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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behavior based on the group’s decision regardless whether the individual knows it’s wrong. The factors the contribute to a personal judgment that leads to conformity are peer pressure and the social influence to fit in ("Module 11.4: Conformity‚ Compliance‚ and Obedience." n.d). For example‚ a person will more likely agree on the wrong answer in history class if the other students chose that answer as well. This is also another reason why election votes are held in private areas‚ so the person’s vote
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The U.S. Sentencing Commission (the “Commission) has amended the Federal Sentencing Guidelines for Organizations (“FSGO”) whereby an effective compliance and ethics program must “exercise due diligence to prevent‚ detect‚ and report criminal conduct and otherwise promote an organizational culture that encourages ethical conduct and a commitment to compliance with all applicable law." (2) The Commission noted there are seven minimum requirements of an effective ethics program: (1) Standards and
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Objective 310.2.3-08: Develop an ethics program for a company. Created Company Name: Blue Moose Management Consultants Welcome to our team. We are dedicated to providing our employees a pleasant work atmosphere helps to ensure excellent customer service and protection to our clients through Blue Moose Management Consultants (BMMC) You have been selected from a pool of other candidates because we believe you have the right attitude for success. In addition‚ we feel you will add value to our
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Ethics and Compliance Paper University of Phoenix Finance for Business/ FIN370 September 9‚ 2009 Wal-Mart is a global conglomerate of economically priced everyday household items housed in mega-stores in most major cities having Sams’ Wholesale membership only club and anchored by Wal-Mart.com. Wal-Mart employs over 2 million associates throughout the world with 1.4 million employed in the United States alone. Charitable giving is part of the initiative and expounds on the art of giving back
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MINICASE: MGMT - 01 BUSINESS ETHICS PROGRAM Family Business Topic: Compensation/Discrimination Characters: Jane‚ Manager‚ Payroll Department for R&S Electronic Service Company Brad‚ Owner of 1tdcS Electronic Service Company Eddie‚ General Manager Greg‚ Service Technician and Eddies brother Jane has just been hired as the head of the Payroll Department at R&S Electronics Service Company‚ a firm of 75 employees. She was hired by Eddie‚ the General Manager of the company‚ who informed
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HRM/531 Employment Law Compliance There are laws that each state has to follow in order to have a business established. The type of business that is being established depends on the laws that need to be followed. After listening to the video chat with Bradley Stonefield‚ it has been identified that his goal is to begin a limousine service business in Austin‚ Texas where he currently resides. Bradley would like to have a small business with 25 employees to get started. As time goes on and business
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Gaining Independence Many parents stand by in frustration wondering how they can help a challenged child develop new skills. The very first step to completing this task is ridding our minds of the word disabled. The dictionary defines disabled as an umbrella term for someone who is being incapacitated by illness or injury or in broad terms physically or mentally impaired. The biggest gift we can give our children is independence. Independence is freedom from dependency of us. That’s what every
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As we continue to build an effective Compliance Program‚ I’ve created a Compliance Matrix‚ which consists of the areas that we‚ as an organization‚ are required to comply with based on regulatory‚ state and industry mandates (see attached). I’m requesting leaders of each business unit to review the Compliance Matrix‚ and add any additional areas that you know‚ should be included. A cornerstone of an effective compliance program includes documented Policies & Procedures/SOP’s. The goal is to have
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Evaluating Compliance Strategies HCR/220 January 3‚ 2011 Fonzette Mixon Evaluating Compliance Strategies The compliance process is set up to ensure the maximum appropriate reimbursement for health care claims. Correct billing and coding are directly linked to correct documentation by a physician. Also‚ to complete documentation‚ linking the correct code to the correct diagnoses is a must. This step is vitally important in reducing compliance errors. Second‚ the implications of incorrect
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