Healthcare Budgeting Regulations

Paper Summary:

This paper discusses the subject of healthcare fraud and its effect on healthcare budgeting with respect to government rules and regulations that directly impact the budgeting process. In the article by Nann, Ashe and Levy entitled 'Health Care Fraud" the paper states that of particular importance are the Medicaid and Medicare programs and how recent changes in policies and the regulatory environment have impacted the healthcare industry from a regulatory perspective.

From the Paper:

"The healthcare budgeting process has become so difficult vis-a-vis Medicare and Medicaid because of the increasing legislation, scope, and expansion of these plans accompanied by increased reporting and billing accountability. As recently as the current Presidency Medicare has come under expansive reform that has thrown the typical healthcare budget process into an exercise in futility because reconciling expected payments under a typical fee for service plan is difficult and is susceptible to fraudulent billing practices (Nann, Ashe and Levy, 2005). The current administration implemented the most sweeping reforms of Medicare in many years. One of the biggest impacts made on healthcare budgeting by these new adjustments to Medicare have been on capping expenses which physicians and healthcare institutions can charge for a given service if it is accepted within the Medicare program."

Sample of Sources Used:

• Chin, T. (2005). Medicare pay cuts threaten physician tech
• investments. American Medical News, 48/18, p.1.
• Geisler, E., Krabbendam, K., & Schuring, R. (Eds.). (2003). Technology, Health Care, and Management in the Hospital of the Future. Westport, CT: Praeger.
• Nann, A. M., Ashe, J. C., & Levy, K. H. (2005). Health Care Fraud. American Criminal Law Review, 42(2), 573+.

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