What are the items you should look for in a compliant to determine validity?You are a corporate compliance officer for a hospital. You are also a feature writer for The Medical Reporter, an online health magazine.
What are the items you should look for in a compliant to determine validity?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:
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