Devise healthcare finance related fraud and compliance policies and accompanying procedures.

Adopting MedPro Group, Seven Fundamental Steps of a Compliance Plan, create a comprehensive plan that aligns with the following seven steps:

  • Element One: Implementing Written Policies, Procedures, and Standards of Conduct
    • Devise at least 3 healthcare finance related fraud and compliance policies and accompanying procedures. Your policies and procedures MUST… 
    • Explain legal requirements so that employees understand their obligations and how to conform their behavior to meet them
    • State your plans on how to encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation
    • Should be made easily available (identify in a written statement where and/or how one can access the above policies and procedure)
  • Element Two: Designating a Compliance Officer and Compliance Committee to Provide Program Oversight 
    • Note; this task was completed with your initial hiring as the new CFO. However, you are to develop a 1-2 page job description in order to seek a compliance officer that will report directly to you.
    • Develop the proposed overview of the Compliance Committee that will be chaired by the above compliance officer. Identify the proposed frequency of meetings (simple schedule over a calendar year) (the committee is expected to meet monthly), the preferred number of committee members and the various departments/areas that each member will represent, identify at least six purposes/responsibilities that the committee is expected to carry out and outline the proposed method of communication (during the scheduled monthly meetings and outside of scheduled meetings)
  • Element Three: Using Due Diligence in the Delegation of Authority
    • This task is completed, as you are the delegated person of authority that oversees the proposed healthcare finance, fraud, abuse and compliance program