Healthcare Reimbursement Methodologies
Assignment Instructions
Write a three- to four-page paper in APA format that addresses the following topics in a cohesive manner:
· How you will develop a coding audit plan (frequency and percentage of charts)?
· How you will use the OIG work plan and other resources available to prepare and update your audit plan?
· What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan?
· Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.
Grading Rubric
Assignment 1: Compliance and Leadership
Points
In a cohesive manner addresses the question: How you will develop a coding audit plan (frequency and percentage of charts)?
25
In a cohesive manner addresses the question: How you will use the OIG work plan and other resources available to prepare and update your audit plan?
25
In a cohesive manner addresses the question: What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan?
25
In a cohesive manner addresses the question: Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.
25
Total
100 points
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