Module 1: Care Coordination And Navigation

Unit 5: Insurance Denial; Fraud

Learning Objectives

In this section, the student will:

  • Define fraud and abuse/denials
  • Describe how to appeal denied claims
  • Recognize the scope of fraud and abuse
  • Identify which agencies are involved in fraud and abuse/denials utilization and investigations

Resources

 

License

Icon for the Creative Commons Attribution 4.0 International License

Advanced Care Navigation 1 by The Washington State Board for Community and Technical Colleges. is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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