Medicare is a large payer of health care services as the health care payer for the elderly.
Evaluate the Conditions of Participation (CoP) for a hospital to participate with Medicare.
What are the pros and cons of a hospital being a Medicare provider? What are the consequences of non-participation with Medicare?
What is the role of the Joint Commission to obtain “deemed” status? Is Joint Commission a regulatory agency? Why or why not?
Discuss the COSO framework for internal controls and evaluate how it could be used to meet Medicare COP. Be specific and demonstrate understanding of the risks and how the compliance tool can be used specifically to control the risks.
