Week 4

Healthcare Regulatory Compliance and Accreditation APA Style Question

Part 1

Discussion Prompt 1-3 Paragraphs (Case Study Attached)

Complete your Week 4 required discussion prompt.

After you read the assigned chapters and complete the interactive lesson and compliance officer scenario for this week, address the following:

What are some typical examples of cases that fall under the False Claims Act? Have you seen any on your local news? If not, do some research and share an example.

Be sure to correctly cite and reference your responses.

Part 2 (Please Separate this part to a different Word Document)

Week 4 Assignment: Creating a Compliance Policy Paper

Objective: To understand how compliance policies are created at a hospital

Instructions:

Read and review a section of policy created by the Mayo Clinic: https://www.mayoclinic.org/about-mayo-clinic/governance/policies. Understanding how to create a policy will be beneficial to you and your future organization. After reading the assigned chapters this week, choose one of the following topics listed to write a one- to two-page paper in which you will create a policy for a newly renovated hospital:

• Create a mandatory reporting policy for new staff members to read and acknowledge.
• Create a new policy on Merit-based Incentive Payment System (MIPS) under the new Quality Payment Program (formerly known as Physician Quality Reporting System and before that, known as the Physician Quality Reporting Initiative, PQRI).
• Create a new policy on the False Claims Act for incoming staff to read and acknowledge.

Note: There are resources below to help you decide. Do not rely solely on the resources provided; use your texts and other information you research.

Use APA Style. Create a cover sheet and add a reference list.

References

American Academy of Family Physicians. (2019). Merit-based Incentive Payment System Payment Adjustments: Understand how your MIPS final score in 2019 will affect your payment in 2021. Retrieved from https://www.aafp.org/practice-management/payment/medicare-payment/2019-mips-payment-adjustments.html

Australian Health Practitioner Regulation Guide. (2019). Mandatory reporting. Retrieved from https://www.ahpra.gov.au/Notifications/Raise-a-concern/Mandatory-notifications.aspx

DIY Committee Guide. How to develop policies and procedures: An overview of the stages in policy development. Retrieved from https://www.diycommitteeguide.org/resource/how-to-develop-policies-and-procedures

Tait, E. (2017). False Claims Act Policies and Procedures. Retrieved from https://www.complianceresource.com/publications/false-claims-act-policies-and-procedures/