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Assignment:
1. Evaluate the legal risks and consequences that can arise for failing to comply with the laws that govern fraud and abuse. Evaluate one of the following laws.
2. Evaluate one element of the HHS OIG compliance protocol elements from the list below. For the selected element, assess the type of risk it will mitigate, and how you would use the element.
How would a comprehensive compliance program that adopts the entire HHS OIG protocol limit fraud and abuse risk? How would a comprehensive compliance program prevent the problems in The Tracks We Leave, 10 Failed Hospital Merger: Richland River Valley Healthcare System? Be specific and demonstrate understanding of the risks and how the compliance tool can be used specifically to control the risks.
Part 2: Strategic Compliance with the Law
You are an administrator in a very busy clinic in the same managed care organization (MCO) as the local hospital. Five of your providers (Dollar Docs) have office space in the hospital where they enjoy free rent from the hospital. This makes it easy for the providers to send their patients to the hospital for additional needed services. The Dollar Docs also regularly refer to a nearby home health agency including five agencies they own.
Discuss the potential legal issues (both contract and torn) that may arise in this fact pattern. Indicate whether there is any further information
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