Because healthcare fraud and abuse have a significant impact on the U.S. economy, healthcare organizations and professionals must be knowledgeable of fraud and abuse and employ tools and methods to detect and prevent them. Identifying fraud and abuse, developing prevention techniques, and utilizing detection tools enable healthcare clinics and hospitals to optimize financial success and minimize risk. Many federal entities help ensure compliance with laws and regulations. The goal of these programs is to ensure quality care and protection for patients.
Work through the
Billing Fraud SimulationLinks to an external site.
. In your initial post, discuss your observations on the fraud and abuse potential. What are your thoughts on the significance of billing fraud and the impact on an organization’s financial operation?
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