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Capital Blue Cross
People are the most important asset of any organization, while Capital Blue Cross is appreciating its employees that are shown through ethical principle and integrity promotion with the help of multiple pieces of training. The organization works closely with the healthcare professionals to ensure that such common goals as member satisfaction, patient outcome, and quality of care are in place. Thereafter, the objective of the following paper is to discuss the core values of Capital Blue Cross.
This is important to mention that training is considered one of the most powerful and simple instruments that are being used by healthcare organizations to promote ethical standards and integrity of the companies goals. Capital Blue Cross is caring about ethical principles and norms that are related both to patients and workers. Moreover, integrity is present as well because the company looks into preventing the occurrence of medical errors and improving the wellbeing and wellness of the patients. The specially designed program known as Quality Tools is there to ensure that Practice Performance is in place, while a huge communications portal in terms of the training program is provided for their workers and partners.
The ethical principles are among key values of Capital Blue Cross which is why the company offers specially designated training about the most common cases. Those trainings have been released by the Centers for Medicare and Medicaid Services (CMS) in 2013 and are known as the Waste and Abuse training, Medicare Parts C and D Fraud, and the Medicare Parts C and D related to the General Compliance Training. This is a mandatory requirement to get the training related to Fraud, Compliance, and Abuse, as those are the major ethical issues, which can result in multiple dilemmas, milestones, challenges, and adverse effects to the organization. Capital Blue Cross has mentioned that completion of those trainings helps the healthcare professionals to be aligned with the requirements set by participation agreements of Keystone Health Plan Central and Capital Advantage Insurance Company (For Health Professionals, 2015).
The course description in terms of Fraud and Abuse is about providing healthcare professionals with the necessary education to make sure that they follow general compliance concepts. It depicts the incorporation of integrity that is aligned with the vision of the company, as the actual training speaks about the most serious ethical issues, such as fraud, abuse, and waster that can come from the side of the healthcare professionals and other representatives that have much to do with it. During the first part, such important notions are explained: scope of fraud; basic obligations to prevent, detect and correct it; reporting understanding; laws related to fraud, abuse, and waste prevention. The overview of the general compliance concept is also an integral part of the training and is included in the second part. It is about providing an understanding of what is ethical behavior and what is meant for the organization; an explanation of the compliance program operation; knowing how to report any violations related to compliance (Course Image, 2013).
In conclusion, this is important to mention that Capital Blue Cross has a clear vision that is about looking into preventative strategies that would be both bring advantages to shareholders, employees, and patients. The Waste and Abuse training, Medicare Parts C and D Fraud, and the Medicare Parts C and D are very powerful training that helps to integrate the very important basic of ethical behavior, while the Capital Blue Cross ICD-10 Toolkit includes very important information by all staff members and partners.