Strayer University Healthcare Fraudulent Billing Report
Read the Department of Justice story, “South Jersey Doctor Charged in Health Care Fraud Billing Scheme.” Then, write a 12 page report in which you:
- Summarize three quality issues in the case that resulted in fraudulent billing and coding.
- Describe three violations that were stated in the case, including how the violations applied based on regulations.
- Illustrate how this case could be used as a training tool for your organization. You may base your work on the Department of Health and Human Services Office of Inspector General (DHHS-OIG), the Center for Medicare and Medicaid Services (CMS), and the Department of Justice (DOJ) information on quality, fraudulent billing, and so on.
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