In this unit, you have learned about the liability of MCOs (managed care organizations) such as HMOs (health maintenance organizations) and PPOs (preferred provider organizations). Thinking about the information in Chapter 6, where does the liability lie for the managed care organization when the MCO personnel make decisions about insurance coverage for hospital stays?
Please do not limit your analysis to length of stay, but consider other scenarios associated with MCO decision making such as approval or denial of medically necessary treatment (or limitations of treatment) as well, and share your scenarios with the class. Defend your response thoroughly and include the potential liability implications. Lastly, discuss the options, if any, MCO or PPO plan members have when denied coverage for medically necessary care.
Original post must be 200 words.
In this unit, you have learned about the liability of MCOs (managed care organizations) such as HMOs (health maintenance organizations) and PPOs (preferred provider organizations). Thinking about the information in Chapter 6, where does the liability lie for the managed care organization when the MCO personnel make decisions about insurance coverage for hospital stays?
Please do not limit your analysis to length of stay, but consider other scenarios associated with MCO decision making such as approval or denial of medically necessary treatment (or limitations of treatment) as well, and share your scenarios with the class. Defend your response thoroughly and include the potential liability implications. Lastly, discuss the options, if any, MCO or PPO plan members have when denied coverage for medically necessary care.
Original post must be 200 words.
I apprecialte everyyone that will send me bids but this has already been taken care of and I am just paying some of my debt thank you all in advance Laura
Textbooks:
Hollin, C. R. (Ed.). (2004). The essential handbook of offender assessment and treatment. West
Sussex, England: John Wiley & Sons, Inc. ISBN: 978-0-470-85436-5
On page 65 in your textbook, Robin and Porporino list principal targets that are needed to change behavior and increase learning. The program goal is to move offenders through stages of change. Choose one of the targets listed to discuss as your concept of the best benefit for offenders. Your remarks can be opinion, based on your experience and prior learning.
use the furmston coursebook and online uk legal database as the 2 sources and reference material for my essay. it has to be maximum of 1000 words and not 10% over word limit.
harvard style of referencing.
course books to use are cheshire,fifoot & Furmston's, 'law of contract' sixteenth edition published by oxford university press and online uk legal databases if needed.
the marking criteria are:
explain the law on the provision of consideration.
evaluate consideration through case related
law.and consider any related materials such as statute law.
You are in charge of Emergency Management for all regional Homeland Security efforts. Information has just been received from the FBI regarding an “imminent terrorist attack on a regional power plant.” It is your responsibility to devise a plan to address this threat. The Governor of your respective city has instructed you to prepare a presentation on how you plan to prepare for this situation.
You are instructed to prepare a presentation in Microsoft Power Point format regarding your plan to address this threat. You will choose a commercial shopping facility in or near your hometown and address this threat by putting a plan together. The plan will be a general plan for how first responders will attempt to prevent, deter, respond to and recover from an incident at your selected location. Each presentation will contain information from every module…relevant to your specific location. Photographs, Maps, Charts all can be utilized in the presentation. Ensu
All students are required to watch the following movies that depict various aspects of the court system and write a review of each movie. These movies are available through Netflix and should also be available through your local library, as they are classic films.
Movie Review One: Witness for the Prosecution (1956) Due Thursday. Minimum 2pages, must have title page, abstract, citations, and reference page.
Movie reviews consist of the following parts:
• Introduction, with title, leading actors, director, and release date
• Summary of the story
• Analysis of story elements - like rising action, climax
• Creative elements, use of color, camera techniques, mood and tone
• Your opinion of the movie. You need to go further than just saying that it was "good” or "bad.” Think about the movie in terms of what you are learning in class and how it does or does not help you understand the concepts we are discussing.
• The re
You are in charge of Emergency Management for all regional Homeland Security efforts. Information has just been received from the FBI regarding an “imminent terrorist attack on a regional power plant.” It is your responsibility to devise a plan to address this threat. The Governor of your respective city has instructed you to prepare a presentation on how you plan to prepare for this situation.
You are instructed to prepare a presentation in Microsoft Power Point format regarding your plan to address this threat. You will choose a commercial shopping facility in or near your hometown and address this threat by putting a plan together. The plan will be a general plan for how first responders will attempt to prevent, deter, respond to and recover from an incident at your selected location. Each presentation will contain information from every module…relevant to your specific location. Photographs, Maps, Charts all can be utilized in the presentation. Ensu
Assessment Description
By completing this assessment the learner will gather evidence of their ability, knowledge and skills to:
? complete lodgements and returns for legal entities
? assess taxation liabilities, optimise tax positions, establish processes and plans, evaluate tax policies and review tax compliance for legal entities.
Written report consists of the following assessment methods:
- Setting and reviewing business taxation simulations
- Evaluating an integrated activity which combines the elements of the competencies
Part A ? Written Report
The Ethical Trading Group has continued to grow and become a more complex organisation. You (the learner) are the CFO of the Ethical Trading Group Pty Ltd. The Managing Director CEO has requested your assistance in relation to a few important matters. As the group has continued to grow, the Managing Director has asked you to present to the Board a written report about the tax plan (a plan to opti
Integral to this course and to understanding the decisions of the Supreme Court will be the ability to read, understand, brief, and discuss the cases of the Supreme Court of the United States (SCOTUS). The following information, "How to Read Case Law," discusses how to master these tasks. This information may be referenced and used elsewhere in the course, including in the Unit Assessments.
The official site of the SCOTUS is a useful and beneficial tool. Some cases even provide the opportunity to listen to the oral arguments. This site should be used to supplement any additional information you may need. Another useful site is the Oyez Project at IIT Chicago-Kent College of Law.
There are numerous sites on the Internet that provide case briefs. If any student case briefs are copied, however, there will be an automatic score of zero for the unit.
How to Read Case Law:
A court uses specific components in case law. You should use these components when you brief, or summarize, case