Discussion question

1)An analyst in your accounting department discovers a possible billing issue, whereby a surgeon billed for services from two different cities on the same day. Using the framework outlined in the textbook, describe the steps you take to launch an internal investigation into possible billing fraud.250 words

2)As a compliance officer you want to ensure that “compliance” is not just a formality but rather part of the culture of the organization. Describe three challenges you would expect as you launch a training and education program in your efforts to incorporate compliance into the culture.

3)Computers are being used to manage both financial and clinical aspects of healthcare delivery operations. Speculate on how monitoring activities could be carried out electronically and automatically, without human intervention, by interfacing with the computer-based financial and clinical systems.250 words