Use of Health Information Management to deter fraud assignment

Use of Health Information Management to deter fraud assignment

Use of Health Information Management to deter fraud assignment
Introduction
As a HIM professional, you will likely be in a position to identify fraudulent activities. Please read the information on the website: https://blog.cms.gov/2013/11/07/fighting-medicaid-fraud-waste-and-abuse-through-education/. (Links to an external site.)Links to an external site.
Using the tools from this class evaluate how a Health Information Management department manager can implement strategies to minimize fraud and abuse.
Prompt
Please write a report (4-6 pages) that addresses the following items:
1. Determine how HIM professionals can prevent Fraud, Waste and Abuse.

2. Find at least 5 new articles to identify areas that HIM teams have risk for fraud, waste and abuse to occur. You can use the CBC library  (Links to an external site.)Links to an external site.to find these articles.
 

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3. Develop an education plan to decrease the risk of these errors happening in the HIM department you are managing.
4. Identify which roles would participate in a committee to move this initiative forward.
5. Develop 3 SMART goals to include when you roll out the education plan to your team.
6. Identify how you will keep employees motivated during the education program and through any changes they need to correct. Include how you will support your team if they identify and report fraud, waste, or abuse. Also, speak to what you would do if the response from other leaders is not receptive.
Grading Structure
This is a 50 point project. Please provide references to support your response (up to 10 points will be deducted if there is not bibliography).
Doctors within the NHS are confronting major changes at work. While we endeavour to improve the quality of health care, junior doctors’ hours have been reduced and the emphasis on continuing medical education has increased. We are confronted by a growing body of information, much of it invalid or irrelevant to clinical practice. This article discusses evidence based medicine, a process of turning clinical problems into questions and then systematically locating, appraising, and using contemporaneous research findings as the basis for clinical decisions. The computerisation of bibliographies and the development of software that permits the rapid location of relevant evidence have made it easier for busy clinicians to make best use of the published literature. Critical appraisal can be used to determine the validity and applicability of the evidence, which is then used to inform clinical decisions. Evidence based medicine can be taught to, and practised by, clinicians at all levels of seniority and can be used to close the gulf between good clinical research and clinical practice. In addition it can help to promote self directed learning and teamwork and produce faster and better doctors