The Medical Reporter

The Medical Reporter
The Medical Reporter
You are a corporate compliance officer for a hospital. You are also a feature writer for The Medical Reporter, an online health magazine. The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue. The caller indicated that Dr. Greedy was billing for services that had not been provided. You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped. Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues. Your research should include the following aspects:
How to conduct an investigation. It should include the following elements:
Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?
Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?
Obtaining additional information as necessary and developing a plan for the investigation: What other items are important to the investigation?
Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.
Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.
How to develop a correction action plan. The plan may suggest:
A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.
A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.
By the due date assigned, deliver your assignment to the Submissions Area.
Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.
Assignment 1 Grading CriteriaMaximum PointsDiscussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity.
-Explained the steps to take to determine who is involved in the complaint.32Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation.-
-Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview.-
-32Identified the criteria to determine if the allegations are substantiated or unsubstantiated.32Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary.
-Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted.
-Written Components: Style (8 points): Tone, audience, and word choice Organization(16 points): Introduction, transitions, and conclusion Usage and Mechanics (16 points): Grammar, spelling, and sentence structure APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style

So much stress and so little time? Take care of yourself: let us help you with your task on
The Medical Reporter
Get a 20% Discount on this Paper
Get Help Now
Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
Sign up, place your order, and leave the rest to our professional paper writers in less than 2 minutes.
step 1
Upload assignment instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Get personalized services with Do My Homeworkk
One writer for all your papers
You can select one writer for all your papers. This option enhances the consistency in the quality of your assignments. Select your preferred writer from the list of writers who have handledf your previous assignments
Same paper from different writers
Are you ordering the same assignment for a friend? You can get the same paper from different writers. The goal is to produce 100% unique and original papers
Copy of sources used
Our homework writers will provide you with copies of sources used on your request. Just add the option when plaing your order
What our partners say about us
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Thank you - much appreciated!
Customer 452493, April 2nd, 2022
Thank you!
Customer 452493, May 29th, 2022
Looks good. Thank you!
Customer 452523, September 27th, 2022
Customer 452493, April 12th, 2022
Classic English Literature
Customer 452493, April 19th, 2022
Business and administrative studies
Thank you so much for your help!!!!!
Customer 452519, November 9th, 2022
Excellent! Followed directions and completed a great paper
Customer 452445, August 22nd, 2021
English 101
Great work!
Customer 452443, December 2nd, 2021
Thank you! :)
Customer 452493, May 14th, 2022
Wow! I should never have doubted you guys. Thank you for the excellent grade
Customer 452443, August 27th, 2021
Looks good. Thank you!!!
Customer 452503, April 25th, 2022
Thank you! Will definitely use the writer again.
Customer 452443, October 22nd, 2021
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Order your essay today and save 15% with the discount code ESSAYHELP