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Complete the readings for the week as well as the following resources: Medical Billing Fraud, Abuse & Compliance ( Video ) How Big Data is
Complete the readings for the week as well as the following resources:
Medical Billing Fraud, Abuse & Compliance Video
How Big Data is Reducing Costs and Improving Outcomes in Health Care
How to Identify Health Care Fraud & Abuse
Big Data
In the first section of the paper, define fraud and abuse and identify the differences. Delineate how data analytics can be used to find potential cases of fraud and
abuse.
Next, search the Internet and select an article within years of a healthcare provider being charged with fraud or abuse. A good place to look for recent
fraudabuse cases is the Office of Inspector General website. Access the Medicare Fraud Strike Force and Medicaid Fraud Control Units sections to see details
on recent cases. Summarize the article, and specifically identify what laws were violated by this provider.
Finally, discuss what policies and procedures a facility can have in place to identify and monitor abuse andor fraudulent trends including using data analysis.
Detail a specific data analysis method a facility can use to avoid cases of fraud or abuse example: reviewing prescription records
The paper should follow APA formatting and be pages in length.
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