"> (solution)- False Claims (Tutor olikeg2005) Falsification of records and billing are serious offenses and must be treated as such. As a health administrator, you will be called upon to mon"> Paper Detail – Transwriters

(solution)- False Claims (Tutor olikeg2005)


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The Question

Falsification of records and billing are serious offenses and must be treated as such. As a health administrator, you will be called upon to monitor staff to be sure that records and billing are accurate.

 

 

In this scenario, consider that you are the assistant manager of operations for the Smith Home Health Care Services. Part of your job is to do impromptu visits where internal audits are completed as a measure to monitor the home health nurses and aides for the company.

 

 

You have been observing Barbara Smithers, who has been a home health aide since the company was established in 1995. You notice, before one of your monitoring visits, that Barbara?s billing totals seem higher than the average worker. When you observe her home services and compare them to the services rendered, there is a discrepancy. Going back in her service records, this has been a pattern for at least 4 years. You report this to your supervisor, Ron James. Mr. James meets with Barbara, who finally admits that she has been ?padding? the billing for at least 10 years, at the demand of nursing supervisor, Donna Strickland. Mr. James asks you to sit in on a conference with Ms. Strickland and Ms. Smithers and contribute to questioning them and helping make a final decision.

 

 

  • If accusations turn out to be true, what would be your recommendation in this case be to the Mr. James? What records do you need to review before the conference? Be sure to cite standards from the False Claims Act.
  • How did the Service fail in its responsibility in monitoring Barbara? Should the facility also be held responsible?
  • Could the Service have avoided this situation? Does 4 years of potential fraudulent billing seem a reasonable time period for no one to notice?
  • What are the consequences of this behavior? Is there a criminal case here? What about civil liability? Are there any non-monetary consequences this Service should now be worried about?
  • Must be 150 words or more
  • Must copy each bullet question in bold before answering.
  • References must be in APA format

 


Solution details

Solution #000478969774

(solution)- False Claims (Tutor olikeg2005).zip

False Claims

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Hi, please xxxxxx xxx rate my xxxxxxx

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xxxxxxx xxxxx FALSE xxxxxx xxx PAGE * MERGEFORMAT ?1?

 

 

? xxxx xx MERGEFORMAT ?3?

 

FALSE CLAIMS

 

 

 

 

 

 

 

 

False xxxxxx

 

Name

 

Course

 

 

xxxxxxxxxx

 

xxxxxxxxxxx

 

xxxx of xxxxxxxxxxx

 

 

xxx

 

xxxxx Claims

 

xx xxxxxxxxxxx xxxx out to xx xxxxx xxxx xxxxx be xxxx xxxxxxxxxxxxxx in this xxxx be to xxx xxx James? xxxx xxxxxxx xx you xxxx xx xxxxxx xxxxxx the conference? xx sure xx xxxx standards from the xxxxx xxxxxx xxxxx

 

I would xxxxxxxxx xx xxx James to xxxxx out xx audit xx xxx the billing claims xx xxx xxxxxxxxxxxx Similarly, a xxxx xx xxxxxxxxxx will xxxx xx xxxxx xxxxxxxxx xxxxxxxxx Mr. James should come xx xxxx a monitoring xxxxxx that xxxx xxxx to xxxxxx the xxxxxxxxxx xxxxxxxx xxxx not xxxxxx among xxx xxxxxxxxxx xxxxxxxx before the xxxxxxxxxx I xxxxx xxxxxxxxxx xxxxxx the xxxxxxx xxxx the xxxx xxx xxxxxx xxx records will xxxxxx xxx number of hours xxxxxx by Barbara and other aides.

 

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This paper was answered on 19-Jul-2017

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DATE ANSWERED

Jul 19, 2017

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