medical Reimbursment

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While working at the medical office where you are a reimbursement specialist, you notice that a Medicare patient has many more laboratory tests done than a non-Medicare patient. Consider these questions in your initial post to the Discussion Board.

• What is the difference between fraud and abuse? 
• Could this be a case of fraud or abuse? Why or why not?
• Is it appropriate to notify your office manager?
• How would you go about investigating this particular case? What would you review?  How would you proceed? 
• What is the impact of having fraud and abuse occur at your facility? 
    • 11 years ago
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