Question: Please help Illegal Billing Practices Reimbursement procedures are complex and detailed, especially those associated with government programs such as Medicare. Part of the regulatory requirements

Please help

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. For the Week 4 discussion, address the following, keeping in mind the above information:

  • Review the latest enforcement actions on this website. Identify a case where at least one of the following illegal actions was usedchurning, upcoding, and unbundling.
  • What are some of the specific examples of actions taken against providers engaged in these practices?

Step by Step Solution

There are 3 Steps involved in it

1 Expert Approved Answer
Step: 1 Unlock blur-text-image
Question Has Been Solved by an Expert!

Get step-by-step solutions from verified subject matter experts

Step: 2 Unlock
Step: 3 Unlock

Students Have Also Explored These Related General Management Questions!