Developing a Healthcare Finance Fraud, Abuse & Compliance Program Assignment 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. Using the following website https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjGj5Ky3rXRAhVGQSYKHcKIAVYQFggcMAA&url=http%3A%2F%2Fwww.healthcarefinancenews.com%2Fslideshow%2Fbiggest-healthcare-frauds-2015-running-list&usg=AFQjCNE0m_a8U_MTceXrs2VkA1qK3xjv9Q&sig2=mVKRT1mtGXwn776VKbrqhg , or feel free to utilize the Office of Inspector General (OIG) website at https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjWxuae5rXRAhVGRyYKHQDlAXYQFggaMAA&url=https%3A%2F%2Foig.hhs.gov%2F&usg=AFQjCNGPpHJtl49p2CqafCVyTJJLGPL2Vg&sig2=Hytz150zh2Oe7rXEDTAncg&bvm=bv.142059868,d.eWE , select a real-time healthcare fraud news report in order to feature within your Power Point presentation to educate the organization on the various cases, the importance of healthcare finance compliance practices and the potential criminal and monetary fines that can be imposed on the individual and/or organization. Design a 7-10 slide Power Point presentation that provides a succinct overview of healthcare finance fraud, abuse and compliance the intent is for a future mandatory automated training. The name of the organization Discuss the events that occurred Identify if the events that occurred is a violation of one of the following related federal laws and explain why: The Anti-Kickback Statute The False Claims Act The Physician Self-Referral Law (Stark Law) Exclusion Statute Civil Monetary Penalties Law Identify the parties involved What penalties were enforced A summary of lessons learned that can serve as a teachable moment for your organization Presentation can include clip art, links to additional sources Must include recorded audio of each presentations slide 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 dep…
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