1. Which high-risk area associated with fraudulent billing practices do you think is the most problematic? 2. Describe the role of the HIM professional in supporting an effective compliance program

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1. Which high-risk area associated with fraudulent billing practices do you think is the most problematic?

2. Describe the role of the HIM professional in supporting an effective compliance program. How does the AHIMA Code of Ethics (covered in chapter 2) guide a HIM professional in this role?

3. Why do you think that healthcare fraud and abuse is such a significant problem?

4. What mechanisms would you implement to ensure that staff members are encouraged to report suspected or actual compliance violations?

5. What impact does the student anticipate that RAC programs have on corporate compliance programs?

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