Healthcare Finance Fraud, Abuse, and Compliance Program

Compliance is a comprehensive program that helps institutions and their employees conduct operations and activities ethically; with the highest level of integrity, and in compliance with legal and regulatory requirements. To have an effective compliance program, an organization must establish and maintain an organizational culture that “encourages ethical conduct and a commitment to compliance with the law.” U.S. Federal Sentencing Guidelines §8B2.1(a)(2) 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 listed below This is an individual assignment. Using the following 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 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