HS215 Unit 4 Discussion.docx - A false claim is when someone purposefully submits a claim that contains false information about the patient or any tests

HS215 Unit 4 Discussion.docx - A false claim is when...

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A false claim is when someone purposefully submits a claim that contains false information about the patient, or any tests not performed on them to the insurance company, patient, or federal government seeking payment. The purpose of a Compliance Program is to help a group follow compliance in daily operations that is geared towards not breaking any laws, rules or regulations. The steps where I will be able to have the greatest impact on avoiding erroneous and fraudulent claims would be monitoring the billing processes and appointing a compliance officer to help enforce standards of practice. I would have an open line of communication for everyone, and lastly carry out disciplinary practices through specific pre-designated guidelines. Some best practices I could implement to ensure I am adhering to Title II would be investigating and informing all of incidence to the appropriate entity and conducting frequent
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