8-1 Activity References
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School
Southern New Hampshire University *
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Course
630
Subject
Health Science
Date
Jan 9, 2024
Type
docx
Pages
1
Uploaded by HighnessValor5613
https://downloads.cms.gov/cmsgov/archived-downloads/smdl/downloads/smd032207att2.pdf https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ Downloads/Fraud-Abuse-MLN4649244.pdf https://www.cms.gov/medicare/regulations-guidance/physician-self-referral#:~:text=Prohibits%20a %20physician%20from%20making,)%2C%20unless%20an%20exception%20applies. https://oig.hhs.gov/compliance/physician-education/fraud-abuse-laws/#:~:text=The%20AKS%20is%20a %20criminal,for%20Medicare%200r%20Medicaid%20patients) https://www.coursehero.com/tutors-problems/Health-Science/43047485-False-Claims-Act-Analyze-the- impact-of-the-False-Claims-Act-on-the/?justUnlocked=1 [FERRIWI IR AL W DWW T W MW WAL W IMALW WAL W [l W I e Question 4 « The Anti-Trust Laws are a set of federal laws that are intended to promote competition and prevent monopolies. These laws help to prevent fraud and abuse in healthcare by ensuring that healthcare providers cannot collude to fix prices or exclude competitors. The Anti-Trust Laws also help to ensure that healthcare consumers have access to a variety of providers and can choose the provider that best meets their needs. « The impact of the Anti-Trust Laws on healthcare organizations can be significant. These laws are intended to promote competition by preventing monopolies and other anticompetitive practices. They can have a positive impact on a healthcare organization's financial performance by preventing anticompetitive practices that would otherwise drive up prices. They can also have a positive impact on a healthcare organization's strategic planning by ensuring that the organization is able to compete effectively in the marketplace. Question 5 « There are a number of measures that can be taken to reduce operational risk and promote operational efficiencies by integrating the regulations that prevent fraud, waste, and abuse. One measure is to develop and implement policies and procedures that comply with these regulations. Another measure is to provide training to employees on these regulations. A third measure is to use technology to automate compliance with these regulations. « There are various strategies and technologies that healthcare organizations can use to reduce operational risk and promote operational efficiencies by integrating the regulations that prevent fraud, waste, and abuse. One strategy is to develop and implement policies and procedures that comply with all applicable laws and regulations. Another strategy is to use technology to automate compliance-related tasks, such as tracking referrals and claims. Additionally, healthcare organizations can use data analytics to identify patterns of fraud and abuse, and to target areas for improvement. Reference
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