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Submitted by jacee2 on Sat, 2013-08-31 17:12
due on Wed, 2013-09-04 17:08
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HEALTH CARE POLICY, LAW AND ETHICS FOR JAN V

Assignment 5: Dealing with Fraud
 
 
As a Chief Nursing Officer, you are responsible for one of the state’s largest Obstetric Health Care Centers. You have received word of some fraudulent behaviors in the center.
 
Write an eight to twelve (8-12) page paper in which you:
  1. Evaluate how the Healthcare Qui Tam affects health care organizations.
  2. Provide four (4) examples of Qui Tam cases that exist in a variety of health care organizations.
  3. Devise a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals.
  4. Recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth. 
  5. Devise a plan to protect patient information that complies with all necessary laws. 
  6. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.
Your assignment must follow these formatting requirements:
  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. 
The specific course learning outcomes associated with this assignment are:
  • Examine how the health care system treats issues of reproduction and birth.
  • Identify best practices in health information management. 
  • Use technology and information resources to research issues in health care policy, law, and ethics.
  • Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics
Answer
Submitted by Jan V on Sun, 2013-09-08 12:02
teacher rated 161 times
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Health care - Law, Ethics and Policy

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Title of the xxxxxxxxxxx

xxxxxxx’s xxxxx

Professor’s name:

xxxxxx Title:

xxxxx

x

xxxxxxxxxxxx x What xx xxx Tam?

xxx xxx lawsuits are one type of suits which has helped unearth many xxxxxx with the help xx xxx common xxxxxxx This xx xx xxx premise that public's xxxxxxxx is indeed a xxxxxxxxxxxx xxxxxxxxx xxxxxxxx xx the nation xxxx a right to file x xxxx against x company on behalf xx xxx government if xxxx are aware of a xxxxxxxxx fraud. xxxx citizens xxx commonly xxxxx as "Whistleblowers".

xxxxxx of xxxxxxxxxx Qui xxx xx xxxxxxxxxx xxxxxxxxxxxxxx

Whistleblowers help xxx government stop many kinds xx fraud - Medicare and Medicaid xxxxxx defense contractor fraud and xxxxxxxx xxxxx types of frauds that impact xxx government xxxxxxxxxxx xxxxxxx xxxxxxx recover xxxxxxxx that have been xxxxxx from xxx U.S. Treasury xxx xxxxxxxxxx

xxxxx xxx False Claims Act, xxx citizen xxx sue xx xxxxxxxxxx xx a business defrauding the government and make xxxxxxxxxx on behalf xx the

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Answer
Submitted by HappyFace on Sun, 2013-09-01 07:15
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Answer

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xx x qui xxx action, an individual who has evidence that xxxxxxx person or company xxx committed fraud xxxxxxx xxx xxxxxxxxxx can xxxx a xxxxx on behalf of the xxxxxxxxxxx as xxxx xx himself.   In xxxxxxxxxxxx xxx xxx xxxx xxx xxxxxx of xxxxxx x qui tam case, the citizen known xx the “whistleblower” xx xxxxxxxxx xx xxxxxxxx to a portion xx the xxxxx xxxxxxxxxx xxxxx is typically between xx and 30 xxxxxxx (depending xx the xxxxx of xxxxxxxxxxx xxxx the xxxxxxxxxxxx
xxx xxx xxxxxxx in the United States xxxxx xxx xxxxxxx xxx xx the 
False xxxxxx xxxx 31 U.S.C. § xxxxxxxxxx which xxxxxxxxxx xxx the abilities,   protections, and xxxxxxxxxxx of xxx actions.   The False claims act xx xxxxxxxxxxx xxx federal law that xxxxxx a xxxxxx xx file a qui tam,
xxxxx xx known xx xxxxxxxxxxxxxxx   xxx xxx functions xx x tool xxx preventing fraudulent xxxxxxxx xx xxx xxxxxxx government, xx incentivizing xxx employees xx companies xx xxxxxx such activity.
The False Claims Act xxxx xxxxxxx xxx is

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