Strategic Training of the Healthcare Workforce on Policies, Procedures, and Regulation

Unit 9 assignment
Strategic training of the health care workforce on policies, procedures, and regulation
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Unit 9 assignment
Executive summary
Health care fraud and abuse in medical coding and billing activities have drained the
entire health care system. Basically, medical billing and coding mainly raise due to increased
billing frauds and abuses which led to improper reimbursements. Fraud refers to the entire
deception which results due to unauthorized payment. In most cases, medical billing activity
tends to be unintentional. This report describes the action plan whereby different parts have
been discussed to illustrate health care fraud and abuse in medical coding and billing
practices.

Unit 9 assignment
Table of Contents
Introduction 1
Policies and procedures to monitor abuse or fraudulent trends in healthcare2
Implementation staff orientation and training programs in the healthcare. 3
Evaluating the initial and ongoing training program in the healthcare. 4
Enterprise-wide information assets to support organizational strategies and objectives... 5
conclusion 6

Unit 9 assignment
1. Introduction.
Training workplace healthcare strategies are important for development of hospitals.
It describes policies, regulations and procedures needed in the hospital. The report addresses
different concepts regarding the training workplace strategies in the hospital. These strategies
are categorised on the following formats in the report. The mentioned parts provides a report
from the hospital
Policies and procedures to monitor abuse or fraudulent trends in healthcare.
Implementation staff orientation and training programs for healthcare.
Evaluating the initial and ongoing training programs in the healthcare environment.
Enterprise-wide information assets to support organizational strategies and objectives.
2. Policies and procedures to monitor abuse or fraudulent trends in healthcare.
The hospital needs to come up with apt procedures that will focus to reduce health
fraud or abuses (Srinivasan & Arunasalam, 2013).These strategies should conform to the
principles of the code of conduct in medical coding and billing for services in the hospital.
These policies include;
Using setting standards in health centres. These standards will decrease these frauds in the
hospital and reporting any fraud. Patients are requested to report any fraudulent action
experienced in the hospital. Also, coming up with rules and regulations that will focus to
restrict medical coding and billings in the hospital (Kongstvedt, 2012).Departments
responsible for patients in hospitals should ensure all necessary information and documents
relating to patients in the hospital are clearly presented.