Complete the first draft of your methodology section in 5 to 7 pages. You will later use this document to create the final draft of the third chapter of your dissertation. In drafting the methodology section, you need to include the following headings; 1) Research Design; 2) Data Processing and Analysis; 3) Limitations, Delimitation, and Methodological Assumptions. In Research Design, you need to explain your research method (qualitative, quantitative, or mixed) and briefly elaborate the specific type (e.g., phenomenology, comparative, correlational, and so forth) and the reason why the design is appropriate given the purpose of the study. In this section, you will also need to elaborate on the type of data that you will obtain in order to conduct your research as well as the sample size. Explain where and how you will obtain the data for your research. If applicable, you may add a subsection on surveys and instruments that will be used in your research. Briefly discuss issues related to validity and reliability of surveys and instruments that will be used in your research. In Data Processing and Analysis, describe the specific method of analysis. For quantitative studies, provide the statistical method to be employed and list the key assumptions for the chosen technique. For qualitative studies, explain the details of the chosen method of analysis. In the section titled, Limitations, Delimitations, and Methodological Assumptions, provide a brief explanation of any limitations or issues related to the study, including, but not limited to potential weaknesses related to validity, data collection, and so forth. Also discuss the scope of data and the delimitation of your research

Developing a Healthcare Finance Fraud, Abuse & Compliance Program Assignment The local county has voted in approval to build a large state-of-the-art level IV hospital. With so many tasks ahead of the developers and the healthcare organization, you were recently hired as the new Chief Finance Officer (CFO). One of the first priorities you have been tasked to complete is the design and implementation of a comprehensive Healthcare Finance Fraud, Abuse & Compliance Program in order to establish a gateway between revenue and reimbursement practices and the ethical and professional adherence to applicable federal laws. Deliverables: The final product to submit is a comprehensive Healthcare Finance Fraud, Abuse & Compliance Program that includes the following. “Submit one (1) single Microsoft PowerPoint presentation for Part I and one (1) single Microsoft Word for Part II.” PART I. Using the following website https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjGj5Ky3rXRAhVGQSYKHcKIAVYQFggcMAA&url=http%3A%2F%2Fwww.healthcarefinancenews.com%2Fslideshow%2Fbiggest-healthcare-frauds-2015-running-list&usg=AFQjCNE0m_a8U_MTceXrs2VkA1qK3xjv9Q&sig2=mVKRT1mtGXwn776VKbrqhg, or feel free to utilize the Office of Inspector General (OIG) website at https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjWxuae5rXRAhVGRyYKHQDlAXYQFggaMAA&url=https%3A%2F%2Foig.hhs.gov%2F&usg=AFQjCNGPpHJtl49p2CqafCVyTJJLGPL2Vg&sig2=Hytz150zh2Oe7rXEDTAncg&bvm=bv.142059868,d.eWE, select a real-time healthcare fraud news report in order to feature within your Power Point presentation to educate the organization on the various cases, the importance of healthcare finance compliance practices and the potential criminal and monetary fines that can be imposed on the individual and/or organization. “Design a 7-10 slide Power Point presentation that provides a succinct overview of healthcare finance fraud, abuse and compliance the intent is for a future mandatory automated training.” The name of the organization Discuss the events that occurred Identify if the events that occurred is a violation of one of the following related federal laws and explain why: The Anti-Kickback Statute The False Claims Act The Physician Self-Referral Law (Stark Law) Exclusion Statute Civil Monetary Penalties Law Identify the parties involved What penalties were enforced A summary of lessons learned that can serve as a teachable moment for your organization Presentation can include clip art, links to additional sources Must include recorded audio of each presentation’s slide PART II. Adopting MedPro Group, Seven Fundamental Steps of a Compliance Plan, create a comprehensive plan that aligns with the following seven steps: Element One: Implementing Written Policies, Procedures, and Standards of Conduct Devise at least 3 healthcare finance related fraud and compliance policies and accompanying procedures. Your policies and procedures MUST... Explain legal requirements so that employees understand their obligations and how to conform their behavior to meet them State your plans on how to encourage managers and employees to report suspected fraud and other improprieties without fear of retaliation Should be made easily available (identify in a written statement where and/or how one can access the above policies and procedure) Element Two: Designating a Compliance Officer and Compliance Committee to Provide Program Oversight Note; this task was completed with your initial hiring as the new CFO. However, you are to develop a 1-2 page job description in order to seek a compliance officer that will report directly to you. Develop the proposed overview of the Compliance Committee that will be chaired by the above compliance officer. Identify the proposed frequency of meetings (simple schedule over a calendar year) (the committee is expected to meet monthly), the preferred number of committee members and the various departments/areas that each member will represent, identify at least six purposes/responsibilities that the committee is expected to carry out and outline the proposed method of communication (during the scheduled monthly meetings and outside of scheduled meetings) Element Three: Using Due Diligence in the Delegation of Authority This task is completed, as you are the delegated person of authority that oversees the proposed healthcare finance, fraud, abuse and compliance program Element Four: Educating Employees and Developing Effective Lines of Communication Note; this task was partially completed with the above Power Point presentation; however let's prepare take your work to the next level... Develop clear and practical steps that will be taken in order to disseminate information about the organization’s compliance program and its policies and processes Devise a training schedule (identify the frequency of the conducted training's, identify who will be required to attend) along with an assessment to monitor the effectiveness of the training session. Draft a one-page agenda that outline the proposed topics of discussion that will be covered in the training session As a continuation of Element One, discuss how employees can report suspected fraud. For example, you may establish an anonymous reporting contact number or electronic email reporting system. Draft a generic automated response that an individual will receive after submitting a report. This will include a thank you line as a confirmation. The estimated time for a response and a person or number to contact for further assistance Element Five: Conducting Internal Monitoring and Auditing Discuss the efforts that will be taken to ensure that the financial practices are compliant and adheres to ethical guidelines and standards Outline the process of conducting internal monitoring and auditing practices Design a healthcare fraud, abuse and compliance calendar template that includes the following: Department Regulation/Statute/Law Department Name of the Individual Completing the Calendar Date & Signature Line Actions Steps to Compliance: Steps/Description, Responsibility and Completion Date Standards Section that will be evaluated (this should be included as a column): requirement, deadline/due date, responsible office/department and status Element Six: Enforcing Standards Through Well-Publicized Disciplinary Guidelines Develop a generic outline that addresses the following: Explains who is covered Standards of conduct Discipline and enforcement Reporting (obligations), whistleblower, non-retaliation Create a five (5) Q&A handout for the intent of distributing to employees. Devise questions and answers that are appropriate to healthcare finance, fraud, abuse and compliance Element Seven: Responding Promptly to Detected Offenses and Undertaking Corrective Action Provide a generic response in terms of responding to detected offenses. Create a four (4) step corrective action approach that aligns with your Human Resource (HR) guidelines and standards as it relates to employee disciplinary actions Resources: Ethics Resource Center: www.ethics.org Compliance Building: www.compliancebuilding.com Office of the Inspector General: http://oig.hhs.gov/fraud/complianceguidance.asp