New Update Week . 9
Mili2020
power_point.pptxFinancial Management for Health Care Organizations
WebEx Conference March 29th
Fraud, Abuse & Compliance Program Review
Individual Project - Due: Sunday, April 2nd
Deliverables:
A PowerPoint Presentation and Audio
Review of a real time example and discussion of actions and potential consequences
Written Document
Identify 3 health care finance policies and procedures
Legal Requirements
Reporting of suspected fraud
Retaliation
Access to policies and procedures
Fraud, Abuse & Compliance Program Continued
Deliverables (continued)
Compliance Officer and Compliance Committee
1-2 Page Job Description
Compliance Committee
Membership
Purpose and Responsibilities
Communication Plan and Training
Dissemination of Plan specifics
Training schedule
Agenda (one page)
Assessment plan
Methods of reporting suspected fraud
Response confirmation and timing
Fraud, Abuse & Compliance Program Continued
Monitoring and Review Processes
Outline for internal monitoring and auditing practices
Calendar template
Outline of Standards and Practices
Standard of Conduct
Discipline and Enforcement
Reporting obligations
Whistleblowing
Q&A Handout
Corrective Action Plan
4 step corrective action approach that aligns with HR guidelines and standards
