Communication And Reporting Mechanisms In Compliance

Select a healthcare facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility).

1. Create an outline for a policies and procedures manual appropriate to the facility you select.

Include the following sections in your outline, what are the sub-sections?

Organizational structure
Compliance reporting structure
Code of conduct
Risk analysis
Medical necessity
Billing
Compliance with federal regulation
Marketing
Retention of records
Compliance as an element of performance appraisal
Violations
2. Write a brief description of each policy and procedure outlined.

Include the following components for each policy/procedure brief you write:

Policy number (fictional)
Effective and revised dates (fictional)
Policy title
Purpose statement
List of statutes, regulations, state board policies, executive orders, or other relevant authorities governing the policy
To whom or what does the policy apply
Policy statement
Procedure steps
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

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