The US healthcare industry especially (hospitals) is heavily regulated by Federal,State, Local and six voluntary agencies. As future healthcare professionals, it is
imperative that you are familiar with some of those agencies and their functions as
they relate to health care delivery system in the US, also some of these regulations
could have dire financial consequences on your organization. Because, violation
could lead to prison time and/or hefty fines which will affect an organization’ s
bottom line. To that end, you are required to complete this assignment. Define each
agency (all 40 agency listed below). Indicate whether the agency is Federal, State or
Local and what are if any the consequences (Fines, jail time, suspensions of
professional or operating licenses) for violations.
Please indicate on a separate page the official website where you obtain the
information.
Example: National Labor Relations Board (NLRB) is a federal agency designated
to enforce the National Labor Relations Act. This federal law National guarantees
the right of most private sector employees to join union to engage in group efforts to
improve their wages and working conditions. The NLRB could adjudicate whether
employees could have unions as their bargaining representative. This act precludes
and provides recourse to unfair labor practices committed by private sector employers
and unions. The NLRA was enacted by Congress in 1935. (https://www.nlrb.gov/nlrb).
1. US- Federal Circuit Court
2. US- Supreme Court
3. US- Congress
4. US-Department of Health & Human Services (HHS)
5. US- Center for Disease Control & Prevention
6. Departmental Appeals Boards (DAB)
7. Medicare Integrity Program Contractors
8. Office of Inspector General (OIG)
9. Provider Reimbursement Review Board (PRRB)
10. Board of Medicine
11. Florida Department of Health
12. Regional Home Health Intermediaries
13. Board of Nursing
14. AHCA
15. State Medicaid
16. Center for Medicare & Medicaid Services
17. Department of Health (DOH)
18. Food & Drug Administration (FDA)
19. Federal Bureau Investigation (FBI)
20. The Joint Commission on Accreditation (JCAHO)
21. Department of interior (DOI)
22. Organ Procurement Organizations (OPO)
23. Occupational Safety and Health Administration (OSHA)
24. Department of Justice (DOJ)
25. Department of Transportation (DOT)
26. Department of Labor
27. National Research Council
28. The Securities & Exchange Commission (SEC)
29. Internal Revenue Services (IRS)
30. Environment Protection Agency (EPA)
31. Federal Trade Commission (FTC)
32. National Institute for Occupational Safety (NIOSH)
33. Nuclear Regulatory Commission (NRC)
34. USDA-FSIS Food Safety & Inspection Service
35. Stark Law
36. Anti-Kickback regulations
37. Fair Debt Collection Practice Act
38. Truth in Lending Act
39. Fair Credit Reporting Act
40. Affordable Care Act (Billing and Collection)
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