Discuss the role the coder played in the fraud

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Professional Billers and Coders have a moral, legal, and ethical responsibility to submit claims properly. It is vital that students understand the high stakes. To help you get a feel for the scope of the issue of fraud explore this site.

Explore the different aspects to billing and coding fraud.

Include ALL the following aspects in the discussion:

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  • Choose two examples of fraud that interest you
  • Summarize the case
  • Discuss the role the coder played in the fraud
  • Consider what your response would/should be if you were asked to be a part of the fraud
  • Discuss if ignorance of the billing/coding rules provides sufficient legal protection?

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