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Case Study Questions On Human Resources Management Essay

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Human Resources Management – HCA 5163
Study Questions and Case Study Response
Healthcare Compliance

Concepts Understanding

1) What is the first step in developing a compliance program?
a. The first step in developing a compliance program is to determine what policies and procedures are most relevant for ones organizations.

2) Name three sources that might be useful in developing a compliance work program.
a. Federal Register Program Guidance
b. State and Federal Laws
c. CMS Website

3) What is the purpose of an OIG Advisory Opinion?
a. The OIG advisory opinion is provided in cases when an organization requests an opinion regarding fraud and abuse statutes as they relate to a specific situation. In general, organizations will request a determination of whether a specific arrangement, program, or relationship could constitute grounds for sanctions.

4) List the seven components or activities of a work plan recommended by the AHIA/HCCA?
a. Perform a risk assessment and determine the level of risk
b. Understand laws and regulations
c. Obtain and or establish policies for specific issues and areas
d. Educate on the policies and procedures and communicate awareness
e. Monitor Compliance with laws, regulations and policies
f. Audit the highest risk areas
g. Re-educate staff on regulations and issues identified in the audit

5) What areas should the compliance policies and procedures of a healthcare organization address?
a. Compliance programs should address the following:

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