Ppaca Of 2010: Fraud, Waste, And Abuse Laws

The Patient Protection and Affordable Care Act (PPACA)- fraud, waste, and abuse laws Name Institution Date The Patient Protection and Affordable Care Act (PPACA) of 2010 (section titled “Subtitle D”) identifies requirements relating to provider compliance with fraud, waste, and abuse laws. Identify three measures that your health care organization ((or health care organizations in general) has initiated, or could initiate, to comply with these measures. Support your analysis with a minimum of two peer-reviewed articles. Fraud remains a problem in health care even after adoption of laws and reliance on documentation to curb fraudulent activities. One of the ways to address this is improving the review criteria in auditing and rather than emphasizing professional judgment, there is focus on the reasons for claims and billing different from the documentation requirements (Parente, Oberlin & Tomai, 2016). In this way, it is easier to identify improper coding and insufficient documentation. The accuracy of documentation is important to reducing fraud, and emphasis on improving documentation is necessary to ensure that the medical staff is more vigilant when recoding patient data and information. Waste relates to over utilizing and misusing services and resources, resulting in unnecessary costs...