Indiana Institute Identify Fraud and Abuse through Data Analysis Discussion

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:

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
Describe how data analysis identifies potential abuse or fraudulent trends
Demonstrate your reading and research by including facts from these in your statements and citing your source(s).
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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