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Module 02 Content
Now that you’ve chosen two compliance plans, you can better un
Module 02 Content
Now that you’ve chosen two compliance plans, you can better understand the role of Compliance Officer and similar positions. You are developing two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer.
To help you understand the concept of compliance, use the Internet to locate 2-3 positions for Compliance Officer, Quality Improvement Manager, or related positions. Use this information to create a consolidated job description. Be sure to include requirements such as Education, Professional Experience, and Responsibilities of the position.
Then, write a 2-3 page summary of an Overview of Compliance Plans. In your overview, state the purpose of your two compliance plans for your company and how they relate to the proposed job description. In terms that every employee will grasp, explain how all employees would benefit by supporting the key elements in every compliance plan – compliance standards, high-level responsibility (for each employee), education (about compliance), communication, monitoring/auditing, enforcement/discipline, and response/prevention.
Support your job description and overview with at least three research sources outside of your required reading. You should have a total of at least five sources, including the two from Module 01. Citations in APA format should be listed in a References Page at the end.
REFERENCES
Compliance Officer in Action
Check a video website like YouTube for further insights through video into the world of compliance officers in health regulation and compliance.
Search for words like “Compliance Officer” or “Compliance Officer Hospital,” or “Chief Compliance Officer,” to find relevant video examples.
Internal Auditing
Many healthcare organizations as well as other types of businesses use internal auditing as a tool to make sure that processes are being done correctly. This process is often led by the Compliance Officer, or a comparable position within the organization.
Internal Auditing is when the organization uses its own staff to review the work of others. This function acknowledges that there can be weaknesses in the organization that could allow for fraud, abuse, or even embezzlement. Most internal auditing has been focused on revenue issues. Are the persons billed being paid correctly, or has the vendor been verified or certified? Do any unusual patterns show up?
Another aspect of internal auditing is that it can be a function of compliance. Internal auditing helps to make sure that the rules and regulations of the organization are being followed. For example: employees must be aware of certain rules in regards to billing. This function could be audited by testing employees on these rules. Those who do not pass the test will be provided additional training and retesting. Failure to pass the test after a certain number of tries could result in termination.
Internal auditing can also be used to review the organization prior to certification or accreditation. This gives the organization an opportunity to review itself and make adjustments before the certification or accreditation process.
Some of the goals of internal regulatory groups include:
Examine and evaluate the effectiveness of systems of internal controls.
Identify opportunities to reduce cost.
Review the integrity and reliability of financial information.
Review operations or programs to ascertain whether results are consistent with established objectives.
Identify opportunities for reducing costs, improving processes, or enhancing the organization’s reputation.
Review the reliability and integrity of financial and operating information and the means used to identify measure, classify, and report such information.
Review operations or programs to ascertain whether results are consistent with established objectives.
Verify that resources are acquired economically, used efficiently, accounted for accurately, and protected adequately.
Review operations or programs to ascertain whether results are consistent with established objectives.
Conduct investigations of suspected fraudulent activities in conjunction with other resources.
Facilitate and coordinating external audits.
Evaluate emerging audit trends and implementing best practices.
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