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11.03.2025
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MO205-Unit1Assignment-HealthcareFraudandAbuseTemplate.docx

unit1assigment.docx

MO205-Unit1Assignment-HealthcareFraudandAbuseTemplate.docx

Unit 1 Assignment – Healthcare Fraud and Abuse

Title of Press Release

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Summary of Press Release

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Title of Federal Fraud and Abuse Law

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Summary of Federal Fraud and Abuse Law

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Answer the Following Question:

Take into consideration your chosen career path (Medical Assistant, Medical Office Administrator, Medical Billing & Insurance Specialist, Medical Coder)

What steps would you take if you had been asked to participate in the fraudulent activity described in your chosen Press Release?

Click or tap here to enter text.

References

2 | Page

unit1assigment.docx

Instructions

“The five most important Federal fraud and abuse laws that apply to physicians are the False Claims Act (FCA), the Anti-Kickback Statute (AKS), the Physician Self-Referral Law (Stark law), the Exclusion Authorities, and the Civil Monetary Penalties Law (CMPL). Government agencies, including the Department of Justice, the Department of Health & Human Services Office of Inspector General (OIG), and the Centers for Medicare & Medicaid Services (CMS), are charged with enforcing these laws. As you begin your career, it is crucial to understand these laws not only because following them is the right thing to do, but also because violating them could result in criminal penalties, civil fines, exclusion from the Federal health care programs, or loss of your medical license from your state medical board” (OIG HHS website, n.d.).

· Review the four most important Federal fraud and abuse laws on the OIG websiteLinks to an external site..

· Find a Press Release on the United States Department of Justice websiteLinks to an external site. related to one of the five Federal fraud and abuse cases.

· You will provide a summary of your chosen Press Release and the Federal fraud and abuse law that was violated

· Take into consideration your chosen career path (Medical Assistant, Medical Office Administrator, Medical Billing & Insurance Specialist, Medical Coder) and answer the following question:

· What steps would you take if you had been asked to participate in the fraudulent activity described in your chosen Press Release?

Requirements:

· Use the template provided to complete the assignment

· Provide all references in APA format on the reference page provided in the template

Please be cautioned that any material used in the assignment directly from the internet (copy and paste) will be given a zero-based on Herzing University Ethics Policy (Plagiarism). All information not your own must be given appropriate APA citation reference.

Estimated time to complete: 3 hours

Assignment File(s)

MO 205-Unit 1 Assignment-Healthcare Fraud and Abuse Template Download MO 205-Unit 1 Assignment-Healthcare Fraud and Abuse Template[Word]

Rubric

MO205 Unit 1 Assignment - Healthcare Fraud & Abuse

MO205 Unit 1 Assignment - Healthcare Fraud & Abuse

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

20 pts

Level 5

Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.

18 pts

Level 4

Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.

16 pts

Level 3

Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.

14 pts

Level 2

Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.

12 pts

Level 1

Demonstrates the ability to explain contextual factors but does not provide a defined statement.

0 pts

Level 0

There is no evidence of a defined statement.

20 pts

This criterion is linked to a Learning OutcomeAnalysis

PRICE-I

15 pts

Level 5

Organizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.

14 pts

Level 4

Organizes and interprets evidence to reveal patterns, differences, or similarities related to focus.

12 pts

Level 3

Organizes and describes evidence according to patterns, differences, or similarities related to focus.

11 pts

Level 2

Organizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.

9 pts

Level 1

Describes evidence, but it is not organized and/or is unrelated to focus.

0 pts

Level 0

Lists evidence, but it is not organized and/or is unrelated to focus.

15 pts

This criterion is linked to a Learning OutcomeWriting

PRICE-P

10 pts

Level 5

The paper exhibits an excellent command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.

9 pts

Level 4

The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling with minor grammatical errors that impair the flow of communication.

8 pts

Level 3

The paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.

7 pts

Level 2

The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

6 pts

Level 1

The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.

0 pts

Level 0

The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty in discerning the meaning.

10 pts

This criterion is linked to a Learning OutcomeAPA

PRICE-I

5 pts

Level 5

The required APA elements are all included with correct formatting, including in-text citations and references.

4.5 pts

Level 4

The required APA elements are all included with minor formatting errors, including in-text citations and references.

4 pts

Level 3

The required APA elements are all included with multiple formatting errors, including in-text citations and references.

3.5 pts

Level 2

The required APA elements are not all included and/or there are major formatting errors, including in-text citations and references.

3 pts

Level 1

Several APA elements are missing. The errors in formatting demonstrate a limited understanding of APA guidelines, in-text-citations, and references.

0 pts

Level 0

There is little to no evidence of APA formatting and/or there are no in-text citations and/or references.

5 pts

Total Points: 50

MO205-Unit1Assignment-HealthcareFraudandAbuseTemplate.docx

Unit 1 Assignment – Healthcare Fraud and Abuse

Title of Press Release

Click or tap here to enter text.

Summary of Press Release

Click or tap here to enter text.

Title of Federal Fraud and Abuse Law

Click or tap here to enter text.

Summary of Federal Fraud and Abuse Law

Click or tap here to enter text.

Answer the Following Question:

Take into consideration your chosen career path (Medical Assistant, Medical Office Administrator, Medical Billing & Insurance Specialist, Medical Coder)

What steps would you take if you had been asked to participate in the fraudulent activity described in your chosen Press Release?

Click or tap here to enter text.

References

2 | Page

unit1assigment.docx

Instructions

· Review the four most important Federal fraud and abuse laws on the OIG websiteLinks to an external site..

· Find a Press Release on the United States Department of Justice websiteLinks to an external site. related to one of the five Federal fraud and abuse cases.

· You will provide a summary of your chosen Press Release and the Federal fraud and abuse law that was violated

· Take into consideration your chosen career path (Medical Assistant, Medical Office Administrator, Medical Billing & Insurance Specialist, Medical Coder) and answer the following question:

· What steps would you take if you had been asked to participate in the fraudulent activity described in your chosen Press Release?

Requirements:

· Use the template provided to complete the assignment

· Provide all references in APA format on the reference page provided in the template

Estimated time to complete: 3 hours

Assignment File(s)

MO 205-Unit 1 Assignment-Healthcare Fraud and Abuse Template Download MO 205-Unit 1 Assignment-Healthcare Fraud and Abuse Template[Word]

Rubric

MO205 Unit 1 Assignment - Healthcare Fraud & Abuse

MO205 Unit 1 Assignment - Healthcare Fraud & Abuse

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

20 pts

Level 5

Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.

18 pts

Level 4

Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.

16 pts

Level 3

Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.

14 pts

Level 2

Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.

12 pts

Level 1

Demonstrates the ability to explain contextual factors but does not provide a defined statement.

0 pts

Level 0

There is no evidence of a defined statement.

20 pts

This criterion is linked to a Learning OutcomeAnalysis

PRICE-I

15 pts

Level 5

Organizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.

14 pts

Level 4

Organizes and interprets evidence to reveal patterns, differences, or similarities related to focus.

12 pts

Level 3

Organizes and describes evidence according to patterns, differences, or similarities related to focus.

11 pts

Level 2

Organizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.

9 pts

Level 1

Describes evidence, but it is not organized and/or is unrelated to focus.

0 pts

Level 0

Lists evidence, but it is not organized and/or is unrelated to focus.

15 pts

This criterion is linked to a Learning OutcomeWriting

PRICE-P

10 pts

Level 5

The paper exhibits an excellent command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.

9 pts

Level 4

The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling with minor grammatical errors that impair the flow of communication.

8 pts

Level 3

The paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.

7 pts

Level 2

The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

6 pts

Level 1

0 pts

Level 0

10 pts

This criterion is linked to a Learning OutcomeAPA

PRICE-I

5 pts

Level 5

The required APA elements are all included with correct formatting, including in-text citations and references.

4.5 pts

Level 4

The required APA elements are all included with minor formatting errors, including in-text citations and references.

4 pts

Level 3

The required APA elements are all included with multiple formatting errors, including in-text citations and references.

3.5 pts

Level 2

The required APA elements are not all included and/or there are major formatting errors, including in-text citations and references.

3 pts

Level 1

Several APA elements are missing. The errors in formatting demonstrate a limited understanding of APA guidelines, in-text-citations, and references.

0 pts

Level 0

There is little to no evidence of APA formatting and/or there are no in-text citations and/or references.

5 pts

Total Points: 50

other Questions(10)