Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As

Question

3 years ago

6

Your job is to submit a risk diagnosis to the Centers for Medicare & Medicaid Services (CMS) for the purpose of payment. As

part of this job, you use a process to verify the data is accurate. Your immediate supervisor tells you to ignore the Sponsor's process and to adjust or add risk diagnosis codes for certain individuals. What should you do?

Business

1 answer:

kotegsom [21] · Answer 1 · 2022-06-16T19:45:59+03:00

Answer:

Report the incident to the compliance department (via compliance hotline or other mechanism)

Explanation:

Since in the question, it is mentioned that the you have to submit a diagnosis risk to CMS with respect to the payment also you need to check whether the data is correct or not

But at the same time you also ignored the process so here you need to report the situation to the compliance department so that the proper actions could be taken