decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Coinsurance and Deductibles / Overview
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Article Overview
This short article explains that coinsurance and deductibles are important payment concepts that government regulators may consider in fraud and abuse oversight. It is relevant to compliance professionals, billing staff, and healthcare administrators who want a high-level understanding of the topic without detailed coding guidance.
Why This Topic Matters
Understanding how payment-sharing concepts are viewed in compliance review can help organizations recognize why these items are monitored in fraud and abuse investigations.
What You Will Learn
- How coinsurance and deductibles relate to compliance oversight
- Why government regulators pay attention to these payment concepts
- The general fraud and abuse context in which these items may be reviewed
- Which healthcare compliance audiences may find the topic relevant
Who Should Read This
- Compliance professionals
- Medical billing staff
- Healthcare administrators
- Revenue cycle teams
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