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It strategy plan | Computer Science homework help

Winter, 2021 IFSM301 Case Study: GG Freightways (GGFRT) GGFRT is a regional transportation and distribution company in operation for over 30 years. The company serves major cities in the southwestern region of the United States. Their headquarters (1), terminals/warehouses (8) and maintenance facilities (2) are noted below. Corporate Profile Corporate Name: GG Freightways Founded: August 1989 Headquarters: Los Angeles CA Terminals/Warehouses (8): Los Angeles CA, […]

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Diverse learners and the home-school connection

Research your local community demographics or the community you desire to teach in. (KILLEEN, TX) Access web-based data related to age, ethnicity, gender, language, religion (if possible), housing, household composition, employment status, and income. Your city’s webpage and U.S. Census Bureau data will likely be your primary resources. However, you are encouraged to find other reliable and credible sources. Compile a 750-1,000 word report to […]

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Applied sciences labels assignment | Applied Sciences homework help

  Food Label Critiques In this assignment, you will evaluate 4 labels at the store and 3 labels at home from foods you would feed to children.  Create a Word Document or Power Point with the comparisons and evaluations, including pictures or a transcript of the nutritional details. Comparing the same food At the grocery store, find two different products which are available in both “regular” and “low fat” […]

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Explain psychedelic-assisted therapy and discuss how it manualized

Explain Psychedelic-assisted therapy and discuss how it manualized psychotherapeutic treatment. The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m. Eastern Time. Two scholarly source references are required unless stated otherwise by your professor.  The student provides a substantive response to the discussion question or topic on Thursday day and posts […]

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Social science psyc338 week 4 assignment | PSYC338 PSYCHOLOGY OF GENDER | University of Maryland Baltimore

PSYC338 ASSIGNMENT Applied Final Project Topic   Subscribe This semester you will write an Applied Final Project titled,  A Historical Debate Project.  The paper  will be due during Week 7 of the semester.  The paper provides you an opportunity to assesses your comprehension of course materials by creating a fictitious discussion panel where you will explore topics from this course. This week, you will select […]

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Final project milestone two (hcm)

Overview In Module Four, you examined some of the recent initiatives aimed at improving the performance of the healthcare system. As you learned in your module readings, healthcare should be: Safe Effective Timely Efficient Equitable Patient-centered These six key dimensions form the basis for all quality and payment reform strategies implemented since the release of healthcare improvement plans. Existing healthcare initiatives are put in place […]

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Draw mis erd chart | Information Systems homework help

Question 1 :Draw an ERD for the following problem with attributes, primary keys, cardinalities and participation constraints and specialization, if appropriate.       An information studies student wants to keep track of the following information.  A publishers publishes two kinds of publications: books and journals.  Any one publisher publishes at least one book and/or at least one journal.  Each book can be written by […]

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Branches of government | Government homework help

LIB356Week4Assignment.docx QATAR For this assignment, you will write a paper that examines the government and international relations of your country. You should include the following topics: · Government type: Describe the type of government (for example, presidential republic, theocratic republic, federation of monarchies, etc.) and how it was established. · Branches of government: Explain the organization and powers of the executive, legislative, and judicial branches […]

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Psychology behaviour modification assignment | Psych | Catholic University of America

PSYC 281 – Behaviour Modification Assignment Students will be responsible for constructing a behaviour modification program in which you will modify/change some type of behaviour using the various theories discussed in class. You can design this program with animal or human subjects and need not worry about ethical guidelines as you WON’T be conducting the program. Alter the behaviour of your cat or boyfriend/ girlfriend. […]

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July 1, 2023
    

Assignment 1: LASA 2— Corporate Compliance

 

You are a corporate compliance officer for a hospital.  You are also a feature writer for The Medical Reporter, an online health magazine.  The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue.  The caller indicated that Dr. Greedy was billing for services that had not been provided.  You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped.   Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues.  Your research should include the following aspects:

 

      I.         How to conduct an investigation.  It should include the following elements:

 

                       a.         Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?

                      b.         Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?

                       c.         Obtaining additional information as necessary and developing a plan for the investigation:  What other items are important to the investigation?

                      d.         Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.

                       e.         Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.

 

    II.         How to develop a correction action plan. The plan may suggest:

 

                       a.         A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.

                      b.         A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.

 

By Saturday, August 24, 2013, deliver your assignment to the M5: Assignment 1 Dropbox.

Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.

 

 

 

 

Assignment 1 Grading Criteria

Maximum Points

Discussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity.

36

Explained the steps to take to determine who is involved in the complaint.

32

Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation.

32

Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview.

32

Identified the criteria to determine if the allegations are substantiated or unsubstantiated.

32

Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary.

36

Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted.

36

Written Components:

Style (8 points): Tone, audience, and word choice

Organization (16 points): Introduction, transitions, and conclusion

Usage and Mechanics (16 points): Grammar, spelling, and sentence structure

APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style

64

Total:

300

 

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July 1, 2023
    

Assignment 1: LASA 2— Corporate Compliance

 

You are a corporate compliance officer for a hospital.  You are also a feature writer for The Medical Reporter, an online health magazine.  The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue.  The caller indicated that Dr. Greedy was billing for services that had not been provided.  You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped.   Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues.  Your research should include the following aspects:

 

      I.         How to conduct an investigation.  It should include the following elements:

 

                       a.         Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?

                      b.         Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?

                       c.         Obtaining additional information as necessary and developing a plan for the investigation:  What other items are important to the investigation?

                      d.         Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.

                       e.         Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.

 

    II.         How to develop a correction action plan. The plan may suggest:

 

                       a.         A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.

                      b.         A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.

 

By Saturday, August 24, 2013, deliver your assignment to the M5: Assignment 1 Dropbox.

Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.

 

 

 

 

Assignment 1 Grading Criteria

Maximum Points

Discussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity.

36

Explained the steps to take to determine who is involved in the complaint.

32

Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation.

32

Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview.

32

Identified the criteria to determine if the allegations are substantiated or unsubstantiated.

32

Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary.

36

Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted.

36

Written Components:

Style (8 points): Tone, audience, and word choice

Organization (16 points): Introduction, transitions, and conclusion

Usage and Mechanics (16 points): Grammar, spelling, and sentence structure

APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style

64

Total:

300

 

default image
July 1, 2023
    

Assignment 1: LASA 2— Corporate Compliance

 

You are a corporate compliance officer for a hospital.  You are also a feature writer for The Medical Reporter, an online health magazine.  The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue.  The caller indicated that Dr. Greedy was billing for services that had not been provided.  You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped.   Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues.  Your research should include the following aspects:

 

      I.         How to conduct an investigation.  It should include the following elements:

 

                       a.         Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?

                      b.         Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?

                       c.         Obtaining additional information as necessary and developing a plan for the investigation:  What other items are important to the investigation?

                      d.         Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.

                       e.         Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.

 

    II.         How to develop a correction action plan. The plan may suggest:

 

                       a.         A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.

                      b.         A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.

 

By Saturday, August 24, 2013, deliver your assignment to the M5: Assignment 1 Dropbox.

Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.

 

 

 

 

Assignment 1 Grading Criteria

Maximum Points

Discussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity.

36

Explained the steps to take to determine who is involved in the complaint.

32

Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation.

32

Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview.

32

Identified the criteria to determine if the allegations are substantiated or unsubstantiated.

32

Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary.

36

Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted.

36

Written Components:

Style (8 points): Tone, audience, and word choice

Organization (16 points): Introduction, transitions, and conclusion

Usage and Mechanics (16 points): Grammar, spelling, and sentence structure

APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style

64

Total:

300

 

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