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 |