Illegal Billing Practices
Reimbursement procedures are complex and detailed, especially those associated with government programs such as Medicare. Part of the regulatory requirements of Medicare is to prevent illegal billing practices such as churning, upcoding, and unbundling.Review the latest enforcement actions on this website. Identify a case where at least one of the following illegal actions was used—churning, upcoding, and unbundling.
What are some of the specific examples of actions taken against providers engaged in these practices?
To support your work, refer to the readings and relevant outside research. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
For this short paper activity, you will learn about the three delays model, which explains…
Topic : Hospital adult medical surgical collaboration area a. Current Menu Analysis (5 points/5%) Analyze…
As a sales manager, you will use statistical methods to support actionable business decisions for Pastas R Us,…
Read the business intelligence articles: Getting to Know the World of Business Intelligence Business intelligence…
The behaviors of a population can put it at risk for specific health conditions. Studies…