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Difference between fraud and abuse

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Reference no: EM13942347

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?

Reference no: EM13942347

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