While working at the medical office where you are a reimbursement specialist, you notice that a Medicare patient has many more laboratory tests done than a non-Medicare patient. Consider these questions in your initial post to the Discussion Board. What is the difference between fraud and abuse? Could this be a case of fraud or abuse? Why or why not? Is it appropriate to notify your office manager? How would you go about investigating this particular case? What would you review? How would you proceed? What is the impact of having fraud and abuse occur at your facility?

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4 Dec 2023 susan

While working at the medical office where you are a reimbursement specialist, you notice that a Medicare patient has many more laboratory tests done than a non-Medicare patient. Consider these questions in your initial post to the Discussion Board. What is the difference between fraud and abuse? Could this be a case of fraud or abuse? Why or why not? Is it appropriate to notify your office manager? How would you go about investigating this particular case? What would you review? How would you proceed? What is the impact of having fraud and abuse occur at your facility?

While working at the medical office where you are a reimbursement specialist, you notice that a Medicare patient has many more laboratory tests done than a non-Medicare patient. Consider these questions in your initial post to the Discussion Board.
What is the difference between fraud and abuse? Could this be a case of fraud or abuse? Why or why not? Is it appropriate to notify your office manager? How would you go about investigating this particular case? What would you review? How would you proceed? What is the impact of having fraud and abuse occur at your facility?