1 postsRe: Topic 5 DQ 2
This Affordable Care Act helps protect against fraud and the abuse of laws that protect the patients receiving care. There are teams in place that are constantly looking for cases of fraud and returning tons of money back to the Medicaid trust fund. “The Health Care Fraud Prevention and Enforcement Action Team (HEAT), a joint initiative between HHS, OIG, and DOJ, has played a critical role in the fight against health care fraud. A key component of HEAT is the Medicare Fraud Strike Force – an interagency task force teams comprised of OIG and DOJ analysts, investigators, and prosecutors who target emerging or migrating fraud schemes, including fraud by criminals masquerading as health care providers or suppliers.” (CMS, 2016). Having teams like this in place can help protect consumers.
“The Affordable Care Act brings an end to some of the worst insurance industry practices that have kept affordable health coverage out of reach for millions of Americans, especially when they needed it most. Under the health care law, consumers can be confident that their insurance will protect them if they get sick and their families won’t be crushed by medical bills.” (Secretary Sebelius, 2013) The biggest issue for people that need care is that they are afraid to see payment of care they need. Therefore they will not try to get medical care and then become worse over time. This act protects the people and their right to health care, while also protecting them from ridiculous payments.
The Affordable Care Act (ACA) identifies requirements related to provider compliance with fraud, waste, and abuse laws that have been enacted to protect consumers. Research three of these requirements and describe the corresponding measures that your health care organization has initiated, or could initiate, to comply with the ACA. Support your analysis with a minimum of two peer-reviewed articles.
Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.
crises and cases of obstruction and collapses of several companies in the various countries of the world. This lead to the necessity of the activation of control in the companies managements by the implementation of the corporate governance concept therein. Consequently, the function of internal audit entered into new phases of development in order to contribute in preventing the financial violations and transgressions until the occurrence of any future crises or collapses is avoided. Today, internal audit evolved into being considered as one of the most significant parties participating in the companies governance. This thesis is aimed at shedding light upon the role that may be played by internal audit in the Libyan industrial companies enlisted in the Libyan stock market in order to propose the implementation of corporate governance as a key to their future development. With the intention of realizing the objective of the study, the main following hypothesis has been formulated: The function of internal auditing in the Libyan industrial companies may contribute in activating the implementation of companies governance. Based on the defined hypothesis, this thesis has been divided into three main chapters, where the first chapter considers the general framework of the study and second chapter treats the theoretical framework of the study, involving two parts; the first part is the framework of the notions of companies governance and the second part is the analysis of internal audit from the aspect of corporate governance. But third chapter has treated the research study involving the general framework of the methodology followed therein by analyzing the data obtained through the questionnaire forms distributed to the respondents. They included managers of the financial administrations, heads of financial departments, directors of the offices of internal auditing and internal auditors of the Libyan industrial companies enlisted in the stock markets. The statistical tests have been made for the study hypotheses in order to gather study results. Based on the results, we have presented the main conclusions and proposed recommendations in this concern. The following are among the most significant results attained by the author of the thesis:>GET ANSWER