L&Ediscussion3.docx - Locate an article that discusses...

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Locate an article that discusses medical fraud, abuse, or an ethical dilemma with  regards to clinical code selection.  Give a summary of the article for your classmates,  and offer suggestions as to how the fraud or abuse could have been avoided.  1. What would you do if you worked for the organization that was committing the  fraud/abuse?   o Share the link for your article with your classmates. 2. Explain how the I (integrity) of the PRICE model could have been used in the  situation you are sharing with your classmates. In June 2015, the FBI arrested in total 243 people, 46 who were doctors and nurses, at  a Miami mental health facility for fraudulently billing Medicare $712 million.  The facility  would hire fraudsters to go to homeless shelters to collect Medicare numbers from the  homeless to use as fictitious patients.  They would also bill Medicare for talking glucose 
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  • Spring '16
  • Java
  • World Wide Web

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Christopher Reinemann
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