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You are the Director of Quality and Compliance at a Senior outpatient program. A manager came to you and reported that your own boss has
You are the Director of Quality and Compliance at a Senior outpatient program. A manager came to you and reported that your own boss has been "cherry picking," patients for enrollment to the program. This means that only specific patients who will bring in the highest level of payment to the program, are being accepted. You have been an employee at the program for 5 years and your boss for 3 months. Please provide a detailed explanation of how you will respond. What will your investigatory process be?
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