How do the ethical issues morph into legal issues


Problem

To address one of the most critical concerns of the Board-that is, legal, ethical, and moral practices within the hospital, including financial discipline-the Board asked you to prepare a report to address accountability issues and wipe out any appearance of immoral acts, such as fraudulent billing, upcoding, downcoding, financial misappropriations, and false requisitions. You have prepared the report and went further to address the risks involved.

A. What ethical issues are involved in healthcare financing today?
B. How do these ethical issues morph into legal issues?
C. Outline any insurance-related ethical issues from the side of the provider and the third-party payer.
D. How would hospitals save on insurance benefits for their employees?
E. What are some of the legal and moral implications of risk management?
F. How does failure to avert risk financially impact healthcare organizations?
G. What are some of the legal, ethical, and moral implications of debt financing?
H. How do you delineate between debt, equity, and lease financing? Explain the advantages and disadvantages of each.
I. What are the advantages and disadvantages of public offerings?
J. What makes one project riskier than another?

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