SAS: Combating Health Care Fraud
State-of-the-art methods for detection and prevention of fraud, waste and abuse in the health care industry.
Upcoding of evaluation and management services rendered during an office visit… unbundling of lab services that should be billed using a single lab-panel code… loaning a health insurance card to a family member not covered by the plan …submitting medical charges for nonexistent conditions or unnecessary procedures.
It’s all small potatoes, a victimless crime, fair compensation for
Only users who have a paid subscription or are part of a corporate subscription are able to print or copy content.
To access these options, along with all other subscription benefits, please contact info@risk.net or view our subscription options here: http://subscriptions.risk.net/subscribe
You are currently unable to print this content. Please contact info@risk.net to find out more.
You are currently unable to copy this content. Please contact info@risk.net to find out more.
Copyright Infopro Digital Limited. All rights reserved.
You may share this content using our article tools. Printing this content is for the sole use of the Authorised User (named subscriber), as outlined in our terms and conditions - https://www.infopro-insight.com/terms-conditions/insight-subscriptions/
If you would like to purchase additional rights please email info@risk.net
Copyright Infopro Digital Limited. All rights reserved.
You may share this content using our article tools. Copying this content is for the sole use of the Authorised User (named subscriber), as outlined in our terms and conditions - https://www.infopro-insight.com/terms-conditions/insight-subscriptions/
If you would like to purchase additional rights please email info@risk.net
More on GRC & operational risk
Spotlight on GRC+: The Chartis view of GRC
This report summarizes Chartis' revised approach to GRC, ‘GRC+’ : a comprehensive view that reflects the subject's maturation into a more complex and fully integrated discipline.
