Strategic Training of Healthcare Workforce

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1 Strategic Training of Healthcare Workforce Part 1: Fraudulent Medical Coding and Billing Activities Medical coding and billing activities are essential tasks that help hospitals to capture all services provided to patients. All services provided to patients are translated into codes and forwarded to insurance companies for reimbursement. Unfortunately, various types of fraud may occur during coding and billing. These fraudulent activities include overbilling, upcoding and overbilling. Although health care providers are aware that these practices are fraudulent, some have continued doing it.

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