Assignment: Introduction To Components of An Effective Compliance Program

Guidelines for the development of an effective compliance program are provided by the Federal Register, the Office of the Inspector General and the Centers for Medicare and Medicaid Services, along with other health agencies. All healthcare providers must obey the laws. Staff members are protected as well as patients when an effective compliance program is developed and put in placeThere are a number of levels of laws, rules, and regulations that must be followed in the delivery of health care services.

Objectives

To successfully complete this learning unit, you will be expected to:

Identify the major functions of the compliance officer.
Describe the importance of each component.
Explain the factors involved in designing an effective program.
Name the elements listed by the Federal Sentencing Guidelines relating to compliance programs.
Determine the actions involved in performing due diligence.
Discern between a law, a regulation, and a policy.

Readings

Please use the assigned textbook to read the following section:

Chapter 3: Components Of An Effective Compliance Program

Discussion

Answer the following questions:

List and discuss the essential elements of a compliance program

Go to (http://www.cms/hhs/gov) and find the Conditions of Participation (CoP). Read them and discuss the standards listed.

Case Study Assignment

Please read the following case study:

Case study on page 39 of your textbook. (This is the first case study in the chapter and is titled "Chapter Case Study." It starts with: "May 15, 2006: In Florida, Lincare Holdings, Inc. &Lincare, Inc. (Lincare) agreed to pay . . .")

Provide an explanation for the choice you made. Your paper must address the following:

Address problem of the case decision.
A thorough analysis including resources.
Detailed comprehensive realistic recommendation.
Supplements with extensive compelling evidence from legitimate sources.
Sources cited correctly in the body of the case and reference page.

Pg. 39

Chapter Case Study

"May 15, 2006: In Florida, Lincare Holdings, Inc. &Lincare, Inc.(Lincare)agreed to pay $10 million and enter into a 5 year integrity agreement to resolve it liability under th Anti-Kickback Statue provision of the CMPL and the Stark Law. The OIG alleged that Lincare offered and paid remuneration to potential and existing referral sources to induce referral of patients to Lincare for the furnishing of durable medical equipment. The remuneration included sporting and entertainment event tickets, gift certificates, rounds of golf, golf equipment, fishing trips, meals, advertising expenses, office equipment, and medical equipment, as well as payment pursuant to purported consulting agreements." (http://www.oig.hhs.gov)

Case Study Presentation Outline

Undertake your term project of Case Study Presentation by going to the U.S. Dept of Health and Human Services (https://oig.hhs.gov/) Select a case that is appropriate to the context of our study in this course/textbook, and download that case for your review and analysis. The outline should include the following:

Organization - Clear plan and direction

Content - Information that supports a central purpose or argument

Use of References - Cite your references
Quality of References - Reliable references
Mechanics - Make sure correct grammar, punctuation and spelling are evident

Prepare an outline summary form of your analysis of the selected case. In the upcoming weeks, you will take your outline and prepare a final presentation using Youtube. The outline is simply a "plan" for the content of the presentation.

Attachment:- Lecture_Notes.pdf