Letter Of Endorsement
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This letter supports a demonstration grant application from HL Consulting and JH Cohn, LLP to test procedural changes and innovative technology for hospital reimbursements through Medicaid. The goal is to save state and federal budgets. The letter proposes using objective, data-driven procedures for cost report audits and implementing technologies already used for Medicare that have not been applied to Medicaid cost reporting. This could benefit and serve recipients of long-term healthcare programs while reforming healthcare reimbursement regulations.
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![Donald Berwick, M.D., Administrator<br />Centers for Medicare & Medicaid Services (CMS)<br />7500 Security Boulevard<br />Baltimore, MD 21244<br />Dear Dr. Berwick,<br />This letter serves to document my support for the demonstration grant application to CMS by HL Consulting and JH Cohn, LLP to test needed procedural changes and innovative technology during hospital reimbursements for the purposes of state and federal budgetary savings in the Medicaid program. My taxpaying constituents are concerned that, not including States’ spending, Medicare & Medicaid represented 19% of Total Federal Spending in 2010 or $676 Billion. <br />My state is committed to the use of innovative technology for the purposes of preventing fraud, waste, abuse, and inadequate cost (FWAIC) in the nation’s healthcare programs and a more streamlined federal government and a reduction of the deficit. In selecting expenses to be audited, it is proposed that Cost Report audits by Intermediary-contracted auditors will provide for:<br />,[object Object]](https://image.slidesharecdn.com/letterofendorsement-12973137543395-phpapp02/85/Letter-Of-Endorsement-1-320.jpg)
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Living in a rural community, I witness firsthand the lack of access to care as there are limited numbers of primary care providers. Couple the limited access to providers with the amount of paperwork and forms that must be signed by a physician and patients are not referred to home health services as often as one should be – the result is the patient presenting to the emergency room or a hospitalization to have one’s health care needs met. Currently, Medicare and Medicaid do not allow physician assistants or advanced practice registered nurses (APRNs) to sign the necessary orders and plan of care for home health services – only a “doctor of medicine, osteopathy, or podiatric medicine” may sign for services (Government Publishing Office, 2014, p. 693). I would like to use the knowledge gained as an APRN to legislate for this mandate to be changed and allow both physician assistants and APRNs to sign for coverage of home health services.
The Kingdon Model would be utilized for the legislation process by finding the three streams of problem, policy, and politics to coordinate with the above-mentioned issue (Milstead, 2019, p. 24). The problem would consist of the burdensome amount of paperwork imposed upon.
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Chapter 16: Managing
Information
Chapter Objectives
• Appreciate the interconnected nature of
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• Be able to define and explain the elements of an
electronic health record system.
• Appreciate the growing use of information systems
in support of public health activities.
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members of the public do not share the same
enthusiasm for information systems that managers
have.
Outline
• Electronic Health Records
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• Managing Inventory
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Definitions
• Health Information and Data
• Result Management
• Order Management
• Decision Support
• Electronic Communication and Connectivity
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Transparency
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Assignment 1
Public Administration – The Good, the Bad, the Ugly
hhhhhhh
Modern Public Administration
Prof. hhhhh
Date: hhhhh
The White House Issue: Health reforms
The Health Care Reforms are the best obsession for the United States, Majorly most of the American citizens who were responsible for originating the improvement found it helpful. Back in the year 2011, a countrywide crackdown was conducted as a way to oppose the frauds that were becoming a health concern, and the federal administration recovered almost $ 4.1 billion. The Health Care Improvement for capturing the healthcare frauds and scams allowed President Obama’s policy to enhance on strict penalties like compensation and fines. By providing the United States citizens with Patient Protection as well as, ACA (Affordable Care Act) was the ultimate presidential success for President Barack Obama (.whitehouse., 2014).
The public policy
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N 2004, THOSE OF US IN nurs-
ing informatics or who fol-
low health information tech-
nology (HIT) trends were
thrilled when President George
W. Bush said in his 2004 State of
the Union address “…an
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Thompson, then Secretary of the Department of
Health and Human Services (HHS).
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standards harmonization (HIT Standards Panel) and
for certification of electronic health record (EHR) sys-
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funding of National Health Information Network pro-
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repeat expensive medical tests,” he said, adding that
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Financial Statement Analysis
Student name
University
Professor
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how to swap pi coins to foreign currency withdrawable.
As of my last update, Pi is still in the testing phase and is not tradable on any exchanges.
However, Pi Network has announced plans to launch its Testnet and Mainnet in the future, which may include listing Pi on exchanges.
The current method for selling pi coins involves exchanging them with a pi vendor who purchases pi coins for investment reasons.
If you want to sell your pi coins, reach out to a pi vendor and sell them to anyone looking to sell pi coins from any country around the globe.
Below is the contact information for my personal pi vendor.
Telegram: @Pi_vendor_247
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innovative-invoice-discounting-platforms-in-india-empowering-retail-investors...Falcon Invoice Discounting
Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.what is a pi whale and how to access one.
If you are looking for a pi coin investor. Then look no further because I have the right one he is a pi vendor (he buy and resell to whales in China). I met him on a crypto conference and ever since I and my friends have sold more than 10k pi coins to him And he bought all and still want more. I will drop his telegram handle below just send him a message.
@Pi_vendor_247
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Yes. You can sell your pi network for other cryptocurrencies like Bitcoin, usdt , Ethereum and other currencies And this is done easily with the help from a pi merchant.
What is a pi merchant ?
Since pi is not launched yet in any exchange. The only way you can sell right now is through merchants.
A verified Pi merchant is someone who buys pi network coins from miners and resell them to investors looking forward to hold massive quantities of pi coins before mainnet launch in 2026.
I will leave the telegram contact of my personal pi merchant to trade with.
@Pi_vendor_247
how can I sell/buy bulk pi coins securely
Even tho Pi network is not listed on any exchange yet.
Buying/Selling or investing in pi network coins is highly possible through the help of vendors. You can buy from vendors[ buy directly from the pi network miners and resell it]. I will leave the telegram contact of my personal vendor.
@Pi_vendor_247
where can I find a legit pi merchant online
Yes. This is very easy what you need is a recommendation from someone who has successfully traded pi coins before with a merchant.
Who is a pi merchant?
A pi merchant is someone who buys pi network coins and resell them to Investors looking forward to hold thousands of pi coins before the open mainnet.
I will leave the telegram contact of my personal pi merchant to trade with
@Pi_vendor_247
how to sell pi coins in South Korea profitably.
Yes. You can sell your pi network coins in South Korea or any other country, by finding a verified pi merchant
What is a verified pi merchant?
Since pi network is not launched yet on any exchange, the only way you can sell pi coins is by selling to a verified pi merchant, and this is because pi network is not launched yet on any exchange and no pre-sale or ico offerings Is done on pi.
Since there is no pre-sale, the only way exchanges can get pi is by buying from miners. So a pi merchant facilitates these transactions by acting as a bridge for both transactions.
How can i find a pi vendor/merchant?
Well for those who haven't traded with a pi merchant or who don't already have one. I will leave the telegram id of my personal pi merchant who i trade pi with.
Tele gram: @Pi_vendor_247
#pi #sell #nigeria #pinetwork #picoins #sellpi #Nigerian #tradepi #pinetworkcoins #sellmypi
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how to sell pi coins on Bitmart crypto exchange
Yes. Pi network coins can be exchanged but not on bitmart exchange. Because pi network is still in the enclosed mainnet. The only way pioneers are able to trade pi coins is by reselling the pi coins to pi verified merchants.
A verified merchant is someone who buys pi network coins and resell it to exchanges looking forward to hold till mainnet launch.
I will leave the telegram contact of my personal pi merchant to trade with.
@Pi_vendor_247
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Tham gia nhóm hỗ trợ viết bài fb: https://www.facebook.com/groups/285625754522599?locale=vi_VNhow can I sell pi coins after successfully completing KYC
Pi coins is not launched yet in any exchange 💱 this means it's not swappable, the current pi displaying on coin market cap is the iou version of pi. And you can learn all about that on my previous post.
RIGHT NOW THE ONLY WAY you can sell pi coins is through verified pi merchants. A pi merchant is someone who buys pi coins and resell them to exchanges and crypto whales. Looking forward to hold massive quantities of pi coins before the mainnet launch.
This is because pi network is not doing any pre-sale or ico offerings, the only way to get my coins is from buying from miners. So a merchant facilitates the transactions between the miners and these exchanges holding pi.
I and my friends has sold more than 6000 pi coins successfully with this method. I will be happy to share the contact of my personal pi merchant. The one i trade with, if you have your own merchant you can trade with them. For those who are new.
Message: @Pi_vendor_247 on telegram.
I wouldn't advise you selling all percentage of the pi coins. Leave at least a before so its a win win during open mainnet. Have a nice day pioneers ♥️
#kyc #mainnet #picoins #pi #sellpi #piwallet
#pinetwork
when will pi network coin be available on crypto exchange.
There is no set date for when Pi coins will enter the market.
However, the developers are working hard to get them released as soon as possible.
Once they are available, users will be able to exchange other cryptocurrencies for Pi coins on designated exchanges.
But for now the only way to sell your pi coins is through verified pi vendor.
Here is the telegram contact of my personal pi vendor
@Pi_vendor_247
The secret way to sell pi coins effortlessly.
Well as we all know pi isn't launched yet. But you can still sell your pi coins effortlessly because some whales in China are interested in holding massive pi coins. And they are willing to pay good money for it. If you are interested in selling I will leave a contact for you. Just telegram this number below. I sold about 3000 pi coins to him and he paid me immediately.
Telegram: @Pi_vendor_247
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Letter Of Endorsement
- 2. procedures that require historical data-mining, and
- 3. innovative technology. <br />While such modern procedures and technology have been implemented in Medicare funding (i.e., provider claim reviews and audits), no such modernization has been made to Medicaid Cost Reporting (i.e., healthcare reimbursement). These implementations will sustain and thus benefit and serve the recipients of states’ long-term, financed healthcare entitlement programs.<br />I will support legislation to consolidate and clarify state and federal requirements to give CMS and Department of Health and Human Services (HHS) the statutory authority to implement these needed procedural and technological changes to hospital reimbursement audits performed by the nation’s Intermediaries located in the commonwealths, states, and territories. Reforming healthcare reimbursement regulation and guidance issued by HHS, CMS, and the States is as much a top priority of mine as is creating a higher performing healthcare system, placing fraud/waste/abuse prevention over recovery, and instilling budgetary discipline.<br />On behalf of HL Consulting and JH Cohn, LLP thank you for this opportunity to apply for this grant. I am looking forward to working with you and the FWAIC project team as you, as CMS Administrator, work with the States, other Federal agencies and other concerned nongovernmental organizations in administering healthcare financing programs.<br />Sincerely,<br />Governor/Congressman/Legislator<br />cc: HL Consulting and JH Cohn, LLP<br />