and Fraud in Health Care Organizations – Legal and Ethical Responsibilities
From the topics covered in
Weeks 3-4, select one law related to financial management in health care
organizations. We discussed such laws as False Claims Act, Stark Law etc.
Include a cover page and a list of references at the end of the paper in APA
Format. Paper will be double spaced and be 4-5 pages in 12 point New
Times Roman font. [No deduction if paper exceeds a page or so. Thus 3 and
half page paper will be penalized.]
The assignment is to be written
in clear, concise narrative. All sections in the outline for Assignment #2 are
required. The majority of the paper should be devoted to two sections: a)
The three (3) case examples and penalties of those found guilty; and b) the
three (3) remedial steps involving management intervention to reverse the non-compliance
in organizations such as these.
Outline: Must use the
underlined headings from the outline below in your paper and the paper
must be in narrative form not outline or bullet format. 5% penalty
deducted from paper if underlined headings not used in your paper.
Name of the Law and or laws:
State the official title of the federal and/or state law, the statute and
section number. Must be either a federal statute or state statute or you
must cite both if applicable. Thus if there is both a federal and state law
that covers your subject picked then you must cite both. Do not assume
that there is just a federal and or state law. In most cases there is both a
federal and state law. You must use the laws cited in this section throughout
the rest of the paper.
Management’s Financial responsibilities:
What is the health care
organization’s responsibilities under this financial management
statute? Provide a comprehensive discussion of three (3) specific
responsibilities under the financial management statute. Cite where this
responsibility is stated in the law. Describe the appropriate behavior and
expectation. Include the citations and source of documents describing the
Consequences for Ethical or Legal Breach:
Discuss in general the civil and criminal consequences from the law. Then
identify from the news, three (3) specific real life case examples of health
care organizations or health care providers found guilty of a legal or ethical
breach relative to the law you have cited in first part of paper. Identify the
specific legal and/or ethical breach and the penalties assessed to the health
service organizations and/or individuals found guilty of violating the law or ethics
[provide citation of law]. At the end of each case, discuss in detail
whether you agree or not with the decision and why. Bring in the facts of the
case to support your comments. Students should use a minimum of three (3)
documented specific examples retrieved from the print media.
HCO Management’s remedial steps to reverse the
Describe in detail three (3)
specific management actions or remedial steps you would take to ensure the
financial management in the health care organization meets or exceeds the
federal law or state law relative to the requirements of the law you cited
above. Discuss how each of the three management actions specifically meets or
exceeds the specific federal or state law you cited. Be specific as to how
exactly each step meets or exceeds specific federal or state law. Note: These
actions may include specific uses of technology, procedures, human resource
training, and other management tools. However these action steps must be
within the control of a manager.
5. Conclusion: Summary
your findings above
Reference List [APA Format]
The paper must be:
Be sure and use the
underlined headings found in the outline below in your paper. Paper must be in
narrative format not outline or bullets.
Double spaced and be 4-5 pages
in 12 point New Times Roman font. [No deduction if paper exceeds a page or so.
Thus 3 and half page paper will be penalized.]
Include a cover page [not
counted as a page] which should have student name and title of your paper
[Provide a short name for the legal responsibility the specific health care
organization has for one type of patient right in a specific setting
At the end of the paper a list
of references in APA Format [not counted as a page]
Be prepared using word-processing
software and saved with a .doc, .docx,
Must footnote all facts in the
paper. For example use sequential numbers starting with “1” and this number
should correspond to full citation at the end of the paper. Do not put
footnote citations at end of each page but at end of entire paper.
In the body of the paper
Management Association (U.S.), Ernst, & Young, 2000).
At the end of the paper
Management Association (U.S.), Ernst, & Young. (2000). Health care
system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial
Except where noted, the
assignment is written in clear, concise narrative. All sections of Assignment
#2 are required.