39.)The authors of a research study state that cases had
You are the Chief Compliance Officer for a large acute care facility. You have a large and active Board of Directors; however, they are uninterested in compliance issues. Their support is important to get the resources you need to build an effective compliance program. You also have concerns regarding “upcoding” after doing an extensive audit that uncovered issues that should be self-reported. After a discussion with the CEO and CCO, it was decided that your hospital would not self-report. This decision is against your recommendation. These questions must be answered in the answer: How would you approach this issue? How would you handle the “upcoding” issue? Why? What else should you be doing to engage with the Board? What should your reporting relationship be to the Board? Why?
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