Analyze a corporate compliance plan by doing the following:
1. Describe the seven necessary components of a corporate compliance plan.
2. Explain the roles and responsibilities of the staff who implement a compliance plan.
3. Explain the roles and objectives of two healthcare enforcement agencies or programs that influence noncompliance reporting.
4. Explain the procedure for reporting coding noncompliance.
B. Analyze the coding compliance auditing process by doing the following:
1. Describe how a healthcare organization should respond to a formal request for an audit by an internal reviewer, and how it relates to coding claims, documentation, or provider claims.
2. Describe how a healthcare organization should respond to a formal request for an audit by an external reviewer, and how it relates to coding claims, documentation, or provider claims.
3. Explain how a healthcare organization should respond to audit results that show a coding practice resulting in overpayment.
