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In Grey's Anatomy, Dr Meredith Grey (Ellen Pompeo) committed insurance fraud to help a father and daughter seeking asylum, saving the girl's life. Meredith inputted

In Grey's Anatomy, Dr Meredith Grey (Ellen Pompeo) committed insurance fraud to help a father and daughter seeking asylum, saving the girl's life. Meredith inputted her own daughter's name Ellis on the form, and this was found out as the insurance company paid a visit.

 

https://www.youtube.com/watch?v=mJPWGc3094M&t=92s

 What is the difference between fraud and abuse? 

  • How would you go about investigating this particular case? What would you review? How would you proceed?
  • What is the impact of having fraud and abuse occur at your facility? 

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Fraud and abuse are two distinct concepts in healthcare though they can sometimes overlap Heres a breakdown of the differences Fraud Fraud involves in... blur-text-image

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