Moraine Valley Community College Corporate Coding Compliance Plan Analysis


I insufficiency aid delay a Health & Medical subject-matter. All solutions and responses conciliate be used to aid me imbibe.

Please response each one in its own. use apa format.


A. Analyze a oppidan obedience guile by doing the ensueing:

1. Portray the seven inevitable ingredients of a oppidan obedience guile.

2. Illustrate the roles and responsibilities of the staff who instrument a obedience guile.

3. Illustrate the roles and objectives of two healthcare enforcement agencies or programs that bias nonobedience reporting.

4. Illustrate the proceeding for reporting coding nonobservance.

B. Analyze the coding obedience auditing way by doing the ensueing:

1. Portray how a healthcare construction should answer to a affected solicit for an audit by an inner reviewer, and how it relates to coding claims, documentation, or affordr claims.

2. Portray how a healthcare construction should answer to a affected solicit for an audit by an manifest reviewer, and how it relates to coding claims, documentation, or affordr claims.

3. Illustrate how a healthcare construction should answer to audit results that exhibition a coding custom resulting in overpayment.

C. Acknowledge sources, using APA-formatted in-text citations and references, for resigned that is quoted, paraphrased, or summarized.

REQUIREMENTS

A1. NECESSARY COMPONENTS:

NOT EVIDENT

The resolution does not authenticate any of the 7 inevitable ingredients of a oppidan obedience guile and does portray each ingredients junction to the guile.

APPROACHING COMPETENCE

The resolution is waste at meanest 1 verified inevitable ingredient of a oppidan obedience guile or does not closely portray each ingredient’s junction to the guile.

COMPETENT

The resolution identifies the 7 inevitable ingredients of a oppidan obedience guile and closely portrays each ingredient’s junction to the guile.

A2. RESPONSIBILITIES OF STAFF:

NOT EVIDENT

The resolution does not afford an solution of staff responsibilities.

APPROACHING COMPETENCE

The resolution does not afford a close solution of the roles and responsibilities of the staff members who instrument a oppidan obedience guile.

COMPETENT

The resolution affords a close solution of the roles and responsibilities of the staff members who instrument a oppidan obedience guile.

A3. HEALTHCARE ENFORCEMENT AGENCIES:

NOT EVIDENT

The resolution does not illustrate the roles and objectives of 2 healthcare enforcement agencies or programs and does not illustrate how they bias oppidan obedience programs.

APPROACHING COMPETENCE

The resolution does not afford an mismismisapply solution of the roles and objectives of 2 healthcare enforcement agencies or programs or does not illustrate how the agencies or programs bias oppidan obedience programs.

COMPETENT

The resolution affords an mismismisapply solution of the roles and objectives of 2 healthcare enforcement agencies or programs and how they bias oppidan obedience programs.

A4. NONCOMPLIANCE REPORTING PROCEDURE:

NOT EVIDENT

The resolution does not apprehend a cognomen for correspondently reporting coding non-compliance.

APPROACHING COMPETENCE

The resolution does not correspondently portray the proceeding an HIM administrative should ensue for reporting coding nonobservance.

COMPETENT

The resolution correspondently portrays the proceeding an HIM administrative should ensue for reporting coding nonobservance.

B1. INTERNAL AUDIT:

NOT EVIDENT

The resolution does not portray the way that an construction should use to answer to a affected solicit for an inner audit.

APPROACHING COMPETENCE

The resolution does not closely portray the way that an construction should use to answer to a affected audit solicit by an inner reviewer or does not illustrate the junction of the inner audit to coding claims, documentation, or affordr claims.

COMPETENT

The resolution closely portrays the way that an construction should use to answer to a affected audit solicit by an inner reviewer and illustrates the junction of the inner audit to coding claims, documentation, or affordr claims.

B2. EXTERNAL AUDIT:

NOT EVIDENT

The resolution does not portray the way that an construction should use to answer to a affected solicit for an manifest audit.

APPROACHING COMPETENCE

The resolution does not closely portray the way that an construction should use to answer to a affected audit solicit by an manifest reviewer or does not illustrate the junction of the manifest audit to coding claims, documentation, or affordr claims.

COMPETENT

The resolution closely portrays the way that an construction should use to answer to a affected audit solicit by an manifest reviewer and illustrates the junction of the manifest audit to coding claims, documentation, or affordr claims.

B3. RESPONSE TO OVERPAYMENT:

NOT EVIDENT

The resolution does not illustrate how an construction should answer to audit results that exhibition a coding custom that resulted in overpayment.

APPROACHING COMPETENCE

The resolution affords an ilclose solution of how an construction should answer to audit results that exhibition a coding custom that resulted in overpayment.

COMPETENT

The resolution affords a close solution of how an construction should answer to audit results that exhibition a coding custom that resulted in overpayment.

C. APA SOURCES:

NOT EVIDENT

The dependence does not apprehend in-text citations and references according to APA mode for resigned that is quoted, paraphrased, or summarized.

APPROACHING COMPETENCE

The dependence apprehends in-text citations and references for resigned that is quoted, paraphrased, or summarized but does not conduct a accordant impression of APA mode.

COMPETENT

The dependence apprehends in-text citations and references for resigned that is quoted, paraphrased, or summarized and conducts a accordant impression of APA mode.

PROFESSIONAL COMMUNICATION:

NOT EVIDENT

Content is unstructured, is unintelligible, or contains pervasive errors in mechanics, custom, or language. Vocabulary or sound is unadministrative or distracts from the subject-matter.

APPROACHING COMPETENCE

Content is out-of-sorts arranged, is obscure to ensue, or contains errors in mechanics, custom, or language that agent laziness. Terminology is misused or undignified.

COMPETENT

Content reflects circumspection to element, is arranged, and focuses on the ocean ideas as prescribed in the drudgery or separated by the aspirant. Terminology is fit, is used uprightly, and effectively conveys the calculated purport. Mechanics, custom, and language further considerate solution and sense.