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.”
Using the Office of Inspector General website (https://oig.hhs.gov/) or the Federal Bureau of Investigations Health Care Fraud website (https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud), select a recent healthcare fraud case to review and share with your peers. Develop an 8 – 10 page white paper that provides a succinct overview of the healthcare finance fraud committed, including the details specified below.
In your review, please consider and include the following:
- The name of the organization
- Identify the parties involved
- Discuss the events that occurred
- Identify if the events that occurred is a violation of one federal laws discussed in this week’s content.
- What penalties were levied and enforced
- Provide a summary of lessons learned and measures that you believe could have been put in place to avoid this outcome.
Note: the paper should include references and be in a format suitable for professional delivery to an executive audience. The Finance Fraud Case White Paper is due no later than NLT 11:59 on Day 7.
Once you have completed your paper, upload it here, but also post it into the discussion forum for review by your peers. Peer review comments are not required this week, but you are encouraged to review your peers’ work for educational purposes.