You lead a multi-disciplinary team that deals with compliance issues for GoodHealth, Inc., a large healthcare provider that owns four hospitals. Your team did some investigating, including internal audits and confidential interviews, and they found the following:
(1) One of the facilities rents imagining equipment from staff radiologists and that equipment is located in the radiologists’ private, off-campus office;
(2) medical staff have been offered bonuses for increasing admissions and referrals;
(3) there are medical coding errors going five years back that represent millions of dollars of overcharges;
(4) medical errors are not being consistently reported; and,
(5) physician peer review for medical errors is not taking place in a consistent or timely manner.
Your team has concluded that it is in the best interest of GoodHealth, Inc. to self-report to the OIG. The team must prepare a paper and presentation for the CEO. The CEO will submit the paper to the Board of Directors. Be creative. How should this be approached?
Start with these articles on Corporate Responsibility and Healthcare:
• https://oig.hhs.gov/fraud/docs/complianceguidance/040203corpresprsceguide.pdf
Here are some suggestions for the team to consider.
• What sort of penalties can be imposed by the OIG to address (1) through (5) above?
• Have the Directors breached any legal duty?
• Should the organization self-report?
Your paper will not be more than 3 pages in length, single-spaced using a Times New Roman 12-point font. Do not include an abstract or title page. Your paper will be an argumentative research paper. You can use this resource to create an outline and organize your paper: https://owl.english.purdue.edu/owl/resource/724/01/
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