Healthcare Compliance Plans

The first step of your assignment this module is to choose two compliance plans from the list of compliance violation areas below (already chosen for you)

  1. Nurse charges for Diabetes Management Education as a Physician Visit.
  2. Medical staff members are not aware that the application of an initial cast for a broken limb should be included in the cost of the visit. Instead, they are charging extra for the application of this initial cast.

After you choose two areas (only two!), write a paragraph about each one to present to your faculty member. In each paragraph, explain why you believe the chosen area represents key issues in compliance and why you want to develop a compliance plan for this area.

Expert Solution Preview

Introduction: In the field of medicine, compliance with laws, regulations, and ethical standards is crucial to providing patients with safe and effective care. As a medical professor, it is important to train future healthcare professionals in compliance issues so that they can provide high-quality care while avoiding violations. In this assignment, students are asked to choose two compliance plans and explain why they believe these areas represent key issues in compliance.

Answer: One of the compliance violation areas that I have chosen is “Nurse charges for Diabetes Management Education as a Physician Visit.” This represents a key issue in compliance because it involves billing for services that are not actually provided by a physician. Nurses can provide valuable education and guidance to patients with diabetes, but they cannot bill for their services at the same rate as a physician. Charging for nurse-led services as physician visits could result in a violation of the False Claims Act. Developing a compliance plan for this area is important to ensure that patients are receiving the care they need without incurring unnecessary costs and to avoid legal penalties for the healthcare organization.

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