Financial Issues For The Health Care System Of The United...

Background Pozgar (2012) defines healthcare fraud as an unlawful act, which purpose is for personal gain through deception. It consists of a vast number of illegal acts and irregularities resulting from intentional deceptions. It is no surprise that healthcare fraud is difficult to combat and causes extensive financial issues for the health care system of the United States. This brings us to define what fraud is and how it relates to healthcare. Fraud generally defined as knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain (by means of false or fraudulent pretenses representations, or promises) any of the money or property owned by, or under the custody†¦show more content†¦Ã¢â‚¬ ¢ Providing or conducting procedures that are not ultimately required or needed in order to obtain insurance payments. †¢ Illegally representing treatments or procedures that are not covered in insurance plans as medically necessary treatments that are covered by the insurance. This type of fraud is done to receive payments from patients insurances. †¢ Illegally changing or falsifying a patient’s diagnosis in order to justify any test, surgeries or other procedures that are not required or deemed as a medical necessity. †¢ Taking a procedure and breaking it down into steps and then billing each of these steps as if it were an entirely separate procedure. This is known as unbundling. †¢ Ignoring the terms of a managed care contract and billing a patient for more than what is required for the co-pay amount for services that was already paid for by the benefit plan of the patient. †¢ Illegally accepting kickbacks (receiving a form of payment) or paying for patient referrals. †¢ Providers who may waive a patient’s co-pay or deductible for and health care service provided and over-billing the insurance carrier or benefit plan of that patient. This can only be done under special circumstances, for example Medicare will allow the payments of co-pays or deductibles if the patient is under considerable financial hardship. Healthcare fraud is an issue that needs to be addressed. There are several different methods and solutions to reduce the occurrence of fraud in healthcare

Early Music Concert Report free essay sample

Early Music Concert Report A simple, Easter afternoon at the Leo S. Being Theater located In the Los Angles County Museum of Arts made for a perfect time for the members of the Capitol Ensemble to perform music of the classical era. The program consisted of String Trio in B-flat major, D. 471 composed by Franz Schubert and String Quintet in G minor, K. 516 composed by Wolfgang Amadeus Mozart.The audience was filled with higher- class individuals and obviously frequent listeners of the Classical Era genre seated awards the front of the theater, and the newcomers, like myself, attended to be graced upon with the beautiful music the past has left for us more in the back of the venue. Although the dress attire was casual, most of the people still dressed slightly with style and formality. The performers were dressed In all black, and some white details. The whole place had a serious ambiance In the air. We will write a custom essay sample on Early Music Concert Report or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Mostly everyone was there to completely enjoy the free concert to Its full extent. The audience could not simply walk In and out of the performing area for It could cause a nuisance for the est. of the people watching, but these people that wished to leave must wait for a piece to be finished, unlike many other regular concerts. The program even recommended for adults with small children to listen to the concert outside of the theater, where speakers and live feed of the concert were provided. The ushers emphasized the point that everyone should be respectful and kind to the performers. If one did not wish of watching the rest of the concert, they should freely leave, but with full and utter respect. With classical concerts, respect seems to be the most appropriate word. Everyone treated each other kindly and considerately. The music of the program flourished throughout the whole theater. The String Trio In B-flat major, D. 471 was shorter than the latter, but the piece was easier to comprehend. The trio only consisted of a violin, a viola, and a cello.The Allegro made the trio much more enjoyable due to its fast, cheerful tempo. Considering it only retains one movement, this part of the concert was much easier to focus on. The way the violin plays the main, complex part and the viola and the cello are playing subtler harmonies make the melody very much enjoyable. Schubert composed the trio in a method where all the instruments can either play in a copycats form in one theme or a cadence motion in another. Although the piece was rather short, it consisted of a full sonata form.String Quintet in G minor, K. 516 composed by Wolfgang Amadeus Mozart was the longer piece of the production, and the harder one to analyze, considering It consisted of four movements: The Allegro, Monument: Allegretto, Adagio ma non troop, and Adagio-Allegro. The first movement Is the fastest piece of the quintet. The second movement Is supposed to be a minuet In which the tempo Is danceable, UT instead consists a heavy theme. The third movement is a slow, melancholic fourth movement is even slower than the third.Mozart adds a lot of pauses and rests in this certain quintet causing a stark demand with the new notes. There are a lot of twists and unexpected notes that make this quintet enjoyable and unpredictable. Compared to other works like Mozart own Piano Concerto No. 23 in A Major, in Inch there are three movements of very dramatic themes and much more Instruments, the String Quintet in G Minor contains more content in terms of lariats and themes and its stylistic method of fast tempos. Taking part in a classical concert is wholly another type of experience that a person can have.The way the audience reacts to the music, the way the music is laid out, and merely the vibes in the theater are what differentiates a classical concert from a popular music concert. In a regular concert, one does not have to fully pay attention to the music, but rather enjoy the surface of the melodies. A classical concert takes a lot more work and effort to be fully enjoyed. The next time I will attend such a concert, a full night of sleep and a full stomach will also be attending, making sure that complete concentration is present.

Sentence and Following Generalizations free essay sample

1. â€Å"Suzanne Britt believes that neat people are lazy, mean, petty, callous, wasteful, and insensitive.† How would you respond to this statement? 2. Is the author’s main purpose to make fun of neat people, to assess the habits of neat and sloppy people, to help neat and sloppy people get along better, to defend sloppy people, to amuse and entertain, or to prove that neat people are morally inferior to sloppy people? Discuss. 3. What is meant by â€Å"as always† in the sentence â€Å"The distinction is, as always, moral† (para. 1)? Does the author seem to be suggesting that any and all distinctions between people are moral? 1. What is the general tone of this essay? What words and phrases help you determine that tone? 2. Britt mentions no similarities between neat and sloppy people. Does that mean this is not a good comparison and contrast essay? Why might a writer deliberately focus on differences and give very little or no time to similarities? 3. We will write a custom essay sample on Sentence and Following Generalizations or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Consider the following generalizations: â€Å"For all these noble reasons and more, sloppy people never get neat† (para. 4) and â€Å"The only thing messy in a neat person’s house is the trash can† (para. 8). How can you tell that these statements are generalizations? Look for other generalizations in the essay. What is the effect of using so many? 4. Other methods. Although filled with generalizations, Britt’s essay does not lack for examples (Chap. 3). Study the examples in paragraph 11 and explain how they do and don’t work the way examples are supposed to, to bring the generalizations about people down to earth.

Materials of Logistics in Management Essay Essays

Materials of Logistics in Management Essay Essays Materials of Logistics in Management Essay Essay Materials of Logistics in Management Essay Essay The efficiency of any fabricating administration depends on the handiness of constituent parts and stuffs in the proper measure. quality. monetary value. scope and clip. Failure in any of these countries increases costs and decreases net income every bit surely as outmoded production methods or uneffective merchandising techniques. This simple but obvious point has merely late come to be decently understood. This book presents the rules. methods and schemes that represent the modern attack to stuffs direction in all sectors of the economic system. In analyzing concern operations. the phrase â€Å"Value-added concept1? is frequently used to characterize the difference between the cost of constituent stuffs and the merchandising monetary value of the finished merchandise. This difference in value represents the alone part of each administration to the production procedure. Many companies produce component parts and stuffs for other houses fabricating specialized merchandises Remanded by the clients. On an norm. a fabrication house buys somewhat more than half of the rupee value of its gross revenues. In other words. the value added is typically less than 50 per cent of its gross revenues. Conversely. the mean company purchases stuffs valued at more than half of what it sells. Therefore. a firm’s net income is to a big extent determined by how efficaciously it procures and manages these stuffs. The organizational attack known as stuffs direction has gained cogency in recent old ages. Production and operations directors found it necessary to develop an organized organic structure of cognition related to be aftering. acquisition and use of stuffs in the procedure of production and it has resulted in the subject known as â€Å"mate-rials management† . All activities involved in conveying stuffs into and through the works are combined under one caput known as â€Å"materials manager† . By giving the stuffs director overall authorization. duty is centralised to guarantee that the overall cost of stuffs is kept at the low’est possible degree. The basic principle for this organizational alteration is to get the better of the jobs of conflicting aims. For cample. purchase department’s concern to guarantee uninterrupted supply of component stuffs may conflict with he inventory control department’s objective to understate stock list degrees or the aim of transportation in full auto burden tonss. Today administrations view procurance as a professional activity including activities involved in obtaining stuffs at minimal cost. transporting them and supplying storage and traveling toward the production procedure. It besides includes economic analysis of supply ( i. e. . purchase economic sciences ) . demand and monetary values and the appraisal of international events that affect stuffs. * development of stuffs direction Historically. the five ‘M’s of fabrication houses viz. Men. Materials. Machines. Money and Methods have shifted their places from clip to clip in their comparative importance. In the early yearss of industrialisation. the focal point was on work forces ( labor ) as they were the chief beginning of productive power. Over a period of clip. the accent shifted towards machines. which became the chief beginning of industrial power after the Industrial Revolution. As the methods of production became more and more complex due to the increased client demand for sophisticated merchandises of high quality. there was greater demand of efficient direction to pull off the complex production systems. In the early 1920s. buying and keeping stock of stuffs was the duty of buying directors or â€Å"chief accountants of buying and stores† in many industries. During and instantly after World War II the focal point shifted on assorted maps associated with stuffs such as buying. receiving. inspecting. hive awaying. continuing. managing. publishing. accounting. transporting and disposing excess and disused stuffs. These maps grouped under one common caput known as stuffs director and the section responsible for all these activities came to be known as â€Å"materials direction department† . But the caput of stuffs direction section performed a staff map to back up the production section and had to describe to the production caput ( manager of production ) in the organisational hierarchy. The oil crisis of the 1970’s changed the precedences of industries all over the universe. The extortionate hiking in oil monetary values and the heavy budget allotments on oil made the industries to command their outgo on the inputs. chiefly stuffs of all sorts because of the big range to cut down the disbursals on stuffs. Since the beginning of twentieth century. stuffs have been acquiring more and more attending and will go on to make so in the hereafter besides. Now a yearss stuff has* become an of import and inevitable input of a production system since the cost of stuffs and cost on stuffs ( cost incurred in buying and hive awaying the stuffs ) put together history for 50 to 85 % of the production cost depending on the nature of the merchandise and the type of the production system. Modern fabrication administrations adopted systems attack to direction. which resulted in the incorporate stuffs direction construct. All maps related to stuffs such as stuffs be aftering. buying. storing and stock list control were integrated under stuffs direction map. The place of the caput of the incorporate stuffs direction section was elevated to be on par with caputs of other functional countries viz. production. finance and human resources. * importance of stuffs in fabrication administrations Materials are any trade goods used straight or indirectly in bring forthing a merchandise or service such as natural stuffs. constituent parts. assemblies and supplies. In the fabrication administrations. the of import inputs are referred to as 5 Ms viz. Men ( Labour ) . Machines. Money. Materials and Methods. The comparative importance among these five Multiple sclerosiss have shifted from clip to clip. In the beginning of industrialization the focal point was on machines. work forces ( labor ) and methods. but from around 1970 onwards the accent is on stuffs. Material is an of import and inevitable input Gb J production system since the cost of stuffs and cost on stuffs ( cost incurred in buying and hive awaying the stuffs ) put together history for 50 to 85’* of the production cost depending on the nature of the merchandise and the type of the production system * importance of stuffs direction Management of stuffs in most administrations is important to their success because the cost of buying. hive awaying. traveling and transporting stuffs account for over half of the product’s cost. Bettering productiveness is a important factor in confronting the challenge of competition and this involves driving down the cost of all facets of concern activities. Since there is maximal range of cost decrease in the country of stuffs. making the occupation of efficient and effectual direction of stuffs is seen as the key to higher productiveness.

Aid Should Help, Not Hurt

Aid Should Help, Not Hurt Aid Should Help, Not Hurt. Sending aid to other countries is called Foreign aid. Foreign aid is the transfer and loaning of funds, goods or services from one country to another. It is moved from one country to another country. (1) The main purpose of aid, mainly in poor countries, is to improve poverty, give support to the people who can’t reach their needs to survive, rebuild important buildings such as School, Hospitals, and Police Departments and restore a great economy to pick up the country once again. However, the usefulness of foreign aid for poverty relief in Africa has lost its objective. Since the 1950s, the idea that huge amounts of donations can cure poverty has led economic development discourses. More than half of the sub-Saharan Africa are now much poorer than in the 1960s. (2) I don’t deny that the fact that many factors that have contributed to poverty in Africa which include natural disasters such as famine, draught, and wars. But what about the huge excess of aid they have been guiding to this developing country? What did they use it for? According to statistics, while advancement has been made in other rising regions of the world, particularly East Asia in the last six decades, the percentage of those living in life- threatening poverty increased in sub-Saharan Africa. (3) Such statistics can be both terrible and at the same time crushing. There are several reasons to why foreign aid is unsuccessful for poverty relief in Africa. The first reason is that poverty in African countries is not a cruel circle waiting to be broken by foreign help. Instead, poverty is created by economic institutions that thoroughly block the incentives and chances of poor people to mak e their lives better by themselves and their country. Let us for instance the system of apartheid in South Africa which Nelson Mandela fought against. In this situation, apartheid was a set of economic institutions which was planned to work against the black South Africans. It contained rules that governed and dictated to people what they should do and what they should not do, including the motivations and openings they are entitled to. (4) In 1913, the South African government announced that 93 percent of South Africa was for the white economy, while 7 per cent was for blacks (who constituted about 70 percent of the population). Blacks had to have a pass, almost as a national passport, to travel to the cities for job opportunities in the white-controlled mines and industries. They could not own property or start a business there. Such economic organizations, avoid the people that need help and opportunities of the massive population of black South Africans and largely kept them in poverty. While the country was rich during this period , the wealth was in few hands and the common were poor. As such, foreign aid would not remove such institutional strength that disadvantaged the majority to access to the national resources. It should be noted that people in underprivileged countries have the same drives as those in rich countries. Just like those from developed nations, people from humble nations also need freedom of accessibility to economic reserves, to have the same chances to good health care, unpolluted portable water in their homes and value education for their children. The reason to why the poor remain poor is because their basic ability with their talents have been disallowed the opportunity to grow by their various establishments in those countries. In Sub-Sahara African states, it is important to note that once you are wealthy, you are advantaged because you are entitled to much more power while the poor on the other hand, are less fortunate and at the pity of those in power. By way of conclusion, the evidence from examples above and analysis have shown that poor people are trapped within economic institutions and until these institutions feel a major change, foreign aid and any growth it seeks to achieve will only be an illusion, not only in Sub-Sahara Africa, but across all developing countries o f the world.

A World without Television Essay Example | Topics and Well Written Essays - 1000 words

A World without Television - Essay Example On its part, the television touched our lives in more than one way, some good and some bad. The television made our life colorful (even the earlier black and white variety). It presented us with so many live entertainment options: the musicals, the stage plays, the soap operas, the fashion shows, and that too, without having to step out of our homes. It gave us the power to dream, to identify ourselves with the mannerisms of the most glamorous stars and celebrities, projected in larger-than-life roles. It taught us to desire and acquire things of luxury, through scores of advertisements, by creating an image of reality that is not real. By wanting more and more of these goodies, we helped our industries to innovate, produce more, flourish, and, in turn, enrich our lives further. Television became the homemaker, bringing a sense of togetherness in our families, taming our mischievous children with visual treats specially planned for them, discouraging husbands and wives from quarreling, and taking away the loneliness out of the lives of the elderly and infirm. It also helped us to integrate, not only our nation, but the whole world into a global village, by showing the live images of people from distant regions and countries, share their joys and sorrows, problems and achievements, cultures and traditions, during special shows and news programs. We became visual participants in the grim realities of life, through scenes from accident sites, war fronts, natural calamities like floods, earthquakes, and learnt to have compassion for the less fortunate fellow humans. No other medium could have matched the impact of the real-life visual images of television on our collective psyche. Of course there are certain undesirable things too. It has produced a generation of couch-potatoes who depend only on passive entertainment, and has stripped us of the opportunity and inspiration to do things ourselves. We are forced use less and less of our thinking faculty, creative imagination, and physical effort. Books and other elaborate written materials, which require a certain amount of contemplation, are no longer attractive to the younger generation. Unless controlled properly, unhealthy viewing content can also creep in, and spoil the morals of the society. In spite of good and ugly sides to it, the reality is that Television has grown with us as a family member, and it is already a partner in our social evolution. We can no longer allow it to disappear out of our lives. Our World view in absence of Television: Since olden days, people were interested to know about other civilizations across the globe. In those days, the main source of information was from the personal accounts of the voyagers and travelers. This interest was generally limited to the members of the trading communities, explorers or royal expeditions. Later, with the development of printing technology, written matter became easily transportable and transferable, and helped in creating a better and consistent understanding of the outside world. The nineteenth century saw a sudden rise in industrial activity, made possible by a series of inventions in the field of technology. This triggered a growth cycle of such magnitude that the whole society evolved into a large mass of affluence. This affluent mass of people had the time and

Principles of Total Quality Management (TQM) Essay

Principles of Total Quality Management (TQM) - Essay Example Before going into the discussion regarding three major principles of total quality management, let us get a better understanding of what total quality management actually is. Total quality management is an approach towards improving the performance and quality of products and services so that they meet the expectations of the consumers. Quality is of integral importance for a company to achieve success in a competitive market. A company can achieve success only if it integrates all aspects of quality in its business activities and processes. The focus of the total quality management is the customers and products of a company. Total quality management requires continuous improvement in all departments of a company related to manufacturing of the products, such as, quality design and development, quality control, and quality assurance. There are a number of key principles related to total quality management. Three of those principles include customer focus, continuous improvement, and employee involvement. Let us discuss all of these in some detail. Customer Focus Customer focus is one of the primary principles of TQM. A company needs to focus the needs and demands of the customers while developing the products. Customers are the main drivers that ensure success of a company. Without customers, no company can achieve success or gain market domination in any market. Customers always opt for such companies, which provide them with excellent quality and reliability in all products and services.... If a company neglects the integration of quality aspects in a single phase of a product development process, it affects the overall quality of the product resulting in development of a compromising quality product. Therefore, a company needs to work towards continuous improvement in manufacturing and quality procedures in order to bring a high quality product in the market. Employee Involvement This principle of TQM requires continuous involvement and motivation of the top management of a company. Top management needs to motivate the employees towards ensuring quality in all aspects of their job responsibilities. â€Å"Employees should be encouraged to be pro-active in identifying and addressing quality related problems† (Murray). TQM is not just related to the integration of quality in the products and services of a company, rather it also includes all business functions and activities. The involvement of employees is of integral importance in ensuring the implementation of t otal quality management system in a company. Therefore, companies need to encourage their employees to bring improvement in their job related activities in order to ensure success of the company. Performance Measurement Performance measurement means to evaluate performance of the employees and the business processes in order to bring improvement in the organizational effectiveness and productivity. The basic aim of performance measurement is not just to evaluate the employees’ performance; rather it also focuses on increasing the organizational productivity by improving performance of the employees. Performance measurement or evaluation makes the managers of a company know where the company actually stands and what they need to do in