Develop a policy to reduce the likelihood of facing liability for the False Claims, Anti-Kickback, and Stark laws (ALL THREE). To help you develop your policy, use a stakeholder approach. Using your perspectives I need to know what are the specific regulations for fraud prevention.
Compliance Officer/ Organization Administrator- How will this policy be monitored? Provide the stats about violations and penalties associated with violations.
Physician – What is your role in limiting self-referral or ancillary service abuse, or upcoding?
Lawyer – What are the legal implications of violations and reporting for the organization? How will the organization handle reported violations?
Develop a clear organizational policy to limit exposure for fraud and abuse. Once you have complete your policy submit below. This document is due in the dropbox on the last day of the module (see schedule details). Please cite all sources in APA format. You should have at least one source at minimum. Example Policy (Links to an external site.)
Based on the perspectives and examples you’ve researched, be sure you have included the following in your policy:
Definitions of the laws associated or critical verbiage within the document
Specific violations (or practices that are prohibited by this policy)
Exceptions (if applicable)
Monitoring practices (how will your organization be monitoring potential violations)
Potential violation consequences for the organization (fines, penalties, etc.)
Consequences for individuals violating the policy (suspensions, termination, etc.)
Violator statistics and penalties associated with each from previous litigation
Sources and in-text citations in APA format
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