BC Advantage - 2022 Issue 7

You Play a Vital Role in Protecting the Integrity of the U.S. Healthcare System

The U.S. healthcare system relies heavily on third-party payers to pay the majority of medical bills on behalf of patients. Healthcare insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. To combat fraud and abuse, all levels within a medical practice, hospital, or healthcare organization must know how to protect the organization from engaging in abusive practices and violations of civil or criminal laws.If you are a healthcare provider, remember that payers trust you to provide medically necessary, cost-effective, quality care. You exert significant influence over what services your patients get...

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