In a healthcare environment, there are many types of abuse and fraudulent activities that can occur on a routine basis. Many of these are done intentionally, while others are done without understanding they are being done. These practices can actually be considered unethical and can result in serious outcomes such as having your license revoked, and paying fines or even prison time. PART I There are several forms of fraud and some of them include billing for unnecessary services or services that were never provided, failing to fulfill the medical billing requirements and bribes. For example, billing for unnecessary treatments can lead to which include increased cost for the patient, missed time away from work, more prone to medical facilities …show more content…
Also, a top- to -bottom evaluation is done yearly by the medical staff, peers as well as management which help determine if employees are meeting requirements, need disciplinary actions or counseling (Oachs, 2010). Also, the evaluation is done to assist the future assessment of the program that was put in place. However, if the majority of the staff members are having a hard time keeping up with the task then the program needs to be …show more content…
In SWOT analysis management focuses on planning on the results that are gained in the planning phase and summarizes the purposes and goals (McWay, 2014). In addition, the use of data warehousing can improve and make SWOT analysis easier, due to easy access, statistics, and withdrawal methods. Approximately, many resources of data warehousing include master point index (MPI), electronic health record (EHR), and patient portals just to name a few. MPI can be described as a vital tool used to find patient records and hold information, such as date of birth, physical address, sex and any other information used to identify the patient (McWay, 2014). Also, it can be connected to clinics, laboratories, pharmacies, and is very standard across the board in healthcare organizations but many challenges that are present in MPI can include data integrity (McWay,