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HCM 563 SEU Insurance Fraud and Abuse Paper and Presentation

 

Module 12: Critical Thinking Assignment
Insurance Fraud and Abuse (110 points)Health insurance fraud is a problem globally, and Saudi Arabia is not immune. Assume you have been tasked with presenting this problem to your healthcare organization so employees can act appropriately when processing health insurance claims. Be sure to address: 

Actions that would be considered fraudulent;

  • Key indicators that fraud is present;

The impact of fraud on the medical community, health insurance companies, and Saudi Arabia; and

How to report health insurance fraud and penalties for those that participate in such behavior.

Your presentation should meet the following structural requirements:

Be organized, using professional themes and transitions.