Compliance is a comprehensive program that helps institutions and their employees conduct operations and
activities ethically; with the highest level of integrity, and in compliance with legal and regulatory requirements.
To have an effective compliance program, an organization must establish and maintain an organizational
culture that “encourages ethical conduct and a commitment to compliance with the law.” U.S. Federal
Sentencing Guidelines §8B2.1(a)(2).
Using the OIG website (https://oig.hhs.gov/) or another of your choosing, select a real-time healthcare fraud
news report from your local area to feature
Develop a 3-4 page white paper using the case as the point of application for the financial compliance process
and that provides a succinct overview of the healthcare finance fraud committed applied to the chosen case.
The potential criminal and monetary fines that can be imposed on the individual and/or organization from the
case.
Explain what financial compliance processes could have prevented the occurrence of this case.
What loopholes in the applicable law or the system the perpetrators used to commit the fraud.

Sample Solution