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create a narrated presentation or tutorial for training purposes that will compare and contrast the various laws, regulations and initiatives related to prevention of fraud and abuse. SLIDE 1: Title...

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create anarratedpresentation or tutorial for training purposes that will compare and contrast the various laws, regulations and initiatives related to prevention of fraud and abuse.

  1. SLIDE 1: Title slide and introduction. In your introduction, make sure to identify who you are (name, HIM specialist) and who in the healthcare organization should receive this training.
  2. SLIDE 2: Explain:
    a. False Claims Act
    b. Whistle Blower protections
    c. STARK Law
    d. Anti-Kickback Statue
    e. OIG
    f. RAC
  3. SLIDE 3: Identify and evaluate a minimum of 2 coding and billing practices that constitute fraud and/or abuse. Provide a specific example for each.
  4. SLIDE 4: Offer 2-3 proven recommendations to avoid, mitigate and resolve issues associated with fraud and abuse.
  5. SLIDE 5: Include 3 best practices for identifying focus areas related to auditing and monitoring of documentation and coding compliance.
  6. SLIDE 6: Provide at least 3 supporting references for your content above (no narration required on this slide)
Answered 4 days After Oct 20, 2021

Solution

Paulami answered on Oct 25 2021
136 Votes
PowerPoint Presentation
Healthcare
Name of the student:
Name of the university:
Hello, my name is (student name), and I am an HIM specialist.
I’m here to present you with this tutorial. It will keep contrasting and comparing several initiatives, regulations, and laws relating to preventing abuse and fraud.
This tutorial is created for those working in healthcare organizations, especially those dealing with health information. It refers to personnel and employees who have a valid reason for viewing and accessing the medical records.
Health information refers to that data relating to the patient’s medical history, involving outcomes, procedures and diagnoses (Chen et al., 2018). It involves notes, demographic information, clinical information, X-rays, lab results and patient history.
False claims act- it keeps prohibiting the organization or person in making some false record knowingly or making false claims about some federal program or healthcare.
Whistle Blower protections- this law keeps protecting every federal whistleblower working for this government.
STARK law- it keeps prohibiting the physician from making any refe
al to some entity for a few healthcare services once that physician keeps having some financial relationship with such entity.
Anti-Kickback Statute- it keeps prohibiting exchanges of anything valuable to induce business refe
als reimbursable by federal programs of healthcare.
OIG- the office of inspector general keeps conducting objective and independent audits related to the DHS operations...
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