Week 4 DQ1
Discuss your opinion of the Stark laws, what they are designed to do, the impact of the exceptions, and whether you think they are successful in preventing unethical behavior.
Week 4 DQ2
What kinds of fraudulent or abusive behavior relating to health care services can occur in hospital operations? How does the role of the compliance committee help to monitor and prevent these?..
Scenario:
You are the administrator on call for Hospital A and are responsible for accepting and rejecting patients. You receive a call at 2:00 a.m. from Health Hospital B regarding a patient with a severed ear.
The ED physician is calling to arrange an EMTALA-qualified transfer from his hospital to yours, but the ENT physician on call at your hospital is refusing to accept the transfer, stating that the patient does not need a higher level of care.
You call your ENT on call, and he admits he ha..
The Cases:
Case 1: Oscar Insurance Company Of Florida (Plaintiff), V. Blue Cross And Blue Shield Of Florida, Inc (Defendants.)Case 2: United States Of America, et al., (Plaintiff), V. Aetna Inc., and Humana Inc., (Defendants.)Case 2: Oscar Insurance Company Of Florida (Plaintiff), V. Oklahoma State Chiropractic, Independent Physicians, Association And Larry Bridges (Defendants.)
Requirements:
Using the Health Care page of the U.S. Department of Justice Antitrust Division website, locate three..