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D. Discuss the resources needed to ensure billing and coding compliance with reg

ID: 384776 • Letter: D

Question

D. Discuss the resources needed to ensure billing and coding compliance with regulations and ethical standards. What would happen if these resources were not obtained? Describe the consequences of noncompliance with regulations and ethical standards. What type of resources are needed for your facility to ensure billing and coding compliance with regulations and ethical standards? What departments and/or staff(s) would need to be involved with billing and coding compliance? What would be their roles to ensure your facility is maintaining ethical standards?

Explanation / Answer

In order to ensure billing and coding compliance with regulations and ethical standards, the first resource which could be required is the compliance manager as each process in any organization which is expected to operate and function appropriately and efficiently must be supervised by a competent manager.

The manager who has adequate experience in dealing these situations will be able to help in planning, organizing, staffing and directing functions. Apart from this, there will also be the requirement for the compliance employees as they are very important due to their help extended to implement the managerial plans with the help of operation of compliance equipment.

Apart from this, IT system and the network is another resource requirement which is inevitable as with the help of these resources, proper and effective auditing can be performed by evaluating and assessing the various components for example accounts payable and reconciliation.