Healthcare Finance Fraud, Abuse and Compliance Program

Healthcare Finance Fraud, Abuse and Compliance Program

Developing a Healthcare Finance Fraud, Abuse & Compliance Program Assignment

Don't use plagiarized sources. Get Your Custom Essay on
Healthcare Finance Fraud, Abuse and Compliance Program
Just from $13/Page
Order Essay

The local county has voted in approval to build a large state-of-the-art level IV hospital. With so many tasks ahead of the developers and the healthcare organization, you were recently hired as the new Chief Finance Officer (CFO). One of the first priorities you have been tasked to complete is the design and implementation of a comprehensive Healthcare Finance Fraud, Abuse & Compliance Program in order to establish a gateway between revenue and reimbursement practices and the ethical and professional adherence to applicable federal laws.

 

Deliverables: The final product to submit is a comprehensive Healthcare Finance Fraud, Abuse & Compliance Program that includes the following. “Submit one (1) single Microsoft PowerPoint presentation for Part I and one (1) single Microsoft Word for Part II.”

PART I.

PART II.

  • Adopting MedPro Group, Seven Fundamental Steps of a Compliance Plan, create a comprehensive plan that aligns with the following seven steps:
    • Element One: Implementing Written Policies, Procedures, and Standards of Conduct
      • Devise at least 3 healthcare finance related fraud and compliance policies and accompanying procedures. Your policies and procedures MUST…
      • Explain legal requirements so that employees understand their obligations and how to conform their behavior to meet them
      • State your plans on how to encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation
      • Should be made easily available (identify in a written statement where and/or how one can access the above policies and procedure)
    • Element Two: Designating a Compliance Officer and Compliance Committee to Provide Program Oversight
      • Note; this task was completed with your initial hiring as the new CFO. However, you are to develop a 1-2 page job description in order to seek a compliance officer that will report directly to you.
      • Develop the proposed overview of the Compliance Committee that will be chaired by the above compliance officer. Identify the proposed frequency of meetings (simple schedule over a calendar year) (the committee is expected to meet monthly), the preferred number of committee members and the various departments/areas that each member will represent, identify at least six purposes/responsibilities that the committee is expected to carry out and outline the proposed method of communication (during the scheduled monthly meetings and outside of scheduled meetings)
    • Element Three: Using Due Diligence in the Delegation of Authority
      • This task is completed, as you are the delegated person of authority that oversees the proposed healthcare finance, fraud, abuse and compliance program
    • Element Four: Educating Employees and Developing Effective Lines of Communication
      • Note; this task was partially completed with the above Power Point presentation; however let’s prepare take your work to the next level…
      • Develop clear and practical steps that will be taken in order to disseminate information about the organization’s compliance program and its policies and processes
      • Devise a training schedule (identify the frequency of the conducted training’s, identify who will be required to attend) along with an assessment to monitor the effectiveness of the training session. Draft a one-page agenda that outline the proposed topics of discussion that will be covered in the training session
      • As a continuation of Element One, discuss how employees can report suspected fraud. For example, you may establish an anonymous reporting contact number or electronic email reporting system. Draft a generic automated response that an individual will receive after submitting a report. This will include a thank you line as a confirmation. The estimated time for a response and a person or number to contact for further assistance
    • Element Five: Conducting Internal Monitoring and Auditing
      • Discuss the efforts that will be taken to ensure that the financial practices are compliant and adheres to ethical guidelines and standards
      • Outline the process of conducting internal monitoring and auditing practices  Healthcare Finance Fraud, Abuse and Compliance Program
      •   Design a healthcare fraud, abuse and compliance calendar template that includes the following:
        • Department
        • Regulation/Statute/Law
        • Department
        • Name of the Individual Completing the Calendar
        • Date & Signature Line
        • Actions Steps to Compliance: Steps/Description, Responsibility and Completion Date
        • Standards Section that will be evaluated (this should be included as a column): requirement, deadline/due date, responsible office/department and status
    • Element Six: Enforcing Standards Through Well-Publicized Disciplinary Guidelines
        • Develop a generic outline that addresses the following:
          • Explains who is covered
          • Standards of conduct
          • Discipline and enforcement
          • Reporting (obligations), whistleblower, non-retaliation
        • Create a five (5) Q&A handout for the intent of distributing to employees. Devise questions and answers that are appropriate to healthcare finance, fraud, abuse and compliance
    • Element Seven: Responding Promptly to Detected Offenses and Undertaking Corrective Action
      • Provide a generic response in terms of responding to detected offenses. Create a four (4) step corrective action approach that aligns with your Human Resource (HR) guidelines and standards as it relates to employee disciplinary actions

Resources:

Ethics Resource Center: www.ethics.org

Compliance Building: www.compliancebuilding.com

Office of the Inspector General: http://oig.hhs.gov/fraud/complianceguidance.asp

 

Healthcare Finance Fraud, Abuse and Compliance Program

Essaywriters4me

Calculate The Price Of Your Paper

Pages
{{total || ""}}

Why Choose Us

Top Quality and Well-Researched Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional and Experienced Academic Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

Customer Support 24/7

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Freebies
Our FREE services
Every order comes with these awesome features.
Order Now
Money Back Guarantee
FREE Best essay writer across your subject
FREE Cover page and bibliography
FREE APA/MLA/Chicago formatting
FREE Free Revisions
FREE 24/7 customer support hotline and chat

Essays

Essay Writing Services

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.

Admissions

Admission and Business Papers

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.

Editing

Editing and Proofreading

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.

Coursework

Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.