Dealing with Fraud

Dealing with Fraud

As a Chief Nursing Officer, you are responsible for one of the state’s largest Obstetric Health Care Centers. You have received word of some fraudulent behaviors in the center. Write an eight to twelve (8-12) page paper in which you:

1.Evaluate how the Healthcare Qui Tam affects health care organizations. 2.Provide four (4) examples of Qui Tam cases that exist in a variety of health care organizations. 3.Devise a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals. 4.Recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth. 5.Devise a plan to protect patient information that complies with all necessary laws. 6.Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.

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