The Affordable Care Act (ACA) was aimed at improving our health care system in three main area. These include expansion of consumer protections, reducing the health care costs, and strengthening Medicare. ACA institutes different measures, new rules, and tougher sentences for crimes related to abuse, fraud, and waste. The prevention of fraud, abuse, and waste is not only the responsibility of the government agencies but also involves the providers and suppliers (Clemente et al., 2018). One of the measures that are being implemented in my health care organization is enforcing strict billing policies. The organization focuses on improving the medical billing and coding processes. This is because the clinical documentation is used the basis upon which payers reimburse providers for their services (Clemente et al., 2018). The organization implemented electronic documentation as a second measure for preventing fraud and abuse. Inappropriate and inaccurate coding and documentation can lead to potential health care fraud and abuse investigations. In addition, the facility has enforced stringent screening and enrollment requirements for new providers and suppliers. The procedure involves screening processes for medical providers and suppliers including licensure checks, fingerprinting, and criminal background checks to assess the integrity of the providers and supplier (McGee, Sandridge, Treadway, Vance, & Coustasse, 2018s.

References

Clemente, S., McGrady, R., Repass, R., Paul III, D. P., & Coustasse, A. (2018). Medicare and the affordable care act: fraud control efforts and results. International Journal of Healthcare Management, 11(4), 356-362.

McGee, J., Sandridge, L., Treadway, C., Vance, K., & Coustasse, A. (2018). Strategies for fighting Medicare fraud. The Health Care Manager, 37(2), 147-154. doi:10.1097/hcm.0000000000000204

Worldview Analysis and Personal Inventory

Based on the required topic study materials, write a reflection about worldview and respond to following:

1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
   1. What is ultimate reality?
   2. What is the nature of the universe?
   3. What is a human being?
   4. What is knowledge?
   5. What is your basis of ethics?
   6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

By Day 5 of Week 2, your Instructor will have assigned you a personality disorder, (Narcissistic personality disorder)

 which will be your focus for your initial post for this Discussion.

Review the Learning Resources.

1=Explain the diagnostic criteria for your assigned personality disorder.

2=Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder.

3=Describe clinical features from a client that led you to believe this client had this disorder. Align the clinical features with the DSM-5 criteria.

4=Support your rationale with references to the Learning Resources or other academic resources.

Zona de los archivos adjuntos 

Required Resources
Read/review the following resources for this activity:

• Link (Word doc): Week 8 CCC Part 8 Template (Use this template to complete the assignment.)
• Minimum of 4 scholarly sources (This can include all course materials and your previous research.)

Introduction: Communication Change Challenge (CCC) Part 8
Part 8 is where you will evaluate the impact of the project as it relates to interpersonal communication and the course objectives (COs). It is important here that you clearly demonstrate your understanding of many of the course concepts through application to your course project.

Instructions
Remember that your patterns for communicating interpersonally have been developed over many years. Therefore, you should be neither surprised nor discouraged to find that changing your interpersonal communication behavior takes time. In order for you to take this project to its fullest potential, you may need to continue to modify, implement, and reinforce these new behaviors for far longer than the duration of the project. It is possible, however, to modify the way you communicate, and because the payoff is improvement to our communication and relationship outcomes, changing interpersonal communication is worth the effort. You have now implemented your target behaviors for about two weeks, write a final evaluation addressing the following:

8A. Topic Selection Reflection
What was the course material that suggests that this particular communication behavior was an appropriate target for change?

8B. Implementation Analysis: Satisfaction
Consider the implementation of your new behaviors in Part 7, and address the following:

• Which of your behaviors particularly please you?
• What was the course material that suggests that this new communication behavior is a positive change?

8C. Implementation Analysis: Dissatisfaction
Consider the implementation of your new behaviors in Part 7, and address the following:

• Were there any situations in which you were dissatisfied with your approach to improving your interpersonal communication?
• What was the course material that suggests that this particular communication behavior continues to be less than ideal?
• If you were not dissatisfied with your approach, why do you think this happened?

8D. Implementation Analysis: Additional Changes
Consider the implementation of your new behaviors in Part 7, and address the following:

• What changes would you still like to make?
• What was the course material that suggests that this modification would complement or enhance your communication outcomes?

8E. Project Reflection
Consider the entire course project, and address the following:

• How have your interpersonal relationships changed as a result of this project?
• What is the course material that suggests that these particular relationship changes are positive or negative?

Note: For each question, be detailed and specific. You need to use several course materials from different chapters, course outcomes, videos, assessments, articles, etc.

Your course project evaluation will be graded for comprehensive content, analysis evaluation, application of the course material, organization, and so forth. Please consider its weight when you place value on its importance to your final course grade.

Writing Requirements (APA format)

• Length: 2-3 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 4 scholarly sources)

Grading
This activity will be graded based on the W8 CCC Grading Rubric.

Course Outcomes (CO): 1, 2, 4, 5, 7

Due Date: By 11:59 p.m. MT on Saturday

1) Minimum Minimum  3 full pages

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Financing Health care

Topic: Review of a Bill Assignment

Select an active bill at the state or federal level that impacts the professional practice of nursing

Must include (Mandatory):

1. Discuss the major provisions of the bill.

2. Explaining the background and all relevant facts of the bill.

3. Discuss any relevant history related to the legislation, pertinent votes, and issues that are stalling the legislation, etc.

4. Explain why some of these individuals support the bill and why some do not.

5. Explore the positions of the key stakeholders in the bill, both pros and cons. 

6. Discuss how the bill would impact a nurse’s ability to provide safe and quality care or to practice to the highest scope of the nursing license.

7. Explain specific actions that nurses can take to assist with the passage or defeat of the legislation