week 4 266 midterm

/in /by

Unit 4 Assignment – Midterm: Fraud and Abuse Training Part I

Submit Assignment

  • Due Aug 4 by 11:59pm
  • Points 100
  • Submitting a text entry box,

    a website
     url, a media recording, or a file upload

There are many regulations that

health
 care providers must comply with, and often these regulations impact healthcare organizations and providers in different ways. Compliance with these regulations requires a change in how business is done or perhaps changing policies and procedures within the organization. One issue that is very serious in the healthcare field is fraud and abuse. Many regulatory agencies have plans and guidelines to help health care professionals avoid fraud and abuse, but at the center of the regulatory environment is the need for employees to understand what constitutes fraud and abuse, and how to best avoid it.

Instructions

This assignment has two parts – Part I will be completed during Unit 4 and Part II will be completed during Unit 5.

Part I:

  • You have hired ten new employees and they need to complete training on fraud and abuse. Create a fraud and abuse training seminar for new healthcare employees.
  • This seminar should have an agenda, a training presentation with script, a handout with specific guidelines and information, and then a completion form the new employees will sign to have stored in their

    employment
     record.
  • Your presentation should be completed in PowerPoint and the rest of the documents (agenda, script for presentation, handout, and completion form) should all be separate pages of the same electronic document.
  • Submit your PowerPoint presentation and supporting documents.

Part II (Unit 5):

In the discussion board:

  • Upload your PowerPoint presentation and supporting documents from Unit 4 as an attachment.
  • Choose one classmate and review their presentation and supporting documents as if you were one of the new employees and then respond to the following questions:
    • Was the presentation professionally presented with information on fraud and abuse?
    • Did the presentation contain the speaker’s notes to tell you what the slide covered?
    • If you were a new employee, would you feel that this presentation prepared you for working in the health carefield?
    • What areas would you like to have seen covered more in depth?
    • What areas were missing?
    • What is your overall reflection of this presentation?

Rubric

Unit 4 Assignment – Midterm: Fraud and Abuse Training Part I

Unit 4 Assignment – Midterm: Fraud and Abuse Training Part I
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeAnalysis of KnowledgePRICE-P
25.0 pts

Level 5

Connects and extends knowledge (facts, theories, etc.) from one’s own academic study/field/discipline to civic engagement and to one’s own participation in civic life, politics, and government.

 22.5 pts

Level 4

Analyzes knowledge (facts, theories, etc.) from one’s own academic study/field/discipline making relevant connections to civic engagement and to one’s own participation in civic life, politics, and government.

 20.0 pts

Level 3

Begins to connect knowledge (facts, theories, etc.) from one’s own academic study/field/discipline to civic engagement and to one’s own participation in civic life, politics, and government.

 17.5 pts

Level 2

Begins to identify knowledge (facts, theories, etc.) from one’s own academic study/field/discipline that is relevant to civic engagement and to one’s own participation in civic life, politics, and government.

 15.0 pts

Level 1

There Is some evidence that knowledge is identified (facts, theories, etc.) from one’s own academic study/field/discipline that is somewhat relevant to civic engagement and to one’s own participation in civic life, politics, and government.

 0.0 pts

Level 0

There is little to no evidence that knowledge is identified (facts, theories, etc.) from one’s own academic study/field/discipline that is somewhat relevant to civic engagement and to one’s own participation in civic life, politics, and government.

25.0 pts

This criterion is linked to a Learning OutcomeDefines Content
25.0 pts

Level 5

Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.

 22.5 pts

Level 4

Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.

 20.0 pts

Level 3

Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.

 17.5 pts

Level 2

Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.

 15.0 pts

Level 1

Demonstrates the ability to explain contextual facts but does not provide a defined statement.

 0.0 pts

Level 0

There is no evidence of a defined statement.

25.0 pts

This criterion is linked to a Learning OutcomeRelationship to Research
25.0 pts

Level 5

Evaluates materials for scholarly significance and relevance within and/or across the various disciplines, evaluating them according to their contributions and consequences.

 22.5 pts

Level 4

Examines materials for scholarly significance within and/or across the various disciplines to explore contributions in relation to important questions.

 20.0 pts

Level 3

Uses materials in the context of

scholarship
 to develop a foundation of disciplinary knowledge and to raise and explore important questions.

 17.5 pts

Level 2

Engages materials with the intention and expectation of building topical and world knowledge.

 15.0 pts

Level 1

Approaches materials in the context of assignments with the intention and expectation of finding right answers and learning facts and concepts to display for credit.

 0.0 pts

Level 0

There is little to no evidence of engagement with outside materials used in a scholarly manner.

25.0 pts

This criterion is linked to a Learning OutcomeConclusion and Related Outcomes
10.0 pts

Level 5

Conclusions (consequences and implications) are logical and reflect informed evaluation and the ability to place evidence and perspectives discussed in priority order.

 9.0 pts

Level 4

Conclusions are logically tied to and reflect student’s informed evaluation in priority order and are clearly identified.

 8.0 pts

Level 3

Conclusion is logically tied to a range of information and is identified clearly.

 7.0 pts

Level 2

Conclusion is logically tied to information (because information is chosen to fit the desired conclusion).

 6.0 pts

Level 1

Conclusion is inconsistently tied to some of the information discussed and oversimplified.

 0.0 pts

Level 0

Conclusion is either not present, unclear, or does not reflect the information presented.

10.0 pts

This criterion is linked to a Learning OutcomeWriting
10.0 pts

Level 5

The paper exhibits an excellent command of written English languageconventions. The paper has no errors in mechanics, grammar, or spelling.

 9.0 pts

Level 4

The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling, and minor errors do not impair the flow of communication.

 8.0 pts

Level 3

The paper exhibits an acceptable command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.

 7.0 pts

Level 2

The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

 6.0 pts

Level 1

The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.

 0.0 pts

Level 0

The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.

10.0 pts

This criterion is linked to a Learning OutcomeAPAPRICE-I
5.0 pts

Level 5

The required APA elements are all included with correct formatting, including in-text citations and references.

 4.5 pts

Level 4

The required APA elements are all included with minor formatting errors, including in-text citations and references.

 4.0 pts

Level 3

The required APA elements are all included with multiple formatting errors, including in-text citations and references.

 3.5 pts

Level 2

The required APA elements are not all included and/or there are major formatting errors, including in-text citations and references.

 3.0 pts

Level 1

Several APA elements are missing. The errors in formatting demonstrate limited understanding of APA guidelines, in-text-citations, and references.

 0.0 pts

Level 0

There is little to no evidence of APA formatting and/or there are no in-text citations and/or references.

5.0 pts

Total Points: 100.0

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