Identify potential abuse or fraudulent trends

Reference no: EM131921733

Assignment

Instructions: Complete Whistleblower case study (5.18) in "HIM Case Studies" by Diana Foley. This case study is located in domain V, page 247.

Whistleblower

Subdomain V.C.

Identify potential abuse or fraudulent trends through data analysis

Subdomain V.A.1

Appraise current laws and standards related to health information initiatives

As an inpatient coder, you have been instructed by your coding supervisor to code all debridements as excisional. You are not comfortable with this practice, and tried to discuss it with her, but she stated that you were to follow her instructions and not issue queries. You went to the HIM director who only half-listened to your concerns, saying that the coding supervisor must have a good reason for the instruction. The other coders are following her instructions without question.

You are reluctant to get into trouble for not following the instructions and equally worried that the coding supervisor will retaliate against you in some manner if you report this practice.

a. Appraise the impact of the False Claims Act as it relates to this situation. (can be answered in either a minimum of 5 bullets or paragraph format. Either will suffice.)

b. Assess your options in this situation. (paragraph minimum)
Number of Pages: 1 Page.

Reference no: EM131921733

Questions Cloud

What is your maximum possible loss using protective put : What is your maximum possible loss using the protective put? What is the maximum possible loss you could experience using the straddle?

What proceeds does scott receive : What proceeds does Scott receive?

What is the percentage of female who are right-handed : What is the percentage of male who are right-handed? and what is the percentage of female who are right-handed? Summarize the relationship between gender.

Most companies use target percentages for debt-common equity : Most companies use "target" percentages for debt, common equity and preferred equity in their capital structure.

Identify potential abuse or fraudulent trends : Identify potential abuse or fraudulent trends through data analysis. Appraise current laws and standards related to health information initiatives.

Identify at what range of production quantity is best : A producer of pottery is considering the addition of a new plant to absorb the backlog of demand that now exists.

How a hacker might go about cracking a message encrypted : INFA640 - Cryptography and Data Protection - Describe how a hacker might go about cracking a message encrypted with each type of algorithm

Describe plantation slavery as an institution of brutality : Describe plantation slavery as an institution of brutality and also as an economic system. Finally, describe the "Fatal Triangle" or Atlantic system of slave.

Annual cash dividend policy : King Waterbeds has an annual cash dividend policy that raises the dividend each year by 66%. What is the? stock's price if

User Account

All Pages