Question
Compliance is a comprehensive program that helps institutions, and their employees conduct operations and activities ethically; with the highest level of integrity, and in compliance
Compliance is a comprehensive program that helps institutions, and their employees conduct operations and activities ethically; with the highest level of integrity, and in compliance with legal and regulatory requirements.To have an effective compliance program, an organization must establish and maintain an organizational culture that "encourages ethical conduct and a commitment to compliance with the law."U.S. Federal Sentencing Guidelines 8B2.1(a)(2). Using the Office of Inspector General website (https://oig.hhs.gov/ Links to an external site.) or another of your choosing, select a real-time healthcare fraud news report from your local area to feature within your paper to educate the organization on the various case(s), the importance of healthcare finance compliance practices, and the potential criminal and monetary fines that can be imposed on the individual and/or organization from the case. Develop a five to eight page white paper that provides a succinct overview of the healthcare finance fraud committed including the details specified below.
- The name of the organization
- Discuss the events that occurred
- Identify if the events that occurred is a violation of one of the following related federal laws and explain why:
- The Anti-Kickback Statute
- The False Claims Act
- The Physician Self-Referral Law (Stark Law)
- Exclusion Statute
- Civil Monetary Penalties Law
- Others?
In your review, please consider and include the following:
- Identify the parties involved
- What penaltieswere enforced
- A summary of lessons learned that can serve as a teachable moment for your organization coupled with safeguard measures that may help alleviate any similar issues in your organization in the future.
- The paper should include references and be suitable for professional delivery to an executive audience.
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