You are a health care executive of a large hospital, serving as director of health information. You have been advised that there are serious concerns regarding the competence of the facility's billing and coding staff. To address these concerns, you will develop an action plan.

 

-Evaluates at least three types of abuse or fraud that may occur during the course of medical coding and billing activities? Also, describes at least three organizational policies and procedures that monitor such activities and critique the effectiveness of each policy/procedure?

 

 -Develops a plan to evaluate the training programs at "time of launch" and again at periodic times over the next two years ? Also, describes the methods used to evaluate the effectiveness of each training program, including two or more visual examples.

 

 

-Lists the benefits of an EDW to a health care organization, prepares a strategic objective and explains how it could be facilitated through use of a data warehouse ? Also, selects two information assets and analyzes how data from those two assets could be used to accomplish the identified strategic objective.