HCR 220 Week 2 - DQ 2 - 7695

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3number
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The risks of professional liability are minimized by effective medical compliance plans because the procedures and standards of the program are communicated to all employees. The plan improves documentation and managerial/operational feedback mechanisms. An effective medical plan fosters better communication between physicians and their staff, and increases the billing staffs’ knowledge and efficiency in claims processing.

I do not believe that the provider is liable for the actions of his or her clerical staff because the staff is trained to do their job properly, and no one is perfect; everyone makes mistakes. This is how people learn; from their mistakes.

Example:  If a medical coder codes the wrong code for a procedure that was done, it is the coder’s mistake not the provider. Although the Insurance Company might reject the claim and send it back to the provider, it is still the coder’s mistake. The next time the medical coder will be aware and take more precautions to ensure he or she chooses the correct code.

Solution Description

The risks of professional liability are minimized by effective medical compliance plans because the procedures and standards of the program are commun