How to develop a correction action plan

Assignment Help Other Subject
Reference no: EM131168670

Assignment 1: LASA - Corporate Compliance

You 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.

Reference no: EM131168670

Questions Cloud

Draw the dependency graph : Show that the constraint set is not 3-consistent, and show that a branching algorithm that follows the ordering 1,2,3,4 may be required to backtrack.
Discuss the mclean hospital study : Discuss the McLean hospital study. In the study conducted at McLean hospital, how did teen brains compare to adult brains (i.e., describe the differences)
Relationship between social class and cultural consumption : What are the main arguments that Grazian and other readings assigned for this week make about the relationship between social class and cultural consumption
Evaluate the impact that a companys code of conduct can have : Evaluate the impact that a company's code of conduct can have on promoting positive employee behavior, improved decision making, or the willingness to report unethical behavior of coworkers.
How to develop a correction action plan : 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 unsubst..
What is the duality gap : Solve the inference dual of (3.9) using this family of proofs. - Exhibit the proof that solves the dual. What is the duality gap?
What is your opinion about behavioral learning theory : Can using behavioral learning theory help introduce math and science concepts to elementary students and how? Can behavioral learning theory help with classroom management? What is your opinion about behavioral learning theory
How much is the total manufacturing cost per unit : Cinder Company had the following department information for the month: Total materials costs $ 80,000, Equivalent units of materials 10,000. How much is the total manufacturing cost per unit?
Analyze measures of emotional and behavioral functioning : repare a 3-slide Microsoft PowerPoint presentation in which you analyze measures of emotional and behavioral functioning

Reviews

Write a Review

Other Subject Questions & Answers

  Cross-cultural opportunities and conflicts in canada

Short Paper on Cross-cultural Opportunities and Conflicts in Canada.

  Sociology theory questions

Sociology are very fundamental in nature. Role strain and role constraint speak about the duties and responsibilities of the roles of people in society or in a group. A short theory about Darwin and Moths is also answered.

  A book review on unfaithful angels

This review will help the reader understand the social work profession through different concepts giving the glimpse of why the social work profession might have drifted away from its original purpose of serving the poor.

  Disorder paper: schizophrenia

Schizophrenia does not really have just one single cause. It is a possibility that this disorder could be inherited but not all doctors are sure.

  Individual assignment: two models handout and rubric

Individual Assignment : Two Models Handout and Rubric,    This paper will allow you to understand and evaluate two vastly different organizational models and to effectively communicate their differences.

  Developing strategic intent for toyota

The following report includes the description about the organization, its strategies, industry analysis in which it operates and its position in the industry.

  Gasoline powered passenger vehicles

In this study, we examine how gasoline price volatility and income of the consumers impacts consumer's demand for gasoline.

  An aspect of poverty in canada

Economics thesis undergrad 4th year paper to write. it should be about 22 pages in length, literature review, economic analysis and then data or cost benefit analysis.

  Ngn customer satisfaction qos indicator for 3g services

The paper aims to highlight the global trends in countries and regions where 3G has already been introduced and propose an implementation plan to the telecom operators of developing countries.

  Prepare a power point presentation

Prepare the power point presentation for the case: Santa Fe Independent School District

  Information literacy is important in this environment

Information literacy is critically important in this contemporary environment

  Associative property of multiplication

Write a definition for associative property of multiplication.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd