Class: Financial Management of Health Information Service Week 06 Written Assignment – Office of the Inspector General According to their website, the Office of the Inspector General (OIG) is “dedic

Place your order today and enjoy professional academic writing services—From simple class assignments to dissertations. Give us a chance to impress you.


Order a Similar Paper Order a Different Paper

Class: Financial Management of Health Information Service

Week 06 Written Assignment – Office of the Inspector General

According to their website, the Office of the Inspector General (OIG) is “dedicated to combating fraud, waste, and abuse and to improving the efficiency of Health and Human Services (HHS) programs.” OIG has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements.

Save your time - order a paper!

Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines

Order Paper Now

The CEO of your organization has asked you to conduct research on the OIG compliance plan specific to the type of healthcare organization that you are employed (for example, hospital or nursing home). Based on your research, identify at least three areas identified in the OIG compliance plan that will most impact your type of organization and explain how you would leverage the documentation provided in OIG compliance plan to institute change in your organization.

I will update this information as needed before due date.

Save your assignment as a Microsoft Word document.

Class: Financial Management of Health Information Service Week 06 Written Assignment – Office of the Inspector General According to their website, the Office of the Inspector General (OIG) is “dedic
Week 6- Lesson Content, Rubric and Written Assignment Lesson Content Internal Auditing and Compliance The recent passage of the Health Information Technology for Economic and Clinical Health Act (HITECH) directly affects financial institutions and their services for the healthcare sector. HITECH modifies and amplifies the existing data privacy and security rules for protected healthcare information under the Health Insurance Portability and Accountability Act (HIPAA). There are new breach reporting requirements and tougher penalties. Financial Institutions may find they must be able to meet the HIPAA data privacy and security measures if they deliver services to the healthcare sector. Compliance is a term that is used in healthcare organizations to describe the act of complying with state and federal regulations. It is a requirement of all healthcare organizations to implement systems that ensure compliance according to all state and federal guidelines. Larger healthcare organizations will have a compliance department responsible for developing policies and procedures to ensure the organization follows the regulations. An audit, as a result of non-compliance, can cause short-term financial difficulty, and in some cases cause long-term implications. For example, if an organization’s Medicare certification is revoked (due to non-compliance). State and federal laws mandate compliance with all provisions contained in laws such as: Health Insurance Portability and Accountability Act (HIPAA) – contains provisions related to preventing Health Care Fraud and Abuse, Administrative Simplification, and Medical Liability Reform. The Federal False Claims Act – passed to prevent overuse of services and to uncover fraudulent activities in the Medicare and Medicaid programs. A number of federal laws mandate compliance and have provisions for sanctions against individuals and/or organizations that are not in compliance such as the Civil Monetary Penalties Law (CMP), which was passed for the purpose of prosecuting cases of Medicare and Medicaid fraud. There are many resources available to monitor upcoming changes in state and federal regulations. It is vital that an organization have an employee in a compliance position monitor and communicate changes in regulation. In addition, this employee should make recommendations to management on the organization’s appropriate course of action needed in order to maintain compliance. If an organization is too small to justify the expense of an entire compliance department, then they may develop a compliance committee to fill that need. The committee will serve as the decision makers for any action required to ensure that the organization remain in compliance. There are a number of state and federal agencies that monitor the healthcare industry’s compliance. Those include the Office of the Inspector General (OIG), the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services (DHHS), and the Office of Civil Rights (OCR). Since its 1976 establishment, OIG has been at the forefront of the Nation’s efforts to fight waste, fraud and abuse in Medicare, Medicaid and more than 300 other HHS programs. OIG’s oversight extends to programs under other HHS institutions, including the Centers for Disease Control and Prevention, National Institutes of Health, and the Food and Drug Administration. State laws may contain more stringent privacy protections that apply over and above the federal privacy standards. The compliance department should be familiar with the applicable state laws pertaining to the state in which the organization is practicing healthcare. Week 06 Written Assignment – Office of the Inspector General According to their website, the Office of the Inspector General (OIG) is “dedicated to combating fraud, waste, and abuse and to improving the efficiency of Health and Human Services (HHS) programs.” OIG has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements. The CEO of your organization has asked you to conduct research on the OIG compliance plan specific to the type of healthcare organization that you are employed (for example, hospital or nursing home). Based on your research, identify at least three areas identified in the OIG compliance plan that will most impact your type of organization and explain how you would leverage the documentation provided in OIG compliance plan to institute change in your organization. Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates. Save your assignment as a Microsoft Word document. See rubric below Scoring Rubric: Criteria Points Student Identify type of healthcare organization   Identify 3 areas in the OIG compliance plan that would MOST impact this type of organization.   Explain how you would use the OIG compliance plan information to institute change in your organization. (ID the change needed and explain how you would roll-out a process to initiate that change.)   Grammar, Format, Spelling, etc. Professional appearance, etc.   Total 15

Writerbay.net

When writing your assignment, we aim to help you get an A, not just beat the deadline.


Order a Similar Paper Order a Different Paper