Compliance and Leadership

Write a three- to four-page paper in APA format that addresses the following topics in a cohesive manner:

  • How you will develop a coding audit plan (frequency and percentage of charts)?
  • How you will use the OIG work plan and other resources available to prepare and update your audit plan?
  • What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan?
  • Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.

Grading Criteria

Assignment 1: Compliance and Leadership

Points

In a cohesive manner addresses the question: How you will develop a coding audit plan (frequency and percentage of charts)?

20

In a cohesive manner addresses the question: How you will use the OIG work plan and other resources available to prepare and update your audit plan?

20

In a cohesive manner addresses the question: What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan?

20

In a cohesive manner addresses the question: Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.

20

Format (APA) Spelling/Grammar