Question

Taking into account the complexity of managing a health care organization, and the intricacies of fraud and abuse laws, how do we insure that a health care corporation does not get off track and end up running afoul of the law? Choose a particular health care organization that you are interested in (i.e., a hospital, nursing home, managed care organization, or whatever) and discuss what a governing board can do and what they can adopt that will help to avoid running afoul of the fraud and abuse laws. Write a memo, as the chief compliance officer of your health care organization, outlining a broad proposal, specific to your type of organization, suggesting to the Board of Governors an overall plan of compliance. Rather than just parroting any guidelines, try to tailor them to your organization and make it understandable to all the Board members, some of whom may not know much of healthcare business and billing practices.

Answer 1

• If we are taking any hospital or nursing homes, managed care. The every organisation contain some fraud and mistakes. So when we are involving the government board we can get benefit a little. Because in one of the other way they are increasing the bills to the patients.
• Respected of chief complaint officer , sir we are facing problems in our hospital so we would like to inform you that about our organisation and practice and financial budget. In that some laws and bills are not satisfactory by for the patient. So kindly we are bringing this complaint to your notice for better improvment in our organisation. Thank you sir.