MO270: Advanced Medical Office Management

Kaplan University School of Health Sciences

MO270 Unit 4 Assignment

Unit 4 Assignment: Ethical and Legal Issues Unit outcomes addressed in this Assignment:

• Define fraud and abuse. • Explain how fraud and abuse affect a medical practice. • Identify OIG risk areas and their implications. • Identify the various fraud and abuse legislative acts, and compliance plans.

Course outcome(s) addressed in this Assignment:

MO270-4: Discuss compliance to legal standards that apply to medical offices. GEL-1.1: Demonstrate college-level communication through the composition of original materials in Standard American English. GEL-7.5: Evaluate ethical rules applicable to the field of study.

Instructions: Part I For your Assignment this unit, you will be completing two parts. Both parts may be combined in one document. Part I focuses on an actual medical malpractice case. You are to research and study the medically unethical case below. Szczuvelek v. Harborside Healthcare Woods Edge, 2005 WL 123829 A.2d-NJ. Tammelleo AD. PMID: 15782788 [PubMed - indexed for MEDLINE] This article is available here: Nurses refuse to follow orders: catastrophic results. Review the story and its outcome. In a 2-page synopsis, explain the story:

• Who was the patient? • What were the circumstances? • Who was involed? • What orders were given and to whom? • What was the outcome? • Discuss the legal and ethical malpractice and the results. • Additionally, in your objective opinion, state two ways in which the medical manager

could have prepared his or her staff to avoid the outcome.

Instructions: Part II In 1–2 pages, discuss the following:

Kaplan University School of Health Sciences

MO270 Unit 4 Assignment

• What is the “Compliance Program Guidance for Individual and Small Group Physician Practices”?

• When did the Office of Inspector General (OIG) implement the program? • What are the seven basic components of a compliance plan?

Your responses and references should be in APA format. For help with writing your paper and APA formatting, please visit the Kaplan Writing Center. There is also a writing center resources document available in Doc Sharing. Submitting your work:

Submit your work in a Microsoft® Word® document to the Unit 4 Assignment Dropbox. For instructions on how to submit to the Dropbox, see the Dropbox Guide located in the Academic Tools section of your course. Always keep a copy of your submitted work.

Unit 4 Assignment Grading Rubric = 75 points Assignment Requirements Points possible Points earned

by student

Part I: Student effectively summarizes the unethical malpractice case. Student includes in the summary:

• Who was the patient? (3 points) • What were the circumstances? (3 points) • Who was involed? (3 points) • What orders were given and to whom? (3

points) • What was the outcome? (3 points) • The legal and ethical malpractice and the

results. (15 points) • Two ways in which the medical manager could

have prepared his or her staff to avoid the outcome. (20 points)

50

Part II: Student defines the Compliance Program Guidance for Individual and Small Group Physician Practices

10

Part II: Student provides the year the OIG implemented the program

1

Part II: Student effectively lists the seven basic components of a compliance plan. (2 points each)

14

Total (Sum of points earned) 75

Kaplan University School of Health Sciences

MO270 Unit 4 Assignment

The proposal is written in the most current version of APA format with no grammatical, spelling, copyright, plagiarism, or proofreading errors. Points deducted for spelling, grammar, and/or APA errors.

Adjusted total points earned

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