Chapter 14: Your internal medicine practice is considering adding a cardiologist
ID: 122173 • Letter: C
Question
Chapter 14: Your internal medicine practice is considering adding a cardiologist to your practice for continuity of care. This physician will simply rent space in your building. During the interview process the cardiologist agrees to work in the practice building but only if his rent costs are waived by the practice. Discuss any issues you see with this arrangement and what potential issues could arise from this arrangement. Chapter 17: Historically an orthopedic physician in your practice sends, on average, 30 patients a month to your hospital for an MRI. This past month he didn't send any. Upon investigation you discover that this physician has bought into a freestanding MRI facility. He is now sending 100% of his patients to his MRI facility. Does this arrangement pose a conflict? Should this physician disclose his financial ties to the MRI facility to his patients? If so why? Chapter 18: Describe your responsibilities as a healthcare manager as they apply to compliance programs in a physician practice.Explanation / Answer
CHAPTER 18
physicians are not prosecuted under the false claims act for innocent billing errors when submitting claims for payment in government health care programs. a compliance program helps demonstrate your practice's good faith effort to comply with the laws is designed to help you identify and prevent erroneous and fraudulent claims, eliminate billing mistakes reduce the chance of audit and avoid arrangements that might be scrutinized by the govrnment as self referral or anti kickbackviolations.
responsibilities of a health care manager
a well designed compliance program will not only help you carry out your duty to submit proper claims and prevent fraud. It will also resulte in a better run practice and higher quality care for your patients
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