Describe in great detail the Medicaid reimbursement process for providers and program integrity efforts to stop fraud using references from the past 5 years.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
icon
Related questions
Question

Describe in great detail the Medicaid reimbursement process for providers and program integrity efforts to stop fraud using references from the past 5 years.

Expert Solution
Step 1

Introduction:-

Medicaid is a most valuable program that provides or designed to pay for medical care for individuals who are unable to afford it themselves , they don't have money for their treatment .

The Understanding the reimbursement process can get a little bit complicated, and with the many years of experience as a Medicaid planning and consulting company, they would be like to discuss and shed light on the topic. 

Medicaid reimbursement methods are dependent on the so many factors, but there are many criteria that remain fairly universal.

Before the discuss the reimbursement processes, it is imperative that they get a good understanding of the different Medicaid models.

Although no precise measure of health care fraud exists, there are many people who exploit Federal health care program. The impact of these losses and risks magnifies as Medicare continues to serve a growing in the number day by day.

steps

Step by step

Solved in 2 steps

Blurred answer
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning