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Assignment:
Clinical Documentation Integrity and Coding Compliance
For each of the following questions, you must justify your answers and use references (preferably your textbook and peer-reviewed articles) to support them. Websites, such as Wikipedia, newsletters, or blogs, are not acceptable. You have been asked, as a consultant, by the chief compliance officer of a multi-facility health system to assist in evaluating the organization's current enterprise-wide coding compliance plan for facility coding. The system has undergone many changes in recent years, including acquisitions of hospitals and the implementation of a clinical documentation integrity program. In evaluating and recommending processes for compliance with laws and standards related to coding and revenue cycle, address the following questions.
1. Who would you need to involve in the evaluation process and why?
2. What resources would you recommend investigating and why? Justify your answers.
3. What elements would you recommend to the chief compliance officer to be included in the overall compliance plan and in a more specific coding compliance plan? (discuss at least five elements.)
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