Medical fraud poses significant costs to healthcare systems globally and nationally. Globally, medical fraud costs an estimated $415 billion annually, while it costs European countries around 56 billion euros each year. In Malaysia, medical fraud is estimated to account for 3-10% of the country's annual healthcare expenditures of 14.4 billion ringgit. Reducing medical fraud through improved detection strategies and enforcement can help lower costs without reducing access or quality of care. Various types of fraud exist, from opportunistic individual acts to organized professional criminal operations, and combating it requires combining rules-based and predictive analytic approaches.
Sample Bail Bond Related Criminal Law MotionsSamuel Partida
A list of common motions filed in a criminal case related to the bail bond are provided. Six sample motions are provided that a prosecutor may typically file. Seven sample motions are provided that a defense attorney may typically file over the span of a typical criminal case.
Sample motion to vacate sister state judgment in CaliforniaLegalDocsPro
This sample motion to vacate a sister state judgment in California is filed under the provisions of Code of Civil Procedure section 1710.40 on the grounds that the judgment is void because service was defective or was not made at all. The sample is 11 pages and includes brief instructions, a memorandum of points and authorities with citations to case law and statutory authority, sample declaration and proof of service by mail. The author is an entrepreneur and freelance paralegal who has worked in California and Federal litigation since 1995 and has created over 255 sample legal documents for California and Federal litigation.
The war on drugs has taken a massive cost in human lives, making the US the world’s largest prison population, but drugs remain widely available and treatment resources are insufficient. The US government spent trillions of dollars incarcerating non-violent drug offenders that pose barriers to employment and stability.
Sample Bail Bond Related Criminal Law MotionsSamuel Partida
A list of common motions filed in a criminal case related to the bail bond are provided. Six sample motions are provided that a prosecutor may typically file. Seven sample motions are provided that a defense attorney may typically file over the span of a typical criminal case.
Sample motion to vacate sister state judgment in CaliforniaLegalDocsPro
This sample motion to vacate a sister state judgment in California is filed under the provisions of Code of Civil Procedure section 1710.40 on the grounds that the judgment is void because service was defective or was not made at all. The sample is 11 pages and includes brief instructions, a memorandum of points and authorities with citations to case law and statutory authority, sample declaration and proof of service by mail. The author is an entrepreneur and freelance paralegal who has worked in California and Federal litigation since 1995 and has created over 255 sample legal documents for California and Federal litigation.
The war on drugs has taken a massive cost in human lives, making the US the world’s largest prison population, but drugs remain widely available and treatment resources are insufficient. The US government spent trillions of dollars incarcerating non-violent drug offenders that pose barriers to employment and stability.
Sample motion to vacate stipulation in California LegalDocsPro
This sample motion to vacate a stipulation or settlement in California is filed pursuant to the provisions of Code of Civil Procedure section 473 on the grounds that the stipulation or settlement should be set aside due to inadvertence, excusable neglect, fraud, mistake of fact or law, where the facts stipulated have changed since the date of the stipulation or there has been a change in the underlying conditions that could not have been anticipated, or where special circumstances exist that would make it unjust to enforce the stipulation. The sample on which this preview is based is 10 pages and includes brief instructions, a memorandum of points and authorities with citations to case law and statutory authority, sample declaration and proof of service by mail.
Plea Bargaining and Selection of Jurors - Presentation by Prajwal Bhattarai Prajwal Bhattarai
Plea Bargaining and Selection of Jurors - Presentation by Prajwal Bhattarai
It is the most common method of resolving cases in the criminal system during pre-trial process.
Plea bargaining has long been central to America’s criminal justice system.
The practice of negotiating an agreement between the prosecution and the defense.
First of all plea should be request by defendant.
Plea should be reasonable and should be voluntary knowing the consequences.
Usually it involves sentence reductions, dismissal of other charges, recommendations and so on.
Sample opposition to rule 56 motion in united states district courtLegalDocsPro
This sample opposition to a Rule 56 Motion for Summary Judgment in United States District Court is used by a party who wishes to oppose the motion on the grounds that triable issues of material fact exist. The sample includes a memorandum of points and authorities with citations to case law and statutory authority, a sample declaration, and a separate statement of undisputed material facts. This is a preview of the sample sold by LegalDocsPro.
This is a brandnew presentation how explains some of the many differences you can encounter between the common and civil law. To view the animations you have to download the file.
An eligible sponsor must meet the criteria to qualify sponsoring his spouse or partner in Canada. There are 2 stages for this type of application (for sponsor and beneficiary). Contact Visa Online Assistance at info@visaonlineassistance.com or visit www.visaonlineassistance.com
Sample motion to strike punitive damages in californiaLegalDocsPro
This sample motion to strike punitive damages allegations in California is used when the complaint includes only boilerplate and conclusory allegations in support of a request for punitive damages and/or improperly states the amount of punitive damages that are sought. The sample on which this preview is based is 11 pages and includes brief instructions, a memorandum of points and authorities with citations to case law and statutory authority and proof of service by mail. The author is a freelance paralegal that has worked in California and Federal litigation since 1995 and has created over 300 sample legal documents for sale.
Sample motion to dismiss adversary complaint under rule12(b)(6)LegalDocsPro
This sample motion to dismiss an adversary complaint for fraud is made under Rule 12(b)(6) on the grounds that the complaint does not state a claim for relief, in the alternative the motion also requests a more definite statement. The sample contains a memorandum of points and authorities with citations to case law and statutory authority. This is a preview of the sample motion sold by LegalDocsPro.
Potential factor of rising health care cost. Presentation will drive around introduction,facts, statistics, tactics and solutions regarding fraud & abuse. I would like to thank Imran Bhai for his suggestions
What's the difference between fraud, waste and abuse when it comes to health care? What is the government doing to prevent fraud, waste and abuse from happening? Learn the definitions and differences in these legal terms and how CMS has worked to prevent these from happening since its inception in 1965.
Sample motion to vacate stipulation in California LegalDocsPro
This sample motion to vacate a stipulation or settlement in California is filed pursuant to the provisions of Code of Civil Procedure section 473 on the grounds that the stipulation or settlement should be set aside due to inadvertence, excusable neglect, fraud, mistake of fact or law, where the facts stipulated have changed since the date of the stipulation or there has been a change in the underlying conditions that could not have been anticipated, or where special circumstances exist that would make it unjust to enforce the stipulation. The sample on which this preview is based is 10 pages and includes brief instructions, a memorandum of points and authorities with citations to case law and statutory authority, sample declaration and proof of service by mail.
Plea Bargaining and Selection of Jurors - Presentation by Prajwal Bhattarai Prajwal Bhattarai
Plea Bargaining and Selection of Jurors - Presentation by Prajwal Bhattarai
It is the most common method of resolving cases in the criminal system during pre-trial process.
Plea bargaining has long been central to America’s criminal justice system.
The practice of negotiating an agreement between the prosecution and the defense.
First of all plea should be request by defendant.
Plea should be reasonable and should be voluntary knowing the consequences.
Usually it involves sentence reductions, dismissal of other charges, recommendations and so on.
Sample opposition to rule 56 motion in united states district courtLegalDocsPro
This sample opposition to a Rule 56 Motion for Summary Judgment in United States District Court is used by a party who wishes to oppose the motion on the grounds that triable issues of material fact exist. The sample includes a memorandum of points and authorities with citations to case law and statutory authority, a sample declaration, and a separate statement of undisputed material facts. This is a preview of the sample sold by LegalDocsPro.
This is a brandnew presentation how explains some of the many differences you can encounter between the common and civil law. To view the animations you have to download the file.
An eligible sponsor must meet the criteria to qualify sponsoring his spouse or partner in Canada. There are 2 stages for this type of application (for sponsor and beneficiary). Contact Visa Online Assistance at info@visaonlineassistance.com or visit www.visaonlineassistance.com
Sample motion to strike punitive damages in californiaLegalDocsPro
This sample motion to strike punitive damages allegations in California is used when the complaint includes only boilerplate and conclusory allegations in support of a request for punitive damages and/or improperly states the amount of punitive damages that are sought. The sample on which this preview is based is 11 pages and includes brief instructions, a memorandum of points and authorities with citations to case law and statutory authority and proof of service by mail. The author is a freelance paralegal that has worked in California and Federal litigation since 1995 and has created over 300 sample legal documents for sale.
Sample motion to dismiss adversary complaint under rule12(b)(6)LegalDocsPro
This sample motion to dismiss an adversary complaint for fraud is made under Rule 12(b)(6) on the grounds that the complaint does not state a claim for relief, in the alternative the motion also requests a more definite statement. The sample contains a memorandum of points and authorities with citations to case law and statutory authority. This is a preview of the sample motion sold by LegalDocsPro.
Potential factor of rising health care cost. Presentation will drive around introduction,facts, statistics, tactics and solutions regarding fraud & abuse. I would like to thank Imran Bhai for his suggestions
What's the difference between fraud, waste and abuse when it comes to health care? What is the government doing to prevent fraud, waste and abuse from happening? Learn the definitions and differences in these legal terms and how CMS has worked to prevent these from happening since its inception in 1965.
Healthcare fraud is costing the United States tens of billions of dollars a year and according to William Rudman of AHIMA foundation, the most frightening fact is that the major chunk of fraud happens under the radar and majority of the frauds are left unnoticed; besides that, those of frauds which are identified are not brought into litigation for many years together. Financial fraud and false claims are the most common types of healthcare fraud, according to the AHIMA Foundation report, this includes false claims for medically unnecessary services; false claims that include purposeful overstatement of the amount, number, type, or complexity of the service provided; or false claims that include services that were never rendered or were not rendered on the individuals claimed or by the provider claimed. Another issue associated with fraud and abuse are when physicians refer patients out of financial interest rather than curing the patients. This short presentation is intended to give an overview on two major statutes that help to fight against a variety of fraud, The False Claim Act & Stark Law.
The issue of fraud in health care has become a serious problem that every participant in the health delivery system must remain aware of in terms of potential and consequences. Managers in the health care system are tasked with ensuring that their staff members know the various fraud schemes as well as making sure that providers are not committing fraud themselves. A key way to accomplish this task is through education and training for fraud detection and prevention by and of health care stakeholders. The stakeholders in health care include providers, patients, organizations and institutions, the government, and the public. Also included are non-health care entities that may steal patient data for fraudulent claims and billing. Managers, therefore, are strongly advised to seek the services of health care compliance agencies to train staff, including doctors and nurses, on how to detect fraud and prevent fraud themselves. These agencies are also adept at helping to improve billing and payment functions to mitigate the risk of lost revenue through fraud and avoidance of criminal liability for the actions of providers and patients. The well-coordinated efforts of all stakeholders of health care assist in preserving the integrity of the system and make available quality services at reasonable prices for all.
Fraud is now the leading criminal conviction in OIG analysis charts. In FY 2013 there were 993 cases while 2014 saw a close 956 cases. How and why is this becoming a trend in the healthcare industry? What are its implications? See more informative infographics on http://streamlineverify.com/blog
Occupational Fraud - What Dentists Need to Knowgppcpa
This presentation covers the definition of occupational fraud, the risk factors, the fraud triangle, how motive, opportunity and rationalization all play into fraud, what to do when fraud is detected, and actionable anti-fraud steps.
Government enforcement actions against health care companies are increasing. The Department of Justice has recovered more than $2 billion in health care false claims cases in each of the last five years. In 2014, the DOJ recovery was $2.3 billion. Health care fraud is an issue for any company that deals in health care, as well as for private equity firms, lenders, and underwriters.
Winston health care partners Tom Mills and Marion Goldberg led an informative eLunch on what you should be aware of if you are involved in health care. Topics included:
• Current government focus
• Recent enforcement actions
• What you should be alerted to if you are a health care company
• What to look for in the diligence process if you are investing, financing, or underwriting a health care company
The presentation provides overall insight of operational fraud risk management. It explains the operational fraud risk and mitigation strategies. The role of Internal audit and audit committee is further exemplified
Fighting FWA in the Payer Industry Using Big DataCitiusTech
This document gives a brief introduction on Fraud, Waste and Abuse (FWA) and lists down traditional as well as modern FWA challenges. It also gives an introduction to Big Data analytics and how it can be used to solve these challenges. Readers will have a better understanding on why and how Big Data should be used to identify occurrences and patterns of FWA in Payer industry.
Harness Your Clinical and Financial Data with an Enterprise Health Informat...Perficient, Inc.
The importance of Enterprise Health Information Exchange (EHIE) as a key way to empower your physicians and patients and demonstrate meaningful use of electronic health records:
- Present the business case for EHIE as an important architecture that matters to progressive health systems
- Take a look at some of the market-leading EHIE architectures and products
- Provide real exam...ples of organizations that are using EHIE to improve their operations
Please follow instructions carefully. Thank you so kindly. Ass.docxmattjtoni51554
Please follow instructions carefully. Thank you so kindly.
Assignment 1 “Changes in Human Resource Management (HRM) and Employment Law" Please respond to the following: 1 and ½ half pages with references
· Based on the assigned chapters this week, identify three (3) key changes that have advanced HR and provide a justification to support your selection.
· From this week’s assigned reading, choose one (1) historical government HR regulation enacted and elaborate on how this new mandate affected all stakeholders involved. Recall stakeholders in any industry, and cover those directly involved and their communities.
Assignment 2 "Human Resources Activities and Relationships" Please respond to the following:
1 and ½ half pages with references
· Considering the services provided by a hospital HR department, how do most HR specialists deal with employee scarcity like nursing shortages when trying to hire the best professionals?
· What leadership and management skill sets are useful for retaining good employees and deferring employee turnover?
Assignment 3
Job Descriptions and Employee Training and Development" Please respond to the following:
2 pages with references
· Go to the Joint Commission’s Website located at http://www.jointcommission.org/standards_information/jcfaq.aspx. At “Standards FAQs,” select a field-related manual category from the drop-down list, type in “human resources” in the “Optional Keyword” box, and then click the “Go” button. Next, provide an example of how the Joint Commission has influenced a specific function of HR in a healthcare organization.
· Recommend a specific employee training method that you think would be most effective for a healthcare organization, and determine one advantage and one disadvantage of your chosen training method. Provide support for your rationale.
The New Focus on Quality and Outcomes
Introduction
In 1999, the Institute of Medicine (IOM) published a groundbreaking analysis of the impact of medical errors on the health care delivery system and the patients it serves. The analysis, published as "To Err is Human: Building a Safer Healthcare System," concluded that medical errors resulted in up to 98,000 patient deaths in American hospitals every year. This report hit the national press and participants in the health care system and the political system with the force of a large bomb. Since that time, hospitals and other health care entities have refocused their attention on quality, errors, and patient safety in an unprecedented way, urged on by public outcry and by federal and state efforts to compel improvements in the health care system. Such entities as the Institute for Healthcare Improvement (www.ihi.org) the National Quality Forum (www.qualityforum.org), and the Institute of Medicine (www.iom.edu) have all emerged as champions of quality and safety initiatives, offering training, resources, access to best practices, and data collection strategies to move the cause of quality.
The New Focus on Quality and OutcomesIntroductionIn 1999, the .docxoreo10
The New Focus on Quality and Outcomes
Introduction
In 1999, the Institute of Medicine (IOM) published a groundbreaking analysis of the impact of medical errors on the health care delivery system and the patients it serves. The analysis, published as "To Err is Human: Building a Safer Healthcare System," concluded that medical errors resulted in up to 98,000 patient deaths in American hospitals every year. This report hit the national press and participants in the health care system and the political system with the force of a large bomb. Since that time, hospitals and other health care entities have refocused their attention on quality, errors, and patient safety in an unprecedented way, urged on by public outcry and by federal and state efforts to compel improvements in the health care system. Such entities as the Institute for Healthcare Improvement (www.ihi.org) the National Quality Forum (www.qualityforum.org), and the Institute of Medicine (www.iom.edu) have all emerged as champions of quality and safety initiatives, offering training, resources, access to best practices, and data collection strategies to move the cause of quality and safety for patients forward.
History
The IOM report had a huge impact on the discussion of quality and safety in the health care field. Aspects of quality care have always been present in hospitals, typically focused around the quality assurance or quality management departments. They historically collected data on department indicators and monitored them as part of accreditation. However, departmental data was typically focused on operational performance in the departments in question, and not a great deal was collected on issues of medical errors and near-misses. The litigious legal climate caused most hospitals to fear collecting and sharing data that could potentially be used against them in a legal action. However, the IOM report caused a national demand to know what health care institutions were doing to protect their patients from injury caused by errors. A climate of increased transparency has begun to emerge, although it is still a very long way from the concept of full openness on standardized reporting of indicators. The Centers for Medicare and Medicaid Services (CMS) weighed in with publication of their never-events, as explored further below.
Finally there has been an increased push for public reporting of data on individual hospital performance on selected indicators. While some progress has been made, there is a large range of indicators that is not yet publically reported, and medical errors are not publically reported at all at this point, although those with great potential to cause harm must be reported to their relevant state licensing agency.
What Is Happening Now
Out of all this push has come an increasing focus on patient safety as a critical aspect of health care quality. Hospitals and other health care institutions are experimenting with the creation of cultures of quality, wherein ...
Sampling of training program material for health care fraud, abuse and compliance training for health care providers. contact Chiropractic Compliance Consultants for more at 913-369-9000, or visit our website at cccpfc.com
Urgent Care Billing Services, Revenue Cycle & EHR Serviceseverestar
Everest A/R is a Florida-based Medical Billing & Revenue Cycle Management Services Company, offers Urgent Care Medical Billing along with Free EHR Services.
AI in Healthcare APU Using AI in Healthcare for clinical Application research...Vaikunthan Rajaratnam
Discover how generative AI is transforming the face of healthcare. From accelerating drug discovery to empowering personalized treatment, this technology is reshaping the way we deliver and experience care."
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
A scoping review of the literature, its impact and challenges in healthcare, and a personal experience of its application in practice, teaching, and research.
COMPARATIVE ANALYSIS OF CHATGPT-4 AND CO-PILOT IN CLINICAL EDUCATION: INSIGHT...Vaikunthan Rajaratnam
This research investigates the potential of two advanced AI language models, ChatGPT-4 and Co-Pilot, to transform medical education through clinical scenario generation. Focusing on scenarios for Diabetic Neuropathy, Acute Myocardial Infarction, and Pediatric Asthma, the study compares the accuracy, depth, and practical teaching utility of content generated by each platform. A panel of medical experts assessed the AI-generated scenarios, and healthcare professionals provided feedback on their perceived usefulness in educational settings. Results suggest that ChatGPT-4 excels in providing structured foundational knowledge, while Co-Pilot offers greater depth through realistic patient narratives and a focus on holistic care. This indicates that both platforms have value, with their suitability depending on specific educational objectives – ChatGPT-4 aligns better with introductory learning, and Co-Pilot better serves advanced applications emphasizing practical clinical reasoning.
This workshop is a comprehensive introduction to the application of Generative AI in healthcare. It provides healthcare professionals, educators, and researchers with practical experience in using Generative AI for data analysis, predictive modeling, and personalized treatment planning. The workshop also explores the use of Generative AI in medical education and research. No prior AI experience is required, making this a unique opportunity to learn about the latest advancements in Generative AI and its healthcare applications.
This workshop will empower healthcare professionals with the knowledge and skills to leverage artificial intelligence (AI) in their practice. It aims to bridge the gap between cutting-edge technology and everyday clinical, research, and educational practice. The platforms covered in the workshop include Elicit.org, Scholarcy.com, Typeset.io, ChatGPT, Botpress.com, InVideo.io, and Genie.io.
The objectives of this specialised workshop are to:
• Explore the core principles of AI, emphasising its applications and significance in modern healthcare.
• Examine the role of AI in enhancing clinical judgment and patient management, with live demonstrations of relevant tools.
• Uncover the potential of AI in revolutionising teaching and learning experiences for healthcare professionals and students.
• Illustrate the integration of AI in healthcare research, focusing on tasks such as literature review, data analytics, and manuscript development.
• Provide a hands-on experience with various AI platforms tailored to healthcare professionals' unique needs and demands
A one day workshop on the use of AI in Healthcare for practice, teaching and research.
The Resource Material for the "AI in Healthcare" workshop serves as an essential guide for healthcare professionals who aim to harness the transformative power of Artificial Intelligence (AI) in clinical practice, medical education, and research. Developed under the expertise of Dr Vaikunthan Rajaratnam, this comprehensive package is designed to complement the workshop, providing both foundational knowledge and practical tools for immediate application.
The slide deck for the "AI for Learning Design" workshop, hosted at Asia Pacific University, serves as a comprehensive guide to integrating Artificial Intelligence into educational settings. Designed to empower educators and instructional designers, the presentation offers actionable strategies for curriculum integration, insights into personalized learning through AI, and a deep dive into the ethical considerations that accompany AI adoption in education. The deck is structured to facilitate an interactive and engaging workshop experience, featuring real-world examples, hands-on activities, and spaces for thought-provoking discussions. Don't miss this invaluable resource for transforming your teaching practices and enhancing educational impact through AI.
empowereing practice in healthcare with generative AI. How to use vairous AI tools to enhance and empowere healthc are practice inlcuidng teaching and research
Academic writing is the backbone of scholarly communication and is vital in knowledge dissemination. However, it can often be challenging and time-consuming, requiring meticulous attention to detail and adherence to established conventions. This is where AI comes into play, offering innovative solutions to streamline and enhance the writing process.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Medical fraud and its implications Dr Vaikuthan Rajaratnam
1. Medical fraud and its implications
Dr Vaikunthan Rajaratnam
MBBS(Mal),AM(Mal),FRCS(Ed),FRCS(Glasg),FICS(USA),MBA(USA), Dip Hand Surgery(Eur),
Dip MedEd(Dundee),FHEA(UK),FFSTEd,FAcadMEd(UK)
Senior Consultant Hand Surgeon, KTPH Alexandra Health,
Honorary Senior Lecturer, YYL School of Medicine, National University of Singapore,
Core Faculty for Orthopaedic Surgery and Hand and Reconstructive Micro Surgery,
NHG Residency Program , SINGAPORE
2. Healthcare expenditure lost to fraud annually
Global estimate
US$415 billion
(~1.3 trillion MYR)
Europe
56 billion euros
(~240 billion MYR)
Source: European Healthcare Fraud & Corruption Network
3. Annual cost of medical fraud
Proportion of healthcare expenditure
lost to fraud or error not known
Estimate:
At least 3%, probably more than 7% and
possibly as much as 10%
Source: The Financial Cost of Healthcare Fraud 2011 Report, PKF (UK) LLP and
University of Portsmouth
4.
5. Medical Fraud Estimate Malaysia
• Health care is 4.75 % of 303.5B = 14.4B
• Medical fraud estimated at 3% - 10%
• US$ 0.4b to 1.4b or
7. Implications of medical fraud
“Fighting fraud in healthcare is the first
and most effective step for governments
and for private insurers when setting up
cost cutting strategies in order to stop
losses without reducing the access to and
the quality of care.”
Paul Vincke
President
European Healthcare Fraud and
Corruption Network
8. What is medical fraud?
Fraud, waste or abuse of healthcare
resources/funds, regardless of whether
intent is proven (includes errors).
10. Types of medical fraud
Opportunistic Fraud
Commonplace
Low $/incident
Patients
Healthcare professionals
Healthcare managers &
staff
Professional Fraud
Less common
High $/incident
Organised criminals
Fraud by contractors & suppliers
High $/incident
Drug & equipment companies
11. Examples of opportunistic medical fraud
False claims by hospitals
to get extra payments
Using Government grants
for personal use
Managers submitting
false expenses claims
Patients lying about
financial status to get
free medical treatment
Health professionals
claiming for work that
has not been done
Patients pretending to
be residents of countries
to claim free treatment
12. Examples of professional medical fraud
Billings
Procedures
Quality
Prescriptions
Devices and Implants
were never provided
13. Examples of professional medical fraud
Bogus medical clinics set
up to bill insurers for
healthcare treatments
that were never provided
Use of stolen personal
identities to claim for
bogus procedures
Counterfeit drugs
and devices
14. Fraud by contractors or suppliers
2009: Pfizer Inc. was ordered to pay US$2.3
billion for misbranding medicines and paying
kickbacks to doctors
April 2013: US Government accuses Novartis of
paying multimillion-dollar kickbacks to doctors in
exchange for prescribing its drugs.
Drug companies in UK exploit loophole in the law
to hike prices by as much as 2,000%
2012 – 400 fake thermometers seized in the UK
15. Attorney General Eric Holder, who announced the $2.2 billion settlement with
Johnson & Johnson Monday, Nov. 4 in Washington, D.C. / CBSNEWS
16. Difficulties of detecting fraud
Acceptance of fraud by health payers
Health payers’ teams often work in silos
Hotlines and rules engines
Criminal dexterity
Costly pay and chase model
20. Solutions to detect & prevent fraud
Need different approaches which combine:
1) Knowledge of existing fraud schemes
2) Powerful predictive analysis techniques
3) Comprehensive triage and case management
capabilities.
21. Dynamic Rules Engines
Claims are run against a predefined set of
algorithms or business rules to detect known types
of fraud or abuse based on specific patterns of
activity, such as claims:
Exceeding certain amounts
Following changes to policies
For services inconsistent with medical history
22. Dynamic Rules Engines
Pros
Cons
Able to filter large volumes of
claims for further investigation
May uncover large numbers of
suspicious claims for further
investigation with many being
false positives
Fraudsters can easily learn the
rules and work around them
Rules are based on past fraud
experiences so unable to spot
new scams
Simple to set up and apply
23. Anomaly Detection
Report events that exceed a threshold for a particular
claims benchmark.
Pros
Cons
Outliers or anomalies could
indicate a new or previously
unknown pattern of fraud.
It can be difficult to determine
what to measure, what time
period to use and appropriate
threshold levels.
Straight forward, easy to
implement and intuitive
Fraudsters can easily learn the
rules and work around them
Rules are based on past fraud
experiences so unable to spot
new scams
24. Predictive Modeling
Uses data mining tools to build models to produce fraudpropensity scores.
Pros
Cons
Tends to be more accurate than
other fraud detection methods
Models degrade over time
Information is collected and crossreferenced from a variety of
sources providing a better balance
of data than rules-based systems.
Models need to be updated when
fraudsters come out with new scams
(statistical analysis can identify when
updates are needed).
Determines key metrics that are
associated with claims that have a
high fraud propensity score
25.
26. Social Network Analysis & Multi-Entity Fraud
Identifies links between entities to uncover abnormal
claims patterns.
Pros
Cons
Effective in identifying organized fraud
activities by modeling relationships
between entities in claims
Models degrade over time
and need updating when
fraudsters come up with
new scams.
Can be fully automated, with the system
continuously updating the interrelated
networks with new claims and rescoring
for fraud.
Large volumes of seemingly unrelated
claims can be checked, and then patterns
and problems identified.
27. Claims development process
• Investigates the claims and associated
documentation;
• Performs appropriate research regarding
liability, benefit categories, statutory
requirements, etc.;
• Determines if a payment error exists and the
nature of the error;
• Notifies the beneficiary and provider/supplier;
and
• Starts the payment reconciliation process.
28. selected target areas
•
•
•
•
•
High volume of services
High cost
Dramatic change in frequency of use
High risk problem-prone areas
Recovery Auditor
29. • minimize potential future losses to finaciers through
targeted claims review while using resources
efficiently and treating providers and beneficiaries
fairly
30. Restoring integrity in the medical profession
Professionalism
Accountability
Legislation
Probity
31. Sources & Suggested Reading
‘The Financial Cost of Healthcare Fraud 2011 Report’, PKF (UK) LLP
and University of Portsmouth
‘The Problem of Health Care Fraud’, 2009, National Health Care
Antifraud Association
‘Pfizer drug breach ends in biggest US crime fine’, 2 Sept 2009,
Andrew Clark, The Guardian
Justice Department Announces Largest Health Care Fraud Settlement
in its History, 2 Sept 2009, U.S. Dept of Health & Human Services
www.hhs.gov (U.S. Dept of Health & Human Services)
www.ehfcn.org (European Healthcare Fraud & Corruption Network)
www.nhcaa.org (National Health Care Anti-Fraud Association)
Editor's Notes
Who pays? You and me. Insurance companies in the US lose nearly US$70 billion every year in medical fraud (National Health Care Antifraud Association, “The Problem of Health Care Fraud” 2009). Need to make up the losses so increase premiums. Hospitals charge more. Governments increase taxes. Counterfeit drugs and false medical devices can put patients’ lives at risk.
Who pays? You and me. Insurance companies in the US lose nearly US$70 billion every year in medical fraud. Need to make up the losses so increase premiums. Hospitals charge more. Government increases taxes.
Fraud is a legal term where intent must be proven for conviction. In this discussion the term medical fraud will cover fraud, waste or abuse of healthcare funds or resources including error as all affects the bottom line.Definition taken from: Combating Healthcare Fraud
1) Hospitals have been found to falsely claim that they have undertaken surgical procedures to attract extra payments. 2) Personal impropriety: One Chief Executive Officer of a healthcare organisation was found to have overclaimed on his mileage allowance by 55,000 miles.3) Dentists have been found to have claimed for dental work which has not been undertaken; to have claimed for gold fillings which were actually mostly composed of nickel; and to have claimed fees for re-opening their surgeries out of normal hours without actually doing this.4) Two doctors were found to have claimed a Government improvement grant for their surgery and to have subsequently spent the money on creating a car import/export business.
Professional fraud is often perpetrated by organized groups with multiple, false/stolen identities, targeting multiple organizations. These criminals know how fraud detection systems work, and they routinely test thresholds to stay just under the radar. These crime rings often place or groom insiders to help them defraud health payers through several channels at once.Criminals have been found to establish bogus medical clinics in order to bill insurers for healthcare treatments that were never provided and to have stolen confidential patient data for use in credit card fraud. UK 2007 – 70,000 packs of bogus drugs were imported and packaged to make them look like genuine medicines for prostate cancer (Casodex), heart conditions (Plavix) and schizophrenia (Zyprexa). They were passed to pharmacies, hospitals and care homes and at least 100,000 doses ended up being given to patients. http://www.mhra.gov.uk/NewsCentre/Pressreleases/CON155710 – 400 fake thermometers seized after the parents of a young child with leukaemia used a fake thermometer bought online and realised it was giving a misleading temperature reading. Their child had a high temperature and was rushed to hospital to receive urgent medical care despite the fake thermometer showing that their child did not have a high temperature
Professional fraud is often perpetrated by organized groups with multiple, false/stolen identities, targeting multiple organizations. These criminals know how fraud detection systems work, and they routinely test thresholds to stay just under the radar. These crime rings often place or groom insiders to help them defraud health payers through several channels at once.Criminals have been found to establish bogus medical clinics in order to bill insurers for healthcare treatments that were never provided and to have stolen confidential patient data for use in credit card fraud. UK 2007 – 70,000 packs of bogus drugs were imported and packaged to make them look like genuine medicines for prostate cancer (Casodex), heart conditions (Plavix) and schizophrenia (Zyprexa). They were passed to pharmacies, hospitals and care homes and at least 100,000 doses ended up being given to patients. http://www.mhra.gov.uk/NewsCentre/Pressreleases/CON155710 – 400 fake thermometers seized after the parents of a young child with leukaemia used a fake thermometer bought online and realised it was giving a misleading temperature reading. Their child had a high temperature and was rushed to hospital to receive urgent medical care despite the fake thermometer showing that their child did not have a high temperature
http://www.theguardian.com/business/2009/sep/02/pfizer-drugs-us-criminal-finehttp://www.hhs.gov/news/press/2009pres/09/20090902a.htmlPfizer case is the largest healthcare fraud settlement in history to date. Fine: $1.3 billion criminal fine and $1billion in a civil settlement which nearly all was returned to Medicare, Medicaid, and other government insurance programs to reimburse improper prescriptions. The fines are the culmination of a six-year investigation into Pfizer, sparked in part by a lawsuit filed by John Kopchinski, a Pfizer sales rep in Florida, who blew the whistle on what he called unethical conduct. Kopchinski, a Gulf War veteran, accused Pfizer of promoting Bextra for problems far wider than its approved uses, which were for treating arthritis and menstrual pain. He contended that this put patients at risk of heart attacks, strokes and blood clots.http://uk.reuters.com/article/2013/04/26/us-novartis-fraud-lawsuit-idUSBRE93P16120130426http://www.independent.co.uk/news/uk/politics/nhs-hit-for-millions-by-overcharging-scam-8708292.htmlThe controversial practice involves big-pharma firms selling on medicines commonly used by the NHS to businesses acting outside the Government’s price-regulation scheme. The purchasing firms are then free to mark up the prices they charge the NHS.http://www.mhra.gov.uk/NewsCentre/Pressreleases/CON155710 – 400 fake thermometers seized after the parents of a young child with leukaemia used a fake thermometer bought online and realised it was giving a misleading temperature reading. Their child had a high temperature and was rushed to hospital to receive urgent medical care despite the fake thermometer showing that their child did not have a high temperature
1) Acceptance – seen as inevitable so health payers accept a certain amount of fraud loss as a standard cost ofdoing business.2) Silos - health payers often operate with data systems and technical analysts that reside in silos, making it difficult or impossible for staff with expertise in legal investigation or clinical coding to assemble a complete view of claims history and member or provider data without assistance from other business units.3) Hotlines rely on tip-offs from the public. Rules engines look for claims that conform to previously identified fraud or abuse schemes, but fail to adapt to even slight modifications of those schemes, much less new schemes.4) Criminals – highly resourceful and adaptable. Focus on lots of mini activities that look legitimate in isolation e.g., recruitment and transport of patients for bogus procedures, trading narcotics in exchange for member IDs, identity theft, doctor and pharmacy shopping.5) Costly pay and chase – most cases investigations seek to recover payments that have already been made which requires legal action
Need more sophisticated methods to keep pace with fraudstersRapid advances in technology enable insurance companies to use more powerful techniques to not only detect fraudulent activity, but to prevent it. This reduces losses and saves money on cost recovery.Need a combined approach to create a system that can: adapt continuously to evolving fraud and abuse schemes.• Offer prepayment detection of suspicious claims with high certainty.• Provide enough efficiency to enable triage of large volumes of claims.• Automate the detection of multi-entity fraud and abuse schemes.
These test each transaction against a predefined set of algorithms or business rules to detect known types of fraud or abuse based on specific patterns of activity. These systems flag any claims that look suspicious due to their aggregate scores or relation to threshold.
These systems flag any claims that look suspicious due to their aggregate scores or relation to threshold.To work, investigators must be able to update and modify the rules whenever they come across new types of fraud rather than waiting for a manual every year,
Statistical analysis takes the guesswork out of threshold setting by empirically determining “normal” ranges for predetermined metrics. Key performance indicators (KPIs) associated with tasks or events are base-lined and thresholds set. When a threshold for a particular measure is exceeded, then the event is reported for further investigation.
This method of fraud scheme discovery uses data mining tools and builds programs that produce fraud-propensity scores. Claims are automaticallyscored for their likelihood to be fraudulent and made available for review.
Large volumes of seemingly unrelated claims can be checked, and then patterns and problems identified. The extent of connections between certain types of entities may be found to be much greater than would normally be expected, based on statistical analysis of other “networks” of entities.Example 1) social network analysis might show multiple durable medical equipment providers that are owned by several individuals withsimilar names and share a large percentage of similar patients. 2) Multiple claims in a short period of time from related parties, e.g. family members or ‘doctor shopping’