How explanation of benefits reduce fraudulent situations


Problem: Being in compliance with health care regulations is of the utmost importance to the Medical Group, and it is imperative that all of its departments operate ethically and with integrity. One of your tasks as director will be to implement policies that will provide protection and security of all sensitive data housed in your department. Name safeguarding techniques that you will use to ensure privacy and security of patient information. Furthermore, describe regulatory standards and/or health care laws that will explain and enforce compliance measures. How do these measures help combat fraud and abuse? Additionally, describe how Explanation of Benefits (EOBs) can further reduce fraudulent situations and assist staff with the insurance claim review process

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Other Subject: How explanation of benefits reduce fraudulent situations
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