Coding Fraud Michael Anastasio Ultimate Medical Academy Before answering the questions “what are my responsibilities for billing on a procedure that was not performed but asked to do so anyway”‚ Let me explain a little on Medical Billing Fraud? It is an attempt to fraudulently obtain payments from insurance carriers. Fraud in medical billing cost tax payers and medical providers millions of dollars annually (all-things-medical-billing.com). In 1996‚ HIPPA established the Health Care Fraud and
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Fraud Fraud is listed by the 2003 UK Threat Assessment issued by the National Criminal Intelligence Service as one of the seven most significant threats facing the world1. What is a Fraud? A fraud is when one party deceives or takes unfair advantage of another. A fraud includes any act‚ omission‚ or concealment‚ involving a breach of legal or equitable duty or trust‚ which results in disadvantage or injury to another. In fact‚ in a broad strokes definition‚ fraud is a deliberate misrepresentation which
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Systems has Improved Payroll Accounting Abstract Payroll accounting has been greatly improved with the invention of accounting information systems (AIS). The process of payroll is a complicated one that involves many steps. From updating the employee information to printing the checks‚ almost all areas have been improved with the help of AIS. There are many things to keep track of when processing payroll from beginning to end. Many larger companies have turned to outsourcing payroll services to keep
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Insurance Fraud A gang of Russian crooks ran a record-setting‚ $279 million fraud that exploited New York’s “no-fault” auto –accident law‚ authorities said 2/29/12. The gang worked with corrupt doctors to set up more than 100 phony medical clinics across the city. There‚ they generated fake bills for the treatment of “injuries” that “ranged from wild exaggerations to outright fabrications‚” Manhattan US Attorney Preet Bharara said. The fraudsters took advantage of the “patient-friendly provisions”
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Running head: Employment –Corporate Governance and Ethical Responsibility Corporate Governance Priscilla Coats Professor Augustine Weekley LEG 500 Law and Ethics Febuary 17‚ 2013 Abstract In this paper I will determine at least three different internal and external stakeholders that Dr. Do right might have to deal with on a daily basis at the hospital‚ I will compare and contrast potential conflicts of interest that may exist between the internal and external stakeholders‚ then discuss
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Algebra/Trig Review Introduction This review was originally written for my Calculus I class but it should be accessible to anyone needing a review in some basic algebra and trig topics. The review contains the occasional comment about how a topic will/can be used in a calculus class. If you aren’t in a calculus class you can ignore these comments. I don’t cover all the topics that you would see in a typical Algebra or Trig class‚ I’ve mostly covered those that I feel would be most useful for
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Chapter I Introduction The manufacturing industry is turning their attention from a solely product orientation view‚ to the creation of new value-adding services in order to increase their after-sales business. In this thesis‚ a case study was conducted in order to examine a manufacturing industry in their process of developing value-adding services. By exploring their processes in service delivery and studying their introduction of ordering and sales management systems in their service distribution
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THE DIPOLOG COMPUTER SYSTEM’S INC ENROLLMENT SYSTEM A Research Proposal Presented to the Faculty of the DIPOLOG COMPUTER SYSTEM’S INC Cor. A. Bonifacio & P.Ramon Sts.‚ Estaka dipolog city In Partial Fulfillment of the Requirements for the Applicationd Development(Baby Thesis) ANTHONY L. YONGOD VIVIAN JUTBA MARGIE NAONG CREZA JOY PEYANO GENEVIEVE REQUINA March 10‚2013 Republic of the Philippines DIPOLOG COMPUTER SYSTEM’S INC Cor. A. Bonifacio & P.Ramon Sts.‚ Estaka dipolog city
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The Ambitious Payroll Manager Ardyth Power Kaplan University Fraud Examination‚ AC555 Professor Jacquelyne Lewis‚ Ph. D. May 6‚ 2012 In this case‚ Dena Brenner used payroll schemes to be successful of committing fraud against International Agricultural Seed (IAS). Dena used a former employee‚ by reactivating this employee in the company’s payroll system and changing the account number to direct the payroll funds to go to. The bank account number she used was her own bank
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