August 2014
Beginner to intermediate
320 pages
6h 35m
English
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CHAPTER 5
Coding for Dollars
Healthcare Fraud and Abuse
As funding and reimbursement for health care cover less and less of the cost of providing care, the temptation to find “loopholes” in the reimbursement systems grows.
The U.S. Department of Health and Human Services (HHS) established a Fraud and Abuse Control Program, effective January 1, 1997. The Office of Inspector General (OIG) carries out nationwide audits, investigations, and inspections in order to protect the integrity of HHS programs. Included as subjects of the investigatory efforts would be any healthcare program that receives and distributes federal funds. The OIG also has the authority to investigate hospitals, pharmaceutical manufacturers, third-party medical billing companies, ...
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I'm always learning. So when I got on to O'Reilly, I was like a kid in a candy store. There are playlists. There are answers. There's on-demand training. It's worth its weight in gold, in terms of what it allows me to do.