- Provide an overview of what constitutes fraudulent billing practices. Include some statistics related to this issue.
- Critique the policies of two healthcare plans related to upcoding or fraudulent practices.
- Determine which aspects of the policies you feel would represent best practices. Provide references that discuss best practices.
- Develop a process for implementing those practices based on the two policies.
- Recommend at least three ways that data analytics can be incorporated to detect and prevent these practices from occurring. Support your recommendations with current literature (academic resources)
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