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Analyze the impact of the False Claims Act on the organization’s reimbursement, coding, and strategic planning
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- briefly describe a strategic planning, staffing impact, reimbursement compliance and revenue cycle process in healthcare reimbursementTo process claims accurately and effectively, billing professionals must understand how a clean claim is prepared and what issues can contribute to a dirty claim. When managing a team of billing professionals, it is important to understand how internal and external factors contribute to a smooth process vs. a rejection or denial. Summarize internal factors (within your organization/facility) that can positively or negatively influence the life cycle of a claim. Summarize external factors (outside of your organization/facility) that can positively or negatively influence the life cycle of a claim. From a leadership perspective, how can you ensure your team is effectively trained and confident in navigating internal and external challenges with claim processing? Please be sure to validate your opinions and ideas with citations and references in APA format.how can laws and regulations help a healthcare organization reduce fraud, waste, and abuse and thereby manage risk to the revenue cycle and reimbursement
- What are the most frequent ethical challenges in health information management.Describe in great detail the Medicaid reimbursement process for providers and program integrity efforts to stop fraud using references from the past 5 years.How is compliance to regulatory requirements in healthcare reimbursement built into the back-end processes
- What security risks exist within health care information systems? Why do these vulnerabilities still exist? Explain. What can be done to address these vulnerabilities? Who should be most responsible for oversight of these issues? Provide atleast one source to support your ideasWho would be impacted by such events claims production and claims submission in healthcare?How can a statement of need is important to address cyberattacks in healthcare organizations
- What are two ways a healthcare provider could violate the HIPAA law, and what are alternative actions the healthcare provider could use to protect client confidentiality?An effective early offer program can help prevent litigation against providers over medical malpractice. true or false.What security risks exist within health care information systems? Why do these vulnerabilities still exist? Explain. What can be done to address these vulnerabilities? Who should be most responsible for oversight of these issues?
