The Patient Protection and Affordable Care Act (PPACA) of 2010 (section titled “Subtitle D”) identifies requirements relating to provider compliance with fraud, waste, and abuse laws. Identify three measures that your health care organization ((or health care organizations in general) has initiated, or could initiate, to comply with these measures. Support your analysis with a minimum of two peer-reviewed articles. Support your response with a minimum of three peer-reviewed references. 

A comprehensive compliance plan is a measure that can be taken by my health care organisation (or all health care organisations) to meet the Patient Protection and Affordable Care Act of 2010. According to a report by the American Health Lawyers Association, this plan should include “policies and procedures for detecting, preventing, and responding to fraud, waste and abuse” that are tailored specifically for each organization’s unique circumstances (AHLA 2019). In addition, the plan should incorporate internal audits on a regular basis as well as training measures for employees to learn about relevant policies and sanctions for anyone who does not follow them. By implementing such protocols, organizations can stay in compliance while also minimizing their risk of being sued for improper billing or other reasons.

Second, health care providers can implement a program that will detect fraudulent practices or activities before they happen. It involves monitoring different aspects of the operation, such as employee behaviour data discrepancies in billing and services rendered. In terms detection strategies article published Journal Fraud & Abuse notes use analytics within healthcare settings which involves sifting through large amounts historical clinical financial data detect patterns indicative suspicious transactions alert responsible personnel before actual wrongdoing takes place  (Lane et al 2017).

Lastly, another way that organizations can stay compliant with PPACA regulations is to follow disclosure requirements when taking any type of disciplinary actions against sanctioned employees. Even though this might seem obvious, certain situations call for extra care. Especially when it comes to individuals in higher authority positions or sensitive issues.

Understanding laws and regulations regarding fraud, waste abuse in healthcare is crucial to maintaining compliance with regulatory requirements.