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Discussion: Healthcare Fraud

Essay Instructions:

Visit the OIG Latest Enforcement Actions website, which contains articles about actual health care fraud cases. Select one article to use as the basis for your discussion in this week’s Discussion forum. The website can be accessed by selecting the link below.



https://oig(dot)hhs(dot)gov/fraud/enforcement/index.asp





Once you have selected your article, answer the following questions:



1. Summarize the fraud case in your article.

2.How could CID(Clinical documentation improvement) and/or audits have helped prevent what occurred in this case?

Essay Sample Content Preview:

HEALTH CARE FRAUD
Name
Course
Institution
Date
Introduction
With the increased number of fraud cases in the medical sector with healthcare workers being the primary victims of fraud, measures are implemented to help curb the mess. Most of the fraud cases by which patients fall victim of include; the payment process and the fraudulent physicians. An analysis of measures to be implemented in curbing fraud cases is of importance to the healthcare facilities as it provides a platform of secure health services. The article New York Federally Qualified Health Center Settles Case Involving False Grant Claims and Misrepresentations on 07-14-2020 is quite detailed in analyzing this.
The payment processes
Most medical facilities take advantage of their patients by overcharging the services offered and commodities in line with the treatment process. The finance department of most facilities falls victim of overcharging their clients and action that calls for legal action.
According to the article, Brooklyn Plaza Medical Center (BPMC) accused OIG of...
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