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[Solved] DETERMINE POLICIES AND PROCEDURES TO MONITOR ABUSE OR FRAUDULENT TRENDS. Develop a plan to evaluate the training programs at “the time of launch” and again at periodic times over the next two (2) years.

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[Solved] DETERMINE POLICIES AND PROCEDURES TO MONITOR ABUSE OR FRAUDULENT TRENDS. Develop a plan to evaluate the training programs at “the time of launch” and again at periodic times over the next two (2) years.

DETERMINE POLICIES AND PROCEDURES TO MONITOR ABUSE OR FRAUDULENT TRENDS. Develop a plan to evaluate the training programs at “the time of launch” and again at periodic times over the next two (2) years. You are a healthcare executive of a large hospital, serving as director of health information. You have been advised that there are serious concerns regarding the competence of the facility’s billing and coding staff. To address these concerns, you will develop an action plan. Please complete your action plan as indicated below in Part 13. Part 1Competency AssessedDetermine policies and procedures to monitor abuse or fraudulent trendsInstructionsEvaluate at least three (3) types of abuse or fraud that may occur during the course of medical coding and billing activities. Determine at least three (3) organizational policies and procedures that monitor such activities and critique the effectiveness of each policy/procedure. Part 2Competency Assessed Create and implement staff orientation and training programsInstructionsBased upon the trends of abuse or fraud that you identified in Part 1, develop both a new employee orientation program and an ongoing training program for medical billing and coding employees. Design outlines of each training program and construct the learning activities involved. You should also indicate a leadership approach that you would use in the implementation of the programs. Part 3Competency AssessedEvaluate initial and ongoing training programsInstructionsDevelop a plan to evaluate the training programs at “the time of launch” and again at periodic times over the next two (2) years. Describe the methods used to evaluate the effectiveness of each training program. Part 4Competency AssessedFacilitate the use of enterprise-wide information assets to support organizational strategies and objectivesBackgroundAn information asset is a body of information that is defined and managed as a standalone, single unit that can be shared and exploited to the organization’s benefit. It is referred to as an asset because it has financial value to the organization. Enterprisewide information assets that are common to large healthcare organizations include billing systems, EHR/EMR, master patient index, clinical automation systems, patient portals, personal health records, telemedicine, health information exchange (HIE), clinical applications (lab, pharmacy), etc. The enterprise data warehouse (EDW) is a repository of high-value data from different information assets and corporate systems/applications. The data contained in an EDW can be integrated for many strategic uses across the enterprise. Strategic objectives might include activities and initiatives designed to improve quality, safety, cost, productivity, etc.To complete Part 4, conduct research into the topic of data warehousing in healthcare organizations and then answer the following:1. List the benefits of an EDW to a healthcare organization. 2. Prepare a strategic objective and explain how it could be facilitated through the use of a data warehouse. 3. Select two (2) information assets from the list above. Through a data warehouse, analyze and demonstrate how data from those two assets could be used to accomplish the identified strategic objective.

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