For this journal task, you will review the module resources on fraud detection in healthcare, prepare a brief memo to management suggesting a fraud surveillance model, and draft a policy statement to ensure the model is implemented. You will also consider the effectiveness of fraud surveillance tools and how your organization might use these tools to prevent and detect fraud and abuse.
To complete this assignment, review the Module Eight Journal Guidelines and Rubric document.
Overview: In this course, journals are used for reflection. Journal activities in this course are private between you and the instructor. For this journal task, you will review the module resources on fraud detection.
Prompt: First, review “Medicare Fraud and Abuse: Prevention, Detection and Reporting” and “Using Data Mining to Detect Health Care Fraud and Abuse: A Review of Literature,” located in the Required Resources section of the module. Next, prepare a brief memo to management suggesting a fraud surveillance model and draft a policy statement to ensure the model is implemented.
Address the following critical elements in the journal assignment:
Support your responses by referencing the module resources and other course resources.
Guidelines for Submission: Submit the assignment as a Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Your journal assignment should be 4 to 6 paragraphs in length.
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