaching them now! If you remember particular instances where you demonstrated your intelligence, creativity, responsibility, or other great qualities, don’t be shy about reminding your recommenders about those instances.   You can even give them a list of things you think they might want to cover in their letters. The best letters tell stories, and you probably remember those stories better than anyone else! Examples of things you might want to share with the people writing your letters of recommendation: Copies of your best papers in their class Copies of your creative writing Notes about particular contributions you made in class A list of your activities and accomplishments Your transcript Your student resume (yes you should have one!) Any help you can give your recommenders, whether it’s giving them plenty of time or helping them with material to put in the letter, will generally be appreciated and will make for a stellar LOR! The benefit to you, besides great LORs, is that when December rolls around, you won’t be biting your nails worrying whether your letters will be in by deadline. Thats worth a bit of thought and action now, isn’t it? Category:College AdmissionsBy Brenda BernsteinMay 29, 2010

International Production and Trade Essay Example | Topics and Well Written Essays - 750 words - 2

International Production and Trade - Essay Example Dumping has led to development and enactment of various rules and regulations for international trade to foster more cooperation among different countries. Lack of proper and comprehensive and binding international trade regulations, tensions between trading partners are likely as states try to maximize domestic gains from trade, often at the expense of trading partners’ welfare. Chapter six of the notes also deals with selling products from one country to a different country, is likely to affect the domestic business and trade in the importing country. This requires the government to formulate laws and regulations to enable a level playing ground for all players in the business, both local and international trade. International traders are likely to bring in cheaper products and services that are likely to disrupt the demand and supply of the business environment and will greatly affect the sales in of the local businesses, thus leading to losses and loss of jobs in the count ry. There is need to have in place regulatory measures to ensure there is a level playing field and that international trade does not affect the local businesses in the negative way (Fried 34). ... WTO ensures that all the rules and agreements entered in to by various countries are observed to the later and the countries failing to follow the rules will be punished through appropriated sanctions from the body. Chapter six also discusses the various perspectives of international trade. The three main perspectives of international trade include the Liberals, mercantilists and structuralists, who have different views and opinions regarding to how trade should be conducted on the international scene. For liberalists, international trade should be conducted using the ideas of thinkers such as ideas of Smith and Ricardo, who give various conditions within which the trade can flourish on the international arena. In Ricardo’s theory of comparative advantage, he provided liberal ideas about how trade can flourish between countries using their strengths and weakness in terms of their production of goods and services. According to both Ricardo and Smith, global trade should not be based on who can produce the most of any give product, since this can be disadvantageous for businesses due to the limitations of scarce resources. This limitation means that no particular country can produce as much as it wants of all goods and services; opportunity cost must therefore be considered. Absolute advantage cannot therefore be relied on as a policy for international trade. On the other hand, comparative advantage is the best policy because it allows countries to produce whatever they can produce efficiently and then getting the other products from other countries or businesses that also have a comparative advantage in the production of such products and services. According to

Religion Essay Example | Topics and Well Written Essays - 1250 words - 2

Religion - Essay Example Christianity believes in the existence of one God, who is the Alfa and omega (Herbert 45). Christians believe that God is the one who made everything possible on earth after creating them in 6 days and resting on the 7th day. Buddhism on other hand is a religion which originated in Nepal, India. In Christianity, their place of worship includes: chapel, church, basilica, cathedral, personal dwellings and home bible studies (Herbert 22). For Christianity, God can be worshipped anywhere, weather in church or not. When it comes to Buddhism, places of worship include; monasteries, pagodas, nunneries and temples. It is estimated Buddhism to have existed since 2500 years ago whereas Christianity’s time of origin is estimated at 33AD (Herbert 53). In relation to the goal of religion, Buddhism aims at attaining Enlightment so as to be released from what they term as they cycle of death and rebirth in order to attain Nirvana (Herbert 67). When it comes to Christianity, the religion aims to loving God plus obeying his commandments, gets saved through Jesus Christ in order for one day to enter the Kingdom of heaven. According to Buddhism, human beings have the ability to possess anger, greed, ignorance, delusion, cravings and so many other qualities. Such individuals with negative abilities are referred in the religion as ‘fools† (Herbert 78). Buddhism preaches that those who would not have walked the Eightfold Path are those referred to as ordinary people. In contrast, in Christianity, they believe in the concept that man is always born by sin which was original created when Adam and Eve ignored God’s authority in the Garden of Eden. It is hence through salvation that’s one sin’s are washed away by the blood of Jesus. Those who would not have been saved by death will head to hell (Herbert 90). Buddhism has their God named as Brahma or Avalokitesvara whereas in Christianity, God has so many names: God, Yahweh, Gott, Dios, Gud, Eli,