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Common terms and phrases340 B program abuse Accounts Receivable Pipeline analysis anomaly audit and investigation auditor auditor’s checklist benefit plan billing Certified Fraud Examiners clinical codes Collect component consumer contract coverage data elements data mapping data mining database detection diagnosis doctor documents durable medical equipment electronic Electronic Paper entities example Exhibit facility false claims fees Flowchart fraud schemes HCC players Health Information Pipeline health insurance healthcare fraud healthcare services HIPAA hospital identify Information Pipeline HIP internal controls involved issues Jane RN market activity Medicaid Medical Business Associates medical necessity medical records Medicare methodology noted organized crime pain parties patient patient dumping payer payment perspective pharmaceutical physician plan sponsor procedures product or service professional profiler protected health information provider RDBMS Receivable Pipeline ARP reimbursement relationships reports sample SOAP Source submitted surgery transactions treatment understanding uninsured www.mbanews.com Bibliographic information
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