1. Performing tests that are not medically necessary is a major problem in clinical laboratories. What steps does the OIG recommend that labs take to prevent this? (list/number the steps – explain the steps) 2. The OIG recommends that labs conduct periodic compliance audits that look most closely at which topics? (list/number the topics).
In Chapter 8, we studied the compliance program in general, this chapter takes the structure of a healthcare compliance program, and applies it to a hospital. Hospitals are subject to the same law as healthcare organizations. Aspects of these laws and statues create compliance obligations that are unique to hospitals, list and explain four of … Read more
1. https://www.youtube.com/watch?v=Wlsnd1DYG6Y 2. https://www.youtube.com/watch?v=-O5gsF5oyls Questions: Please answer the following 5 questions and post your response. Thank you! 1.What are some of the reasons that the Federal government wishes to regulate research institutions? 2. The NIH has published mandatory standards designed to ensure that the design, conduct, and reporting of research funded by it will be … Read more
Please answer the following question and post your response Thank you! The OIG Compliance Program Guidance for DMEPOS entities lists 47 areas of special concern to the OIG. This is far more compliance risk areas than appear in the program guidances for any other type of health care entity. It is a reflection of the … Read more
. What is the difference between Medicare Advantage and traditional Medicare? 2. What is a special investigation unit (SIU)? 3. Under certain circumstances, the CMS may wish to perform its own audits of a Sponsor’s or FDR’s activities pertaining to any aspect of the services provided or amounts payable under its Medicare contract. It has … Read more
Please answer the following 4 questions Thank you! 1. What are the reasons that health care providers contract with third-party billing companies to submit their claims for reimbursement from payors such as Medicare? 2. The compliance concerns of the billing companies are intertwined with those of its provider-clients. Those clients can create problems that lead … Read more