laws affecting fraud and abuse

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Health Information Management (HIM) professionals must be aware of the laws affecting fraud and abuse, in addition to the laws affecting the management of personnel within their department.

 

  1. You are managing a medical coder and identify that they have purposely coded incorrectly to enhance reimbursements. Discuss the different types of healthcare fraud they may have committed and the laws effecting their employment in your department. Describe the steps you would take to educate and correct the medial coder.

 

  1. You are managing HIM department. There are many laws effecting your hiring process and employees. Discuss with your peers the importance of the laws effecting discrimination and why these laws are critical to your department.
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