Was she deceitful or negligent in her responsibilities

Reference no: EM133708773

Question

Anna Banana is a healthcare professional who is responsible for claim completion and submission at Best Care Clinic. Recently, she was coding a patient's chart for a recent encounter and could not find a code that exactly matched the diagnosis made by the care provider, so she found the closest match and coded that. Did Anna commit fraud and/ or abuse? Was she deceitful or negligent in her responsibilities? What could she have done instead? How does the practice avoid an investigation from OIG, and what type of plan should the office create to handle situations like this? Please explain your answers to the above questions.

Reference no: EM133708773

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