Insurance and Healthcare Reimbursement

Assignment:

This week you will complete a 5-part essay. Insure your essay is in APA format. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). This paper should be 4-5 pages. Insure information is referenced and cited.

Address the following points:

1. Explain how to prevent coding errors   
2. What should you do if you catch or see a coding error?
3. Explain the different types of audits and when they would be used
4. Explain medical necessity and provide an example
5. Go to www.fbi.gov. At the top of the webpage in the search box type in: Healthcare Fraud. Locate one healthcare fraud case and summarize the case including finding and sentencing. Then identify what went wrong and what the healthcare professional could have done differently to prevent this lawsuit.  

Assignment Expectations:  

• Length:
  • answers must thoroughly address each question in a clear, concise manner; 1000 words (about 4 pages)
• Structure:
  • title or reference page required
  • address each question using level headings
• References:
  • Are required and need to be cited in the submission