False Claims Act-EMTALA and Stark

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1. Define and provide a history of the following laws: False Claims Act, EMTALA, and Stark.

2. Mary is a medical coder for a primary care physician's office. She thinks that one of her physicians is coding Evaluation and Management visits at a higher level than they should, based upon their office note documentation.

IF Mary ignores her concerns, and bills the codes the physician gave her, would this be considered fraud, abuse, or both?

Be sure to define upcoding, fraud, and abuse in your and discuss the possible consequences of her actions. Please be detailed in your explanation. Include reference and in-text citation

 

Reference no: EM133360844

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