The legal and compliance implications of the billing specialist’s actions.

at
Categories
Tags

 

Imagine that a hospital in the United States has recruited a billing specialist who reports to the manager of the billing department. The responsibility of the billing specialist is to ensure compliance with billing policies and procedures. The manager has begun an audit of the department’s adherence to policies and procedures. The audit reveals that the recently recruited billing specialist is not following the standard billing guidelines. In several patient bills, the manager observes billing errors and noncompliance with the hospital’s standard process. After investigation, the manager determines that it is fraudulent billing.

In your initial post, include the following:

Identify the legal and compliance implications of the billing specialist’s actions.
Describe how you believe the manager and hospital should respond to this issue.
Describe the measures the hospital should take to prevent the recurrence of this issue.

 

Sample Solution

meager the eternity evolving environment, both public and private areas need to adapt to fierce and changing outside settings. These are driven by contest, change plan and the new declaration of BREXIT. In 2010 the public authority distributed the result of the Strategic Defense and Security Review (SDSR) setting out the way that we will convey the needs distinguished in the National Security Strategy. In the declaration it was concluded that the public authority would lessen its powers by 7,000 warriors, these work cuts were arrived at well ahead off the 2018 objective. Service Defense figures show that there are right now 81,700 full-time administration people in the Army, down from 102,260 of every 2010, Atkinson, E. (2015). Inside the Armed Forces the MOD made a progression of tranches what separated the repetition stages, so as not to immerse the military with incredible quantities of misfortunes in a single serge.

3.2 Demographic, social and innovative patterns influencing associations.

Segment changes have extended the different design of the UK populace, where associations utilize individuals who come from a scope of public, strict, social, social and ethnic foundations. Moreover there are contrasts in age, sexual orientation and actual capacity, including handicap. This has concentrated of the need to perceive variety (Leatherbarrow et al 2010). It is clear that these segment shifts will require better approaches for thinking by HR divisions internationally, and hence experts working inside this industry should be out in front of the arising patterns. The Army invites individuals from all foundations whatever the sex, race, ethnic or strict convictions, no record is taken of sexual direction or social foundation. An obsolete lawful boycott (Criminal Justice and Public Order Act 1994) that was placed into power in 1994 constraining gay men out of the military is set to at long last be authoritatively eliminated from military regulation, this obviously shows that the polices and regulations are changing to fit the segment changes. Changing the revision is a commonsense advance which shows that this Government is significant with regards to our obligation to correspondence around here.

‘Fast advances in HR innovation anticipated to ‘straightforwardly engage supervisors and representatives’. (Arnstein and Jeffery, 2015). This article from the People the executives magazine plainly shows that innovation assumes a major part in HR. Innovation keeps on further developing adequacy and effectiveness inside associations and builds usefulness, enrollment and execution the executives. In any case, fast advances in innovation likewise implies that businesses and workers should draw in and push ahead with the mechanical headways.

3.3 The idea of globalization and worldwide elements influencing organi

This question has been answered.

Get Answer