Financial Reporting Practices

1068 Words5 Pages
Reporting Practices and Ethics Paper Health care financing and management incorporates many different elements. Health care managers must be able to understand how all these elements relate to each other in order to use them as tools in the health care management. Managers in the health care fields will usually have one of the following views, financial, process, or clinical. However, all of these views will interact with each other as health care financing and management develops. This essay will discuss the four elements of financial management, generally accepted accounting principles, and general financial ethical standards. The four elements of financial management include: planning, controlling, organizing and directing, and decision…show more content…
This journal discusses how serious government views fraud and abuse in healthcare and. Fraud is health care settings is a serious crime; in 2010 U.S. attorneys were allocated approximately $2.9 million dollars in health care fraud and abuse compliance funding. These funds went to both civil and criminal health care fraud and abuse. One of the cases mentioned in this report was one of three hospitals settling allegations based upon excessive Medicare outlier payments. Our Lady of Lourdes Health Care Services Inc., the parent company of two hospitals in New Jersey Paid a $7.9 million settlement in December 2009. The hospital faced allegations that it had defrauded Medicare and wrongfully received excessive outlier payments. I find this case to be a great example on how hospital financial managers unethically collect money from insurance companies, government money, Medicare and Medicaid. It is the job of a financial manager to act ethically and to follow the organization purpose. It is impossible for the government to control people from being ethical or unethical, however fraud is never taken lightly and disciplinary action and punishment is highly enforced by the law. Another fraud case from this journal was a physician fraud. In March 2010 the United States executed a settlement against a physician and Melbourne Internal Medicine Associates (MIMA). The government filed a complaint alleging that MIMA and the physician inflated claims since the MIMA Cancer Center opened in 2008. MIMA and the physician billed for unsupervised services, duplicated and unnecessary services, services that never occurred, and up-coding billing. The program also employed schemes to cover up the fraud. MIMA and the physician faced potential liabilities for violating the FCA based on these actions and
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