There are 3 case studies in this course. You will analyze the case study and ans

There are 3 case studies in this course. You will analyze the case study and answer the questions that pertains to each case study.
All case studies must use the following guidelines:
Have a cover page with the individual’s name, title of assignment, and due date of assignment
2 pages maximum
Number your answers if applicable
Typed, using 12 point font, Times New Roman
Double spaced with 1” margins all around
Use of headers when applicable
Page numbers in the top right corner of all pages except cover page.
Use an APA format for citations and references. Make sure you give proper credit to the sources you are using. Plagiarism will NOT be tolerated.
Have a list of references in correct format at the end of the paper
Be error free – make sure you do a spell-check/grammar-check before submitting!
Case #2: Home Health
BACKGROUND
The Patient Protection and Affordable Care Act (ACA) requires that physicians (or certain practitioners working with them) who certify beneficiaries as eligible for Medicare home health services document—as a condition of payment for home health services—that face-to-face encounters with those beneficiaries occurred. This study (1) determined the extent to which physicians who certified home health care documented the face-to-face encounters, (2) described the nature of face-to-face documentation, and (3) assessed the Centers for Medicare and Medicaid Services’ (CMS) oversight of the face-to-face requirement.
HOW WE DID THIS STUDY
We reviewed 644 face-to-face encounter documents to analyze the extent to which the documents confirmed encounters and contained the required elements. We interviewed the four Home Health and Hospice Medicare Administrative Contractors (HH MACs) to describe how they ensure that home health agencies met the face-to-face encounter requirements. We also reviewed guidance documents and policies from CMS or the HH MACs about monitoring the face-to-face requirement.
WHAT WE FOUND
For 32 percent of home health claims that required face-to-face encounters, the documentation did not meet Medicare requirements, resulting in $2 billion in payments that should not have been made. Furthermore, physicians inconsistently completed the narrative portion of the face-to-face documentation. Some face-to-face documents provide information that, although not required by Medicare, could be useful, such as a printed name for the physician and a list of the home health services needed. CMS oversight of the face-to-face requirement is minimal.
QUESTIONS
What is home health care and the types of services they provide?
Describe the reimbursement process for home health agencies by Medicare.?
What is the purpose of the Medicare Home Health Face-to-Face requirement?
Provide 2-3 solutions CMS should implement to ensure that all patients that need a face-to-face encounter receive one? Be detailed and explain your solution.
**Please include the questions in your paper.
Very important:
Make sure you are completing your written assignments in your own words. You can utilize outside resources to support your thoughts and opinions, however, make sure you are not utilizing in text citations/references for your entire written assignments. When you answer a question do not just write down ideas/things from your head – try and cite the book, notes, an article you might have read, another textbook etc. to back up your point and give your answer credibility. Most importantly, DO NOT copy word for word from the book or notes as this can be considered plagiarism. If you want to use a direct quote from the book that is fine, but you must cite it properly with quotes around it and the source. Quotes longer than two sentences should be cited as a block quote (indented, single space). Again, do not just use info from your head- take a position on the subject and back it up with cited facts.

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