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A payer may delay or deny payment because of inaccurate or missing information in a submitted claim. Many contracts require payment with a specified period of time (30 days) from submission of a “clean claim.” How can providers of healthcare services avoid submitting claims that may be rejected?
What business risk does the Red Flags Rule protect against? Who is covered by the Red Flag Rule? How does a subject entity demonstrate compliance with the Red Flag Rule?
Describe “internal control” as it relates to a corporate compliance program. What are the five interrelated components of internal control?
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