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Analyze the impact of the Anti-Trust Laws on a healthcare organization’s financial performance and strategic planning
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- how can laws and regulations help a healthcare organization reduce fraud, waste, and abuse and thereby manage risk to the revenue cycle and reimbursementWhy do insurance companies practice things like restricting provider choice, gatekeeping, and pre-authorization?How can a statement of need is important to address cyberattacks in healthcare organizations
- With the HIPPA law that was enacted, how does this help the health care provider as it relates to patient confidentiality.Financial information is important in the decision-making process. Discuss the five areas of financial information in a hospitalWho would be impacted by such events claims production and claims submission in healthcare?
- Analyze the impact of the False Claims Act on the organization’s reimbursement, coding, and strategic planningDescribe at least two advantages and disadvantages of the different payment systems from a healthcare administrator's perspective, and explain how these models influence organizations' strategic plans.The Physician Self-Referral Law, also known as the “Stark Law,” generally prohibits a physician from making referrals to an entity for certain healthcare services, if the physician has a financial relationship with the entity. How can a physician get around the Physician Self-Referral Law?