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The funding and reimbursement aspects of health care delivery
are complicated, transaction-oriented, and subject to applicable
laws and regulations. The sheer volume of transactions and
myriad nuances of patient care make the process of
documenting services delivered and payments received even
more complex. Unfortunately, motive and opportunity to
commit fraud often find health care organizations an ideal target
for criminal activities given this volume of complex
transactions.
You have been retained as a consultant by a large health care
organization that wants to take a proactive approach to fraud
prevention by increasing employee awareness. They have asked
you to provide a report outlining how you would develop a
training program for managers that will help them learn to do
the following:
Analyze health care fraud and the consequences of health care
fraud on the following:
Patient
Health care provider
Institutions involved
Others
Assess the concerns of a manager pertaining to the receipt of
payment for services rendered.
Evaluate the impact of payments or delays in payment on
budgeting and planning.
At least 4pages/detailed/under 10% plagarism **Must include
Reference APA format**

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