Humanities Homework Help

First, let’s start with question #1. Discuss this question based on your own opinion and this first scenario. First meaningful post made within the first 3 days in the module:

Scenario: The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) currently leads the fight against waste, fraud, and abuse by health care industry providers. You are a Compliance Officer in a health care organization and responsible for preventing abuse, fraud, and waste.

Based on what you’ve learned so far in this course:

1. What would you do if you discovered your employees were throwing away supplies that were normally to be cleaned, sterilized, and reused? What would be your systematic action plan to resolve the issues in your answers?Based on what you’ve learned so far in this course:

Based on what you have learned in your research and readings, let’s discuss the following scenario. Begin this part of the discussion no later than Wednesday.

Scenario: You are managing a private multi-physicians group and two of the physicians want to change X for a new ambulatory surgical procedure while the two other physicians want to charge Y for the same procedure. They call you in to break the tie. However, when you question the four of them about how they decided on X or Y, they only shrug their shoulders, saying they chose X or Y, arbitrarily.

1. As the manager, what information about pricing services would you share with the physicians?
2. How would you help them make an informed decision about the pricing of this new procedure?
3. Based on the reading, Acute Care Hospital Inpatient Prospective Payment System (Links to an external site.), reflect on what you think is the single most important factor of Prospective Payment Systems and why?

You will likely find significant diversity in one another’s responses. Reflect with one another on your choices and why you think your choices in PPS [abbrev code: Prospective Payment System] factors may have differed.

The first question allows you to consider what you have learned to date and any of your experiences in a health care organization or another workplace to get started. Use APA 6 formatting for any citations. Remember that the week will go by very quickly, so start early! Please do not attach any files to the discussion threads.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/AcutePaymtSysfctsht.pdf