Imagine that a hospital in the United States has recruited a billing specialist who reports to the manager of the billing department. The responsibility

Imagine that a hospital in the United States has recruited a billing specialist who reports to the manager of the billing department. The responsibility of the billing specialist is to ensure compliance with billing policies and procedures. The manager has begun an audit of the department’s adherence to policies and procedures. The audit reveals that the recently recruited billing specialist is not following the standard billing guidelines. In several patient bills, the manager observes billing errors and noncompliance with the hospital’s standard process. After investigation, the manager determines that it is fraudulent billing.

In your initial post, include the following:

  • Identify the legal and compliance implications of the billing specialist’s actions.
  • Describe how you believe the manager and hospital should respond to this issue.
  • Describe the measures the hospital should take to prevent the recurrence of this issue.

 Reading: Essentials of Health Policy and Law, Chapters 2, 3, and 12 

Textbook link:

Article:

Article:

Article:

Article:

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

2/25/24, Law Journal Library – HeinOnline.org Page 1 of 2 ! � ! � � � 395� � � � � More Like This PathFinder Contents   1329 Cite 0 Likes ! ! 0

2/25/24, Law Journal Library – HeinOnline.org Page 1 of 2 ! � ✉ ! � � � 395� � � � � More Like This PathFinder Contents   1329 Cite 0 Likes ! ! 0 Comments   BehavioralSciencesandtheLaw Behav.Sci.Law22:395-414(2004) PublishedonlineinWileyInterScience(www.interscience.wiley.com). SerialMurderinAmerica: StudiesofSevenOffenders JamesO.BeasleyII,B.S.,M.P.A.* Thisarticlesummarizesandcompares seveninterviewedserialkilersin designedtostudysimilaritiesand theseindividuals.Theaimofthis ourcollectiveknowledgeofthedynamics byexaminingtheperpetrators’backgrounds, uniQuewaysinwhichtheyviewthemselves

2/25/24, Undergraduate Discussion Rubric – BUS-210-Q3548 Managing/Leading in Business 24EW3 Page 1 of 3 Undergraduate Discussion Rubric Undergraduate

2/25/24, Undergraduate Discussion Rubric – BUS-210-Q3548 Managing/Leading in Business 24EW3 Page 1 of 3 Undergraduate Discussion Rubric Undergraduate Discussion Rubric Overview Your active participation in the discussions is essential to your overall success this term. Discussion questions will help you make meaningful connections between the course content and the larger

Problem Statement The idea that surrounds the topic of Social Vulnerability and Disasters: Training to Meet the Complex Needs of

Problem Statement The idea that surrounds the topic of Social Vulnerability and Disasters: Training to Meet the Complex Needs of Vulnerable Populations could be understood with a little understanding, open mind, and empathy for others. Disasters can disproportionately impact vulnerable populations, including low-income communities, elderly individuals, people with disabilities, and