Medicare Essay

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Medicare is a federal health insurance program for people, who are age sixty five or older, or people that have End Stage Renal Disease and permanent disabilities. There are four different entities of Medicare to include; Medicare Part A which is the Hospital Benefit that covers inpatient hospital services, hospice treatment, skilled nursing facilities and other home health services. Medicare Part B that covers the Professional component of the physicians' services, preventive services and medical supplies then there is Medicare Part C which is considered a Medicare Advantage Plans that is offered by a private company that has a contract with Medicare to provide the patient with both Part A and Part B benefits. A Medicare Advantage Plans consist of Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), and Private Fee for Special Needs Plans, Service Plans, and Medicare Medical Savings Account Plans.
Medicare suppliers must be accredited by the Joint Commission (JC) or by a state regulated survey, which is performed by selected state agencies on behalf of the Centers for Medicare and Medicaid (CMS). As of July 2010 the CMS monitor and provide guidelines which the Joint Commission incorporates into its review processes. Accreditation consists of a in depth review of a hospital's physical plant, patient care , medical staffing and services based on quality factors and standards produced by CMS, as well as conditions of participation requirements under the Title 42, Part 482, of the United States Code.
§ 482.1
(a) Statutory basis. (1) Section 1861(e) of the Act provides that
(i) A Hospitals participating in Medicare must meet certain specified requirements; and
(ii) The Secretary may impose additiona...

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... financing, mathematics, computer science or business as well as four to five years of work experience handling intricate database and information management.
Medicare impact the Health Informatics workplace by implementing the changes in the healthcare industry such as health insurance plans and the increase in healthcare costs as Medicare and other organizations seek to create efficiencies to reduce their costs it is beneficial for them to do so through technology by building more systems and being optimized. Health Informatics is in high demand for many practices that use Electronic health records to maintain standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs that governs the use of electronic health records and allows eligible providers and hospitals to earn incentive payments by meeting specific record keeping criteria.

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