Health Information Management (HIM) professionals must be aware of the laws affecting fraud and abuse, in addition to the laws affecting the management of personnel within their department.
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- You are managing a medical coder and identify that they have purposely coded incorrectly to enhance reimbursements. Discuss the different types of healthcare fraud they may have committed and the laws affecting their employment in your department. Describe the steps you would take to educate and correct the medical coder.
- You are managing HIM department. There are many laws affecting your hiring process and employees. Discuss with your peers on the importance of the laws affecting discrimination and why these laws are critical to your department.
