- \n
- Adopting MedPro Group, Seven Fundamental Steps of a Compliance Plan, create a comprehensive plan that aligns with the following seven steps:\n
- \n
- Element One: Implementing Written Policies, Procedures, and Standards of Conduct<\/em><\/strong>\n
- \n
- Devise at least 3 healthcare finance related fraud and compliance policies and accompanying procedures. Your policies and procedures MUST… <\/strong><\/u><\/em><\/li>\n
- Explain legal requirements so that employees understand their obligations and how to conform their behavior to meet them<\/li>\n
- State your plans on how to encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation <\/li>\n
- Should be made easily available (identify in a written statement where and\/or how one can access the above policies and procedure)<\/li>\n<\/ul>\n<\/li>\n
- Element Two: Designating a Compliance Officer and Compliance <\/em><\/strong>Committee to Provide Program Oversight <\/em><\/strong>\n
- \n
- Note; this task was completed with your initial hiring as the new CFO. However, you are to develop a 1-2 page job description in order to seek a compliance officer that will report directly to you.<\/li>\n
- Develop the proposed overview of the Compliance Committee that will be chaired by the above compliance officer. Identify the proposed frequency of meetings (simple schedule over a calendar year) (the committee is expected to meet monthly), the preferred number of committee members and the various departments\/areas that each member will represent, identify at least six purposes\/responsibilities that the committee is expected to carry out and outline the proposed method of communication (during the scheduled monthly meetings and outside of scheduled meetings)<\/li>\n<\/ul>\n<\/li>\n
- Element Three: Using Due Diligence in the Delegation of Authority<\/em><\/strong>\n
- \n
- This task is completed, as you are the delegated person of authority that oversees the proposed healthcare finance, fraud, abuse and compliance program <\/em><\/strong><\/li>\n<\/ul>\n<\/li>\n
- Element Four: Educating Employees and Developing Effective Lines of Communication <\/em><\/strong>\n
- \n
- Note; this task was partially completed with the above Power Point presentation; however let’s prepare take your work to the next level…<\/li>\n
- Develop clear and practical steps that will be taken in order to disseminate information about the organization\u2019s compliance program and its policies and processes <\/li>\n
- Devise a training schedule (identify the frequency of the conducted training’s, identify who will be required to attend) along with an assessment to monitor the effectiveness of the training session. Draft a one-page agenda that outline the proposed topics of discussion that will be covered in the training session<\/li>\n
- As a continuation of Element One, discuss how employees can report suspected fraud. For example, you may establish an anonymous reporting contact number or electronic email reporting system. Draft a generic automated response that an individual will receive after submitting a report. This will include a thank you line as a confirmation. The estimated time for a response and a person or number to contact for further assistance<\/li>\n<\/ul>\n<\/li>\n
- Element Five: Conducting Internal Monitoring and Auditing<\/em><\/strong>\n
- \n
- Discuss the efforts that will be taken to ensure that the financial practices are compliant and adheres to ethical guidelines and standards<\/li>\n
- Outline the process of conducting internal monitoring and auditing practices<\/li>\n
- Design a healthcare fraud, abuse and compliance calendar template that includes the following:\n
- \n
- Department<\/li>\n
- Regulation\/Statute\/Law<\/li>\n
- Department<\/li>\n
- Name of the Individual Completing the Calendar<\/li>\n
- Date & Signature Line<\/li>\n
- Actions Steps to Compliance: Steps\/Description, Responsibility and Completion Date<\/li>\n
- Standards Section that will be evaluated (this should be included as a column): requirement, deadline\/due date, responsible office\/department and status<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n
- Element Six: Enforcing Standards Through Well-Publicized Disciplinary Guidelines <\/em><\/strong>\n
- \n
- \n
- \n
- Develop a generic outline that addresses the following:\n
- \n
- Explains who is covered<\/li>\n
- Standards of conduct <\/li>\n
- Discipline and enforcement <\/li>\n
- Reporting (obligations), whistleblower, non-retaliation<\/li>\n<\/ul>\n<\/li>\n
- Create a five (5) Q&A handout for the intent of distributing to employees. Devise questions and answers that are appropriate to healthcare finance, fraud, abuse and compliance<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n
- Element Seven: Responding Promptly to Detected Offenses and Undertaking Corrective Action <\/em><\/strong>\n
- \n
- Provide a generic response in terms of responding to detected offenses. Create a four (4) step corrective action approach that aligns with your Human Resource (HR) guidelines and standards as it relates to employee disciplinary actions<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
<\/u><\/strong><\/p>\n
Resources:<\/p>\n
<\/u><\/strong><\/p>\n
Ethics Resource Center: <\/strong>www.et<\/a>hics.org<\/strong><\/u><\/p>\n
Compliance Building: www.compliancebuilding.com<\/a> <\/u><\/p>\n
Office of the Inspector General: http:\/\/oig.hhs.gov\/fraud\/complianceguidance.asp<\/a><\/u><\/p><\/p>\n \n
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- Provide a generic response in terms of responding to detected offenses. Create a four (4) step corrective action approach that aligns with your Human Resource (HR) guidelines and standards as it relates to employee disciplinary actions<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
- Develop a generic outline that addresses the following:\n
- \n
- Element Four: Educating Employees and Developing Effective Lines of Communication <\/em><\/strong>\n
- This task is completed, as you are the delegated person of authority that oversees the proposed healthcare finance, fraud, abuse and compliance program <\/em><\/strong><\/li>\n<\/ul>\n<\/li>\n
- Devise at least 3 healthcare finance related fraud and compliance policies and accompanying procedures. Your policies and procedures MUST… <\/strong><\/u><\/em><\/li>\n
- Element One: Implementing Written Policies, Procedures, and Standards of Conduct<\/em><\/strong>\n