Evaluate at least three types of abuse or fraud

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Question: You are a healthcare executive of a large hospital, serving as director of health information. You have been advised that severe concerns exist regarding the competence of the facility's billing and coding staff.

  • Evaluate at least three types of abuse or fraud that may occur during medical coding and billing activities. Determine at least three organizational policies and procedures that monitor such activities and critique the effectiveness of each.
  • Based on the trends of abuse or fraud that you identified, develop both a new employee orientation program and an ongoing training program for medical billing and coding employees. Design outlines of each training program and construct the learning activities involved. You should also indicate a leadership approach that you would use to implement the programs. Develop a plan to evaluate the training programs at the time of launch and periodically over the next two years. Describe the methods used to evaluate the effectiveness of each training program.

 

Reference no: EM133597601

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