What other items are important to the investigation?Assignment 1: LASA 2 Corporate ComplianceYou are a corporate compliance officer for a hospital. You are also a feature writer for The Medical Reporter, an online health magazine.

What other items are important to the investigation?Assignment 1: LASA 2 Corporate ComplianceYou are a corporate compliance officer for a hospital. You are also a feature writer for The Medical Reporter, an online health magazine.

The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your hotline regarding a potential fraud and abuse issue. The caller indicated that Dr. Greedy was billing for services that had not been provided. You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped. Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues. Your research should include the following aspects:How to conduct an investigation. It should include the following elements:Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?
Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?
Obtaining additional information as necessary and developing a plan for the investigation: What other items are important to the investigation?
Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.
Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.How to develop a correction action plan. The plan may suggest:A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.
A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.By Monday, August 17, 2015, deliver your assignment to the M5: Assignment 1 Dropbox.Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.

---

 

. .

---

---

The post What other items are important to the investigation?Assignment 1: LASA 2 Corporate ComplianceYou are a corporate compliance officer for a hospital. You are also a feature writer for The Medical Reporter, an online health magazine. appeared first on My Nursing Paper.

What Students Are Saying About Us

.......... Customer ID: 12*** | Rating: ⭐⭐⭐⭐⭐
"Honestly, I was afraid to send my paper to you, but you proved you are a trustworthy service. My essay was done in less than a day, and I received a brilliant piece. I didn’t even believe it was my essay at first 🙂 Great job, thank you!"

.......... Customer ID: 11***| Rating: ⭐⭐⭐⭐⭐
"This company is the best there is. They saved me so many times, I cannot even keep count. Now I recommend it to all my friends, and none of them have complained about it. The writers here are excellent."

“Order a custom Paper on Similar Assignment at essayfount.com! No Plagiarism! Enjoy 20% Discount!”