Average Reviews:
(More customer reviews)I would highly recommend this book for rookie insurance adjusters or rookie SIU's. This book provides a great platform for further investigation.
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Fraud is commonly defined as deliberate deception for unfair or unlawful personal gain. Patients, physicians, other medical providers and attorneys all may engage in fraud.Healthcare fraud is a major growth industry that costs millions annually, which cost is passed on to the public. It is not a problem that will correct itself. Any attempt to eradicate fraud must include prevention, investigation, and prosecution. Dr. Lichtor presents many examples of accidental injury, such as auto accidents, slip and falls, home hazards, and more. You will learn the ways to investigate claims and discover whether a claimant has truly been injured. You will also read about the current methods of prevention.Essential to this task is physician compliance with federal regulations for documentation and conformance with recognized medical guidelines for patient evaluation, management and billing. To stop doctor-patient deception, there must be early validation of an injury claim and limitation of services in accordance with acknowledged need and natural history of the alleged condition.Since every true accident will leave a paper trail, including medical records and police reports, this is one important way to catch people attempting to commit fraud. Learn about the others by ordering this book today.
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