Health Policies Project Paper
Summarize what you have learned about the following Health Policies…
National standards for electronic health care transactions will encourage electronic commerce in the health care industry and ultimately simplify the processes involved. This will result in savings from the reduction in administrative burdens on health care providers and health plans.
- overpayment
- abuse
- fraud
- upcoding
“Upcoding” occurs when a healthcare provider submits codes for more serious (and more expensive) diagnoses or procedures than the provider actually diagnosed or performed. When providers upcode medical bills for Medicare and Medicaid patients, they defraud all taxpayers.
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