You are a healthcare executive of a large hospital, serving as director of health information. You have been advised that there are serious concerns regarding the competence of the facility’s billing and coding staff. To address these concerns, you will develop an action plan. Please complete your action plan as indicated below in Parts 1- 3.
Part 1 Instructions
Evaluate at least three (3) types of abuse or fraud that may occur during the course of medical coding and billing activities. Determine at least three (3) organizational policies and procedures that monitor such activities and critique the effectiveness of each policy/procedure.
Based upon the trends of abuse or fraud that you identified in Part 1, develop both a new employee orientation program and an ongoing training program for medical billing and coding employees. Design outlines of each training program and construct the learning activities involved. You should also indicate a leadership approach that you would use in the implementation of the programs.
Part 3 Instructions
Develop a plan to evaluate the training programs at “time of launch” and again at periodic times over the next two (2) years. Describe the methods used to evaluate the effectiveness of each training program.
An information asset is a body of information that is defined and managed as a standalone, single unit that can be shared and exploited to the organization’s benefit. It is referred to as an asset because it has financial value to the organization. Enterprise- wide information assets that are common to large health care organizations include billing systems, EHR/EMR, master patient index, clinical automation systems, patient portals, personal health records, telemedicine, health information exchange (HIE), clinical applications (lab, pharmacy), etc.
The enterprise data warehouse (EDW) is a repository of high value data from different information assets and corporate systems/applications. The data contained in an EDW can be integrated for many strategic uses across the enterprise. Strategic objectives might include activities and initiatives designed to improve quality, safety, cost, productivity, etc.
To complete Part 4, conduct research into the topic of data warehousing in health care organizations and then answer the following:
List the benefits of an EDW to a health care organization.
Prepare a strategic objective and explain how it could be facilitated through use of a data warehouse.
Select two (2) information assets from the list above. Through a data warehouse, analyze and demonstrate how data from those two assets could be used to accomplish the identified strategic objective.
Likewise, in British India the need to secure stability and bring in profitability was the need of the hour where, though the decision was to rule and legally arbitrate its Empire by India’s own laws and customs but the legal framework was more institutionalized. “Law making was a cultural enterprise in which the colonial state reshaped the native rule, rank, status and gender to a different political economy with a more exclusive definition of sovereign right” and certain aspects of its claim to legitimacy were expounded through the assertion of a difference from past regimes as these were characterised as arbitrary despotisms while company governance, though authoritarian – was said to be bound by law. The Company’s judicial reforms of 1772 brings forth the novel conceptions of sovereign right as it was widely believed that a regular system of law was absent during the Mughal rule and the reforms of 1772 established Faujdari Adalats in each district which was supposed to bring in consistency in judicial proceedings. “The critique of the Mughal rule characterised the company’s judicial measures as the first step in a liberal progression towards reason, humanity and natural justice.” The company officials were of the opinion that oriental despotism had gripped the subcontinent during the Mughal rule and though, according to Adam Smith, Ancient Indian civilisation were at a higher pedestal in terms of civilisation, economically it needed a modern framework, in short, the British framework and that could only be achieved if a stable and consistent legal framework was established. British style courts were introduced along with a system that combined English common law with Hindu and Muslim jurisprudence, providing a legislative basis for the prosecution of Indians. There was a need to delineate criminal and civil proceedings and to form judicial courts of Sadr Nizamat Adalat and Sadr Diwani Adalat respectively. “It was widely viewed by the colonial government that individual cases of homicide seldom received a death penalty from Indian rulers and chiefs” thus, there was inconsistency as well as limit in the ways punishment was meted out in Islamic law. The 1772 reform established faujdari adalats in each district which was supposed to bring in consistency in judicial proceedings. Though, officials of an orientalist inclination such as Hastings, had argued that it was the natural right of Indians to be ruled by the laws and customs with which they were familiar and that these laws were not antithetical to reason, humanity and natural justice but when certain presumptions of British justice such as the right of habeas corpus, or individual liability to the law had to be kept at bay or qualified, then cultural particularity was invoked with a different inflection, to stress that India stood on a lower rung of the civilizational ladder than England. In terms of debates around a perm>GET ANSWER