Imagine that a hospital in the United States has recruited a billing specialist who reports to the manager of the billing department. The responsibility of the billing specialist is to ensure compliance with billing policies and procedures. The manager has begun an audit of the department’s adherence to policies and procedures. The audit reveals that the recently recruited billing specialist is not following the standard billing guidelines. In several patient bills, the manager observes billing errors and noncompliance with the hospital’s standard process. After investigation, the manager determines that it is fraudulent billing.
In your initial post, include the following:
- Identify the legal and compliance implications of the billing specialist’s actions.
- Describe how you believe the manager and hospital should respond to this issue.
- Describe the measures the hospital should take to prevent the recurrence of this issue.
Rubric assignment
MSN_Discussion_Guidelines_and_Rubric.html
Overview
In your professional experience, you often have conversations with peers that require factual backing or times when you want to research specific information. Because of this, it is useful to practice effectively communicating on industry-relevant topics and sharing your sources.
Discussions provide you an opportunity for scholarly inquiry, reflective practice, and learning through others’ perspectives. They are also an opportunity for social connection with meaningful interactions. You will be able to build a community of practice that follows appropriate etiquette with all posts while increasing your knowledge and clinical reasoning. Discussion posts should be substantive in nature, demonstrating depth and critical thinking.
Directions
For each discussion, you must create one initial post and follow up with at least two response posts.
For your initial post, do the following:
- Write a post of 1 to 2 paragraphs.
- In Module One, complete your initial post by Thursday at 11:59 p.m. Eastern.
- In Modules Two through Ten, complete your initial post by Thursday at 11:59 p.m. of your local time zone.
- Your post must include at least one citation from a credible, current source (within the last five years). Use proper citation methods for your discipline when referencing scholarly or popular sources.
For your response posts, do the following:
- Reply to at least two classmates outside of your own initial post thread.
- In Module One, complete your two response posts by Sunday at 11:59 p.m. Eastern.
- In Modules Two through Ten, complete your two response posts by Sunday at 11:59 p.m. of your local time zone.
- Demonstrate more depth and thought than saying things like “I agree” or “You are wrong.” Guidance is provided for you in the discussion prompt.
- You must include at least one citation per response post from a credible, current source (within the last five years). Use proper citation methods for your discipline when referencing scholarly or popular sources.
| Criteria | Exemplary | Proficient | Needs Improvement | Not Evident | Value |
|---|---|---|---|---|---|
| Initial Post: Comprehension |
Develops an initial post with an organized, clear point of view, using rich and significant detail that generates further questions, discussion, and reflection (100%) |
Develops an initial post with a point of view that generates further questions, discussion, and reflection (90%) |
Develops an initial post with a point of view but with some gaps in detail or that does not fully generate further questions, discussion, or reflection (70%) |
Does not develop an initial post with a point of view ( 
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