Are you ready to present the policies for your two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer?
- In 4-page paper describe the policies for each of the two compliance plans.
- Break each policy section into 2 pages each.
- Remember to support your policies for the two plans with a total of three research sources, cited at the end in APA format. (That’s 1-2 research sources per plan).
- Then, summarize your plan in a 5-8 slide PowerPoint presentation.
- Polices you should consider covering for each plan come under the key compliance elements:
- Compliance Standards
- High-Level (personal) Responsibility
- Education
- Communication
- Monitoring/Auditing (for Safety)
- Enforcement/Discipline
- Response/Prevention
Look these over in your research, and then select just two of these key elements and write your policies under them for each of your two compliance plans. (Your policies for each plan can zero in on different key elements.)
Example:
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Expert Solution Preview
Introduction:
As a compliance officer, it is crucial to create and maintain comprehensive compliance plans that clearly outline the policies related to key compliance elements. These plans ensure that all employees adhere to the same set of standards and responsibilities to maintain a safe and ethical environment within the medical facility. In this paper, I will present the policies for two compliance plans and summarize them in a PowerPoint presentation.
Answer:
Yes, I am ready to present the policies for the two compliance plans of the medical facility where I serve as the compliance officer. The two compliance plans that I have chosen to cover are hand hygiene and patient billing for medical services.
Hand Hygiene Compliance Plan:
1. Compliance Standards:
All employees of the medical facility must comply with the established hand hygiene policies during patient care. Compliance standards must include wearing gloves, washing hands with soap and water, or using alcohol-based hand sanitizers before and after patient contact.
2. Monitoring/Auditing (for Safety):
Monitoring and auditing of hand hygiene practices must be conducted regularly to ensure strict adherence to hand hygiene standards. The medical facility must maintain records of the monitoring and make it available to regulatory agencies upon request.
Patient Billing Compliance Plan:
1. Enforcement/Discipline:
All medical services provided to patients must be charged at pre-determined rates that comply with the CMS guidelines. Any deviation from these guidelines must be reported to the compliance officer and corrected immediately. In cases of deliberate overcharging or billing fraud, disciplinary action must be taken.
2. Response/Prevention:
The medical facility must have a mechanism to identify and prevent errors, fraud, and abuse in the billing of medical services. Any errors identified must be reported and corrected promptly. The facility must provide regular training to employees on billing standards, regulations, and compliance.
Research Sources:
Hand Hygiene Compliance Plan:
1. Centers for Disease Control and Prevention. (2019). Hand hygiene in healthcare settings. Retrieved from https://www.cdc.gov/handhygiene/index.html
2. World Health Organization. (2009). Hand hygiene: why, how & when? Retrieved from https://www.who.int/gpsc/5may/Hand_Hygiene_Why_How_and_When_Brochure.pdf
Patient Billing Compliance Plan:
1. Centers for Medicare & Medicaid Services. (2019). Billing and payment for medical services. Retrieved from https://www.cms.gov/Medicare/Billing
2. American Medical Association. (2019). Billing and coding. Retrieved from https://www.ama-assn.org/practice-management/billing-coding
