Explain if cheryl committed fraud and abuse

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Reference no: EM133311153

Assignment: Cheryl Monroe works as a Medical Coder and Billing for a healthcare organization. Recently, she posted some patient claims; when performing the coding process, Anna could not find a code that exactly matched the diagnosis made by the care provider, so she found the closest match and coded that. She was thinking that she could go back and fix it in case the claim was rejected.

Demonstrate the need for a compliance plan.

Include the following aspects in the assignment:

· Explain if Cheryl committed fraud and/or abuse

· List 3 possible outcomes of this situation

· Explore how you would have approached this situation

· Investigate ways to avoid fraud and or abuse

 

Reference no: EM133311153

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