111k views
3 votes
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or ___, but also by showing that the physician practice is making additional good faith efforts to submit claims appropriately

a. Mistaken principals
b. Fraudulent claims

User Fofik
by
7.5k points

1 Answer

4 votes

Final answer:

Voluntary compliance programs help prevent erroneous and fraudulent claims in healthcare, align with the ethical principle of nonmaleficence, and reinforce trust by showing good faith in claim submissions. These programs also support a legal environment where contracts are respected, crucial for maintaining a reliable healthcare system.

Step-by-step explanation:

Voluntary compliance programs provide significant benefits by helping to prevent not only erroneous claims but also fraudulent claims. These programs are critical in a physician practice's effort to adhere to the principle of nonmaleficence, which is a fundamental ethical principle in clinical settings that requires actions not cause harm to others. By ensuring that claims are submitted correctly, these programs support the good faith efforts of healthcare providers in delivering services without causing financial harm to patients through improper billing.

In the broader scope of healthcare and law, such compliance also intersects with matters of noncompliance. For example, consider an employment agreement where a skilled surgeon expects payment after providing services. Failure to pay can be equated with property theft—here, the property being the services rendered by the surgeon. A robust legal system upholding contracts is essential, as it provides remedies through the courts, ensuring the fulfillment of agreements and protecting both economic and contractual rights.

Voluntary compliance programs thus serve not only to align with ethical standards but also bolster trust in the healthcare system by demonstrating the willingness of providers to engage in practices that are legally sound and ethically robust. This fosters an environment where both healthcare providers and patients can transact with confidence, thereby contributing to a more efficient and effective healthcare system.