Week 6 Board of Directors’ Report

Imagine you are a compliance officer in a hospital. You recently discovered the following 3 incidents and have decided not to self-disclose any of them:  

• *   The hospital is potentially overbilling for a certain procedure. After reviewing records, you determine that the procedures were appropriately documented, coded, and billed.
• *   You have an employee whose name appears on an exclusion list. You investigate further and find that the Social Security number of the person on the exclusion list does not match the Social Security number of the employee.
• *  There is a potential patient information breach for two patients.

Address the board of directors and explain why you decided not to self-disclose any of the incidents you discovered.

Include examples of when and how you would include the compliance committee and board of directors in future situations.