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William A Dombi

Publications and source records attributed to William A Dombi.

11 recordsLinked to original sources
PubMed2005

Lessons from Schiavo beyond the legal.

Our nation has faced any number of dramatic challenges over the last few years. Recently, People across the nation focused their attention to the West coast of Florida, and towards the hospice where Terri Schiavo resided during the remaining days of her life. All of us involved in home care and hospice are keenly aware of the great dilemmas that can arise when considering the cessation of life-sustaining technologies, hydration, or nutrition. We may have faced those dilemmas both personally as well as professionally. For Terri Schiavo, like numerous others in like circumstances, decisions most often made in private, became a very public matter subject to the attention of the mass media, pollsters, and politicians.

Adult↗
PubMed2005

Medicare introduces new appeals process.

This article addresses the wholly reformed appeals process in a broad based manner. It describes only the basic structure of a new appeals system. Appealing parties should be careful to learn in more detail the new system prior to pursuing an appeal. While many appeals can be pursued without legal counsel, it may be advisable to initially utilize an attorney for appeals until one becomes familiar and comfortable with the new process. Despite any of the shortcomings discussed above or new obstacles created by CMS in the rules, the appeals process should continue to be a very useful mechanism to successfully reverse inappropriate claim denials.

Aged↗
PubMed2003

HIPAA compliance deadlines are fast approaching!

The 1996 Health Insurance Portability and Accountability Act is a broad and complex law that sets out requirements in areas ranging from uniform data management to the privacy and security of health care information. No home care or hospice provider will be compliant with HIPAA without changes in their operation. The author reviews the entities affected by HIPAA, provides the timetable for the law's implementation, and sorts through the wide-ranging security and privacy standards home care providers will have to incorporate into their operations.

Computer Security↗
PubMed2002

Responding to PPS claims denials and downcoding.

Home care agencies must become aware of the claims targeting process within medical review, undertake steps to prevent adverse claim determinations, and adjust strategies when responding to these decisions through the administrative appeals process.

Aged↗