Assignment: Fraud Or Not

Assignment: Fraud Or Not
Assignment: Fraud Or Not
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How many times have you received a bill from an inpatient or outpatient stay that was either upcoded or inaccurately coded. If downcoded, most people don’t bother bringing that to anyone’s attention and hopefully Case Management and Audit picks it up, but when it is upcoded and Medicare, Medicaid or a Managed Care Payor picks it up, there can be serious consequences.
Sometimes it is an oversight, sometimes it is fraud. How many times before it is fraud or not?Explain
Plagiarism is the use of someone else’s ideas without giving proper acknowledgment. The term “plagiarism” includes, but is not limited to, the use, by paraphrase or direct quotation, of the published or unpublished work of another person without full and clear acknowledgment. It also includes the unacknowledged use of materials prepared by another person or agency engaged in the furnishing or selling of term papers or other academic materials.
The Modern Language Association’s MLA Handbook for Writers of Research Papers defines plagiarism as follows:
repeating another’s sentences as your own,
adopting a particularly apt phrase as your own,
paraphrasing someone else’s argument as your own,
presenting someone else’s line of thinking in the development of a thesis as though it were your own.
In short, to plagiarize is to give the impression that you have written or thought something that you have in fact borrowed from another.
Appearance
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Please number the pages of your essay (except for the title page).
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
Final check list
Before handing in your paper, please check the following items:
The pages are numbered.
The paper includes citations and a bibliography.
You have spell-checked, grammar-checked, and proofread the paper.