Case Study Fraudulent Billing

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1. Name the types of fraudulent billing that Meredith is conducting.
The types of fraudulent billing that Meredith is conducting is medical identity theft, which is misusing a person’s medical identity to wrongfully obtain health care services. In this case, she is using the Medicare number of another doctor named Dr. Craig to bill Dr. Pearson’s services until his credentialing process has been completed. Meredith also bills individual codes instead of comprehensive codes, which is considered to be unbundling, and it means to bill individual components of a complete procedure or service separately. She also submits a claim when she does not remember submitting one, which is considered to be billing for unnecessary services or items. 2. Could

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