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Reporting Practices and Ethics Paper

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Reporting Practices and Ethics Paper
Mandy L Gutting
HCS/405
02/09/2015
University of Phoenix

Abstract

All health care organizations must comply with their state and federal standards when treating their patients. All elements of an organization plays their part to ensure that the reporting processes and ethical standards are in place. Standing alone, will commit errors, breaches of HIPAA, and fraud and abuse. Every day, health care organizations are faced with financial practices and ethical standards. Each organization has their own set of practices that they use and it is the employee’s duty to follow them. Below are some examples of practices and ethical standards in medical organizations.

Reporting Practices and Ethics Paper

Health Care fraud Schemes Most health care providers are honest and put their career at its best. While all this sounds humble, no one expects anything bad to happen to them. Between Medicare and Medicare, in 2010, the expenditures reached $2.6 trillion. Many providers can say they did a group therapy on a dementia patient when it did not occur. It is estimated by 2015-2021, the annual rate will grow at 6.2 percent. There are 10 common fraud schemes which are (1) billing for services not rendered, (2) Billing for a non-covered service as a covered service, (3) Misrepresenting dates of service, (4) Misrepresenting locations of service, (5) Misrepresenting provider of service, (6) Waiving of deductibles and/or co-payments, (7) Incorrect reporting of diagnoses or procedures, (8) Overutilization of services, (9) corruption, and (10) False or unnecessary issuance of prescription drugs. (Piper C, 2013) The organization will need to set a task for accurate inflow and outflow. This will include the 4 elements of financial management. Planning; identifies the steps in order to get the

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