Health Law and Regulations Paper

Organizational Responsibility and circulating(prenominal) wellness C are Issues HCS/545 August 27, 2012 Charles Barron Organizational Responsibility and Current Health Care Issues Health care wile and abuse is a current issue touch on everyone in the United States costing billions of dollars annually. This subterfugeulent discourtesy is committed when dishonest consumers and providers submit false or misleading information to turn profit. It affects the United States by hampering the ability to provide affordable access health care and good quality of care to Americans.The cheap Care Act cake resources and tools are operative to stop fraud before it occurs. The purpose of this composing is to discuss a health news slur affect the health care system and appraise the effect of organizational structure and system, culture, and social responsibility. Recommended resources to preventing this slip in the future and recommended changes in future prevention will be discussed. Health News plaza A 38 year old Miami Florida resident, Sandra Jimenez, admitted to active in a Medicare fraud scheme affecting assisted living facilities, half way houses, and home office health agencies. The fraud schemes were orchestrated by the owners and operators of American Therapeutic Corporation (ATC) its management company, Medlink Professional prudence Group Inc. and the American Sleep Institute (ASI) (Department of Justice, 2012, para. 2). In January 2012, Jimenez pleads guilty to counts of committing conspiracy of health care fraud and frauding the United States in receiving illegal health care kickbacks. The various owners, doctors, managers, and therapists of ATC and Medlink were charged with health care kickbacks, money laundering, and fraud of millions of Medicare dollars. The Medicare fraud scheme resulted in the conformity of more than $200 million in fallacious claims to Medicare (Department of Justice, 2012, para. 1). An example of the fraud committed by Jimenez and co-conspirators is submitting medically unnecessary services that were billed through Medicare and consequently laundered. Jimenez as a marketer solicited the beneficiaries and then pay the illegal kickbacks to assisted living facility owners in exchange for the beneficiaries. If convicted Jimenez and co-conspirators are facing maximum penalisation prison time and fines.Corporate Structure and Governance, Culture, and Focus on Social Responsibility Social responsibility in the United States is to ensure organizations adhere to state, federal, and local laws, it ensures consumers and providers are held accountable. A sound corporate structure and governance ensures there is a standard of excellence, integrity, and accountability in all aspects of the organization. References Department of Justice. (2012). Miami-area resident pleads guilty to participate in $200 million medicare fraud scheme. locating of Public Affairs. Retrieved from http//www. justice. gov/opa/pr/2 012/January/12-crm-063. html