WGU C807 Task 2 |Latest Update with Complete
Solution
C807 Task 2
Corporate and Coding Compliance
Kenzi Brooks
3/17/2025
A.. . Analyze..a..corporate..compliance..plan..by..doing..the..following:
A1...Describe..the..seven..necessary..components..of..a..corporate..compliance..plan
The..US..of..Inspector..General..has..created..7..steps..of..due..diligence..that..each..hos
pital..must..follow...A..corporate..compliance..plan..needs..to..be..created..to..show..each..s
tep..so..that..all..employees..can..follow..by..creating..a..corporate..compliance..plan..it..help
s..reduce..the..possibility..of..fraud..or..abuse..while..patients..are..being..treated.. . If..the..c
orporate..compliance..plan..is..not..followed..Uranus..billing..claims..could..be..submitted.
.to..the..insurances.
Step..1...Enforcing..policies..procedures..and..standards..of..conduct
The..standards..enforce..policies..and..procedures,..the..standards..of..conduct,..can..be..found..i
n..the..code..of..conduct...This..shows..how..healthcare..professionals..should..conduct..themselves..w
hen..coding,..billing..and..dealing..with..private..information...It..is..a..guideline..and..outline..of..both..
the..federal..and..state..laws.. . These..standards..help..the..organization..meet..regulatory..requirement
s..and..help..with..the..organization’s..missions.. . By..having..policy..and..procedures..this..ensures..th
e..rules..and..regulations..are..being..followed.
Step..2...Establishing..a..formalized..compliance..committee..and..designating..a..compliance..offi
, 2
cer
It..is..necessary..to..assign..one..or..more..individuals..from..upper..management..to..have..resp
onsibility..for..making..sure..the..compliance..plan..is..successful...The..designated..individuals..will..w
ork..with..visual..department..compliance..managers..that..monitor..all..of..the..department’s..impleme
ntation..of..the..compliance..plan.
The..responsibility..of..compliance..officer..should..be..to..create..and..implement..a..detailed..c
ompliance..program..to..maintain..its..effectiveness..coordination..of..qualification..compliance..for..e
ach..appropriate..staff..member..and..also..educate..and..train...It..is..also..important..to..do..regular..inte
rnal..audits..to..make..sure..everyone..is..being..compliant.. . It..may..also..be..necessary..to..investigate..a
ny..reported..violations..to..enforce..penalties..for..noncompliance..and..take..any..corrective..action..w
hen..fraud..and..abuse..is..discovered.. . They..also..need..to..be..able..to..report..to..the..organization’s..c
ommittee..on..a..regular..basis.
A..person..that..would..fill..this..role..would..need..to..represent..the..very..best..of..the..organization
..they..need..to..be..able..to..stand..for..the..organization's..commitment..to..moral..and..ethical..business..
and..also..successfully..caring..for..patients...The..compliance..director..would..lead..the..compliance..
committee..that..is..composed..of..departmental..compliance..officers..as..well..as..members..from..the.
.board.
Step..3...Regularly..conducting..reviewing..and..updating..training
It..is..important..for..employees..to..understand..how..the..laws..and..regulations..can..be..used..to..p
rovide..direction...The..information..should..be..written..out..so..that..it..can..be..referred..to..as..needed...
There..should..be..internal..and..external..audits..in..place..with..monitoring..systems...A..reporting..sy
stem..for..all..employees..to..be..able..to..report..any..suspected..violations..as..needed.. . When..all..of..t
hese..are..mad..the..organization..can..correct..any..misuse..or..abuse..to..avoid..interactions..with..the..
government..regarding..any..violations.