Monitoring Compliance Procedures Fraud or Abuse Discussion
Learning Goal: I’m working on a health & medical question and need support to help me learn.
Module 5 Discussion – Fraud or Abuse
Directions: Bioethics and life support of two of the most controversial topics in the more recent history of healthcare cases. Some have presented issues on fraudulent and improper billing, as well as false statements to protect bioethical issues.
Using the readings this week, summarize your thoughts on fraud and abuse. Find a legal case or reference in support or refute the case of fraud or abuse (or some form or fraud or abuse, such as negligence). Defend your response. In your response post, respond to an opposing viewpoint. (Submit 1 page Due date: 9/4/20221, 11:59PM)
Module 05 Course Project – Procedures for Compliance
Module 05 Content
It’s time to describe the monitoring tools for your two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer.
Your assignment is to write a 2-3 page section describing the monitoring tools for each compliance plan. (That means a total of 4-6 pages for the two plans; you can write them in one Word document.)
Then, create a 1-page procedure based on one of your monitoring tools. Monitoring tools you should cover for each plan should relate to the policies and procedures you developed in previous modules.
You chose policies/procedures under the key compliance areas of Compliance Standards, High-Level Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention. (Check them out if you forget! Remember, you may have written about different policies/procedures for the two different compliance plans.)
Note: you are required to include research references throughout your compliance plan – for a total of 12 references for the whole project. That means one or two references per each monitoring tools section for your two compliance plans.)