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Write My Essay For MeI need help with a Health & Medical question. All explanations and answers will be used to help me learn.
Please answer each one in its own. use apa format.
A. Analyze a corporate compliance plan by doing the following:
1. Describe the seven necessary components of a corporate compliance plan.
2. Explain the roles and responsibilities of the staff who implement a compliance plan.
3. Explain the roles and objectives of two healthcare enforcement agencies or programs that influence noncompliance reporting.
4. Explain the procedure for reporting coding noncompliance.
B. Analyze the coding compliance auditing process by doing the following:
1. Describe how a healthcare organization should respond to a formal request for an audit by an internal reviewer, and how it relates to coding claims, documentation, or provider claims.
2. Describe how a healthcare organization should respond to a formal request for an audit by an external reviewer, and how it relates to coding claims, documentation, or provider claims.
3. Explain how a healthcare organization should respond to audit results that show a coding practice resulting in overpayment.
C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
REQUIREMENTS
A1. NECESSARY COMPONENTS:
|
NOT EVIDENT The analysis does not identify any of the 7 necessary components of a corporate compliance plan and does describe each components relevance to the plan. |
APPROACHING COMPETENCE The analysis is missing at least 1 identified necessary component of a corporate compliance plan or does not logically describe each component’s relevance to the plan. |
COMPETENT The analysis identifies the 7 necessary components of a corporate compliance plan and logically describes each component’s relevance to the plan. |
A2. RESPONSIBILITIES OF STAFF:
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NOT EVIDENT The analysis does not provide an explanation of staff responsibilities. |
APPROACHING COMPETENCE The analysis does not provide a logical explanation of the roles and responsibilities of the staff members who implement a corporate compliance plan. |
COMPETENT The analysis provides a logical explanation of the roles and responsibilities of the staff members who implement a corporate compliance plan. |
A3. HEALTHCARE ENFORCEMENT AGENCIES:
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NOT EVIDENT The analysis does not explain the roles and objectives of 2 healthcare enforcement agencies or programs and does not explain how they influence corporate compliance programs. |
APPROACHING COMPETENCE The analysis does not provide an appropriate explanation of the roles and objectives of 2 healthcare enforcement agencies or programs or does not explain how the agencies or programs influence corporate compliance programs. |
COMPETENT The analysis provides an appropriate explanation of the roles and objectives of 2 healthcare enforcement agencies or programs and how they influence corporate compliance programs. |
A4. NONCOMPLIANCE REPORTING PROCEDURE:
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NOT EVIDENT The analysis does not include a description for accurately reporting coding non-compliance. |
APPROACHING COMPETENCE The analysis does not accurately describe the procedure an HIM professional should follow for reporting coding noncompliance. |
COMPETENT The analysis accurately describes the procedure an HIM professional should follow for reporting coding noncompliance. |
B1. INTERNAL AUDIT:
|
NOT EVIDENT The analysis does not describe the process that an organization should use to respond to a formal request for an internal audit. |
APPROACHING COMPETENCE The analysis does not logically describe the process that an organization should use to respond to a formal audit request by an internal reviewer or does not explain the connection of the internal audit to coding claims, documentation, or provider claims. |
COMPETENT The analysis logically describes the process that an organization should use to respond to a formal audit request by an internal reviewer and explains the connection of the internal audit to coding claims, documentation, or provider claims. |
B2. EXTERNAL AUDIT:
|
NOT EVIDENT The analysis does not describe the process that an organization should use to respond to a formal request for an external audit. |
APPROACHING COMPETENCE The analysis does not logically describe the process that an organization should use to respond to a formal audit request by an external reviewer or does not explain the connection of the external audit to coding claims, documentation, or provider claims. |
COMPETENT The analysis logically describes the process that an organization should use to respond to a formal audit request by an external reviewer and explains the connection of the external audit to coding claims, documentation, or provider claims. |
B3. RESPONSE TO OVERPAYMENT:
|
NOT EVIDENT The analysis does not explain how an organization should respond to audit results that show a coding practice that resulted in overpayment. |
APPROACHING COMPETENCE The analysis provides an illogical explanation of how an organization should respond to audit results that show a coding practice that resulted in overpayment. |
COMPETENT The analysis provides a logical explanation of how an organization should respond to audit results that show a coding practice that resulted in overpayment. |
C. APA SOURCES:
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NOT EVIDENT The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized. |
APPROACHING COMPETENCE The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style. |
COMPETENT The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style. |
PROFESSIONAL COMMUNICATION:
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NOT EVIDENT Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic. |
APPROACHING COMPETENCE Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective. |
COMPETENT Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding. |
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