Medicare billing specialist in a large health system

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Reference no: EM133096164

You recently started work as a Medicare Billing Specialist in a large health system. You wanted to work in this system for a long time because of its size and career opportunities. After a couple of months on the job, you start to notice some discrepancies surrounding the way many of the Medicare invoices are coded. You pull the data on several of these invoices and show them to the billing department supervisor. She tells you that this is how they will continue to code these encounters and she suggests that you "focus on your job". This morning, you read in the local paper about another health system in the area that is being investigated for Medicare fraud.

Questions:

1) What do you do in this situation? What are some ways that the reading this week could help you decide the best course of action?

2) Think about your own experiences (no matter the work environment): Have you had to deal with issues of dishonesty? How did you handle it? What resources (if any) were available to you?

Reference no: EM133096164

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