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Healthcare Regulatory Compliance and Accreditation APA Style Question

Part 1

Discussion Prompt 1-3 Paragraphs

Complete your Week 7 required discussion prompt.

After you read the assigned chapters and complete the interactive lesson and compliance officer scenario for this week, address the following:

After your external audit, the audit report reveals a deficiency for a claim that was deemed not medically necessary. Explain how you would identify and implement corrective methodologies to improve processes and fix this deficiency. Will you need to update your compliance plans? Why or why not?

Be sure to correctly cite and reference your responses.

Part 2 (Please Separate this part to a different Word Document)

Week 7 Assignment: Hospital Deficiencies Paper

Objective: To understand hospital deficiencies and compliance issues

Instructions:

After reading this week’s chapters and the assigned article, prepare a signature assignment on hospital deficiencies. Access the Hospitals page of the Centers for Medicare and Medicaid Services:

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/Hospitals.html.

Scroll down to Related Links and review the available reports.

Create and submit a two- to four-page paper on hospital deficiencies. From the Suggested Deficiencies links provided below, or any updated links listed under Related Links on the CMS site, choose a hospital organization that was out of compliance for something.

Suggested Deficiencies

Full Text Statements of Deficiencies Hospital Surveys—2019Q1
Full Text Statements of Deficiencies Transplant Surveys—2019Q1
Hospitals
Quality, Safety & Oversight—Enforcement
Emergency Medical Treatment & Labor Act (EMTALA)

Be sure to address the following issues in your paper:

• What organization oversees this hospital?
• Write a paragraph explaining why the hospital was tagged with deficiencies.
• Develop an effective compliance plan for this issue to include the components of an effective plan and steps back to compliance.
• Add a summary or conclusion.
• Use in-text citations and add a corresponding reference list.