This assignment will explore compliance issues with federal and state laws and regulations governing healthcare organizations, such as the Anti-Kickback Law, the False Claims Act, the Stark Law, credentialing, medical errors, and patient safety. It is important to understand healthcare compliance for the benefit of improving patient care. It is also important to promote adherence to applicable laws, payer healthcare requirements, and to protect the organization against fraud, waste, abuse, and other potential liabilities.

Instructions

Write a 2–3 page paper in which you:

1. Summarize one statute, one regulation, and one guidance document that impose compliance obligations on healthcare organizations.
2. Explain what healthcare organizations must do to comply with legal requirements.
3. Describe the standards for corporate compliance programs set forth in the OIG Compliance Guidance and the Federal Sentencing Guidelines.
4. In addition to the textbook, provide two sources to support your writing. Choose sources that are credible, relevant, and valid. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library, or review library guides.

Answer preview

This law prohibits exchanging valuable items to get a business referral of health care. For instance, a physician is prohibited from asking patients money to refer them to a medical service. In the United States, the center for Medicare and Medicaid services claims that kickbacks have led to corruption in health care decision making, unfair steering away patients from health care services, and offering unqualified health services (Stadhouders, Kruse, Tanke, Koolman, & Jeurissen, 2019). Possible penalties for violating the AKS is a jail term of up to five years in prison.

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