variety of contradictory and competing approaches when deciding whether to comply with “industry norms”. De Wit and Meyer (2004)[i] refer to these scenarios as the “Paradox of Compliance and choice”. De Wit and Meyer (page 429‚ 2004) further state that where firms cannot influence the structure of their industry‚ compliance to the rules of the game is the strategic imperative. In such cases‚ the strategic demand is for managers to adapt the firm to the industry context. Where firms do have the ability
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approach for implementing HIPAA would help these different healthcare entities manage their compliance related activities better. The risk based model which is easily scalable would enable entities to perform risk assessment based on their operating landscape‚ while the checklist would allow all these entities to easily evaluate their compliance with HIPAA. For example‚ hospitals have to perform far more robust risk assessment when compared to that of health insurers or labs as they operate
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Evaluating Compliance in Coding By: Terry Valencia Axia College of University of Phoenix Billing and Coding compliance strategies protect physicians from financial risk and potential loss of revenues. Physicians must document fully the service they provide and put in force a plan that prevent or reduce coding errors. According to‚ “The Journal of the National Medical Association‚” there are 10 top billing concerns for physicians: Medicare billing (Part A and Part B) Mental health billing
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All rights reserved. Course Description This course reviews the U.S. legal system‚ common law and its development‚ organizational structures‚ and the regulatory environment pertinent to business. Students will learn to critically examine torts‚ crimes‚ and business ethics. They will also examine contracts; business associations including agencies‚ partnerships‚ and corporations; wills‚ estates‚ trusts‚ and other legal entities; securities regulations; and investor protections. Policies
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Evaluating Compliance Strategies HCR/220 November 7‚ 2010 Evaluating Compliance Strategies This assignment will concentrate on medical billing‚ and compliance strategies‚ and the evaluation of these strategies. Many mistakes are made during the billing process‚ and some of the mistakes that are made could be caused by the strategies‚ and the processes themselves. In this essay I will offer a quick overview of the strategies‚ and an evaluation of these strategies. I will also offer my
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Course: Compliance‚ Ethics and Corporate Governance Date: October 7‚ 2013 Case Study Re: The continuous wave of financial scandals and whether regulators are often slow to respond by bringing enforcement actions against corporate wrong doers and so preventing widespread negative effects. Discuss the key reasons why this would occur and make recommendations to reduce the impact. Waves of corporate shenanigans continue to shadow the financial sectors despite the near cataclysmic collapse
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RISK MANAGEMENT INTRODUCTION 1. Risk is all around us‚ over the last few years we have become more sensituationive and perhaps a little more accustomed to the types of risk we face. For example the recent economic recession highlighted the risk of interdependence of economies of the world; the 26/11 terrorist attacks in Mumbai reinforced the risk associated with the open waterways into the financial capital of our country. 2. There is a growing recognition that the risk is more complex and
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Errors and Compliance in Coding The integrity of the request for payment rests on the accuracy and honesty of the coding and billing within a practice. Incorrect work could simply be an error‚ or it could represent a deliberate effort to obtain fraudulent payment. Medical billers and coders are responsible for ensuring that these errors are limited and promptly fixed. Among the most common causes of errors in coding and billing are truncated coding‚ up-coding or down-coding‚ and using an inappropriate
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Managing Diversity No two humans are alike. People are different not only in gender‚ culture‚ race‚ social and psychological characteristics but also in their perspectives and prejudices. Society had discriminated on these aspects for centuries. Women and minority groups were denied of their due rights. But not any more. Since 1960s‚ when federal legislation prohibited employment discrimination‚ minorities and female applicants have become the fastest-growing segment in the work force. Diversity
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Evaluating Compliance Strategies June 4‚ 2013 The compliance process is critical when it pertains to the billing and coding process. It is imperative for Medical Insurance Specialist to remain current on the patient’s participation in contract as well as the medical insurance policies‚ so there will not be any billing errors. Maintaining a communication with the payer will also prevent billing errors. Such regulations and laws are in place for to protect the patient’s financial state‚ prevent
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