UCLA Ethical and Legal Issues Scenario Discussion Questions

User Generated

fndvofff

Health Medical

University Of California Los Angeles

Question Description

I'm working on a health & medical discussion question and need support to help me learn.

Susan has just been informed that an audit was conducted by an insurance company, and through data mining tools it was determined that multiple visits for various providers were exactly the same.

A number of issues went through Susan’s mind:

Copy/paste functionality; cloning of notes; altering of notes; preprinted templates, and on and on. Each could lead to issues in patient safety, compliance as well as fraud and abuse.

In your opinion:

  • How would you suggest that Susan goes about resolving this issue?
  • Outline a plan that would help Susan monitor and mitigate this from happening again.

Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool's honor code & terms of service.

Explanation & Answer

View attached explanation and answer. Let me know if you have any questions.

1

Ethical and Legal Issues

Student's name
Institution affiliation
Professor's name
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Date

2

How Would You Suggest That Susan Goes About Resolving This Issue?
Susa as the owner or part of the company, I would suggest that Susan should make quick
communication by contacting the managing officer. The office manager should review all the
records Susan has made, considering the time and dates of the appointment. After reviewing all
the recorded documents, the managing officer should follow up by contacting the provider who
has the evidence of Susan. The purpose of doing that is to enable them to make some changes in
their notes incorporating updated data from the manager's office if at all the notes which the
provider has are facts and the same without manipulating them or creating updated data. The
information which the provider received should help in resubmitting informati...

CebssZbivar (12422)
Duke University

Anonymous
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