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Summary TASK TWO CORPORATE AND CODING COMPLIANCE..docx C807 Task 2 €“ Corporate and Coding Compliance C807 Healthcare Compliance Western Governors University A1. Each organization must take theses seven steps to ensure their employees remain compliant wi
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TASK TWO CORPORATE AND CODING COMPLIANCE..docx C807 Task 2 €“ Corporate and Coding Compliance C807 Healthcare Compliance Western Governors University A1. Each organization must take theses seven steps to ensure their employees remain compliant with policies and actions to take once the...
task two corporate and coding compliancedocx c807 task 2 €“ corporate and coding compliance c807 healthcare compliance western governors university a1 each organization must take theses se
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C807
Task 2 – Corporate and Coding Compliance
C807 Healthcare Compliance
Western Governors University
A1. Each organization must take theses seven steps to ensure their employees remain
compliant with policies and actions to take once they discover breaches to those policies.
1. First, the company must establish the standards and procedures they wish the
employees to follow. It should also be understood that during this step, these
procedures would aid in the prevention of unlawful activities.
2. Second, upper-level personnel should be assigned the responsibility to oversee
compliance within the standards and procedures. When it comes to rules, the best way
for them to be followed is from the direction of higher-level employees to hold
accountability.
3. Third, the company wants to ensure that the employees will not engage in illegal
activities. Therefore, background checks should be conducted to assist in filtering out
those individuals that would not comply with the standards and procedures the
company has created.
4. Fourth, once the standards and procedures have been detailed, distribution to the staff
is essential. After issuance, the company should take the necessary steps to ensure
their team fully understands the expectations.
5. Fifth, companies should establish a monitoring/auditing system to identify illegal
activities by their staff. External and internal audits should be performed, and a
reporting system where an employee could anonymously report another employee to
avoid retaliation.
, 6. Sixth, companies need to enforce appropriate disciplinary actions for specific
offenses.
7. Seventh, a company should continuously monitor its compliance program to look for
ways policies and standards can be quickly followed and understood. If necessary,
these policies could and should be adjusted.
A2. Four roles within an organization that directly involves maintaining the compliance
plan are the Compliance Officer, HIM Compliance Specialist, Inpatient Audit Consultant, and
The Compliance Officer is accountable for developing/maintaining the policies and
procedures of the compliance program. This role requires managing the daily operations of the
program. The compliance officer would also establish a system to track violations in the program
and work with other departments to develop training for all staff. The compliance officer is
responsible for reporting all violations and identifying areas of risk and ensuring guidance is
provided to avoid the risk in the future. In addition to the compliance committee, this role has the
authority to execute any necessary action to maintaining an effective compliance program.
The HIM Compliance Specialist is specific to the HIM Compliance program, and they
report to the compliance officer. This role oversees the effectiveness of the HIM Compliance
program, which involves developing training programs for all personnel. Regular audits specific
to coding/documentation accuracy are also a part of this role. The HIM Compliance Specialist
will review claim denials or rejection due to coding issues, then implement corrective action
plans where needed. Last, this role would also be on the compliance committee and have the
authority to recommend revisions to the compliance program.
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