Identify Fraud & Abuse through Data Analysis

Read:

  • AHIMA Professional Code of Ethics
  • Addressing Healthcare Fraud, Waste, and Abuse
  • Preventing Provider Fraud through Health IT, Data Analytics
  • Top Waste, Fraud, and Abuse Red Flags
  • M4 lecture: Waste, Fraud, and Abuse

In your essay:

  1. Consider the False Claims Act, whistleblowers, the Anti-Kickback Statute (Stark), unbundling, Upcoding, role of OIG & RAC, and use of copy/paste and templates in the EHR
  2. Describe how data analysis identifies potential abuse or fraudulent trends
  3. Demonstrate your reading and research by including facts from these in your statements and citing your source(s).
  4. Provide a reference list in APA format of your sources that are cited in your essay. Use at least two sources

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