Medical Coding Fraud Investigation

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Health Care Fraud — FBI - Federal Bureau of Investigation

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

If you suspect fraud, contact your health insurance company (most have toll free numbers to report fraudulent activity). Medicare fraud can be reported to 1-800-HHS-TIPS (1-800-447-8477). You also can contact your local FBI or HHS-OIG offices or your states Medicaid fraud office. See more

Justice Department Charges Dozens for $1.2 Billion in …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

The Department of Justice today announced criminal charges against 36 defendants in 13 federal districts across the United States for more than $1.2 billion in …

What Should Health Care Organizations Do to Reduce Billing …

https://journalofethics.ama-assn.org/article/what-should-health-care-organizations-do-reduce-billing-fraud-and-abuse/2020-03

CMS categorizes fraud and program integrity issues into 4 categories: (1) mistakes resulting in administrative errors, such as incorrect …

Fraud & Abuse Laws - Office of Inspector General

https://oig.hhs.gov/compliance/physician-education/fraud-abuse-laws/

Fraud and Abuse Implications for the HIM Professional

https://library.ahima.org/doc?oid=57611

A hypothetical fraud investigation targets the principal diagnosis code assignment for patients admitted with urinary tract infections. Coding guidelines state the urinary tract …

Special Investigation Units: Coders Bring Value

https://www.aapc.com/blog/26567-special-investigation-units-coders-bring-value/

A 48-year-old physician in Oakland Township, Mich., was arrested and charged in a criminal complaint for his role in a healthcare fraud scheme, which involved …

Medical Coding Fraud | CCO Medical Coding

https://www.cco.us/medical-coding-fraud/

A major fraud and abuse prevention strategy for physicians is to ensure that all coding staff has been properly trained and continues to receive ongoing medical coding education. Intentionally submitting …

Medical Coding Fraud Investigation $60,000 jobs

https://www.indeed.com/q-Medical-Coding-Fraud-Investigation-$60,000-jobs.html

35 Medical Coding Fraud Investigation $60,000 jobs available on Indeed.com. Apply to Compliance Auditor, Compliance Officer, Fraud Investigator and more!

Medical Fraud Investigator Jobs, Employment | Indeed.com

https://www.indeed.com/q-Medical-Fraud-Investigator-jobs.html

Health Care Fraud Investigator McNeal Professional Services, Inc. Atlanta, GA 30303 (Downtown area) $72,543 - $86,260 a year Full-time 8 hour shift Urgently hiring We are …

Remote Coder - Healthcare Fraud Investigator in …

https://www.aapc.com/medical-coding-jobs/remote-coder-healthcare-fraud-investigator-albuquerque-nm-1cc61b84

This includes the identification, investigation, and correction of fraudulent, wasteful, and/or abusive billing and coding practices; coordination of recovery of …

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