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PI Fraud & Abuse 101 Course

MTF Anti-Fraud Program
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FAQ

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9 Found
  Question
1 What does the term TRICARE stand for?
2 What's wrong with a provider waiving the beneficiary's cost-share?
3 What is a "mutually exclusive" edit?
4 What is meant by the term "upcoding?"
5 Is upcoding fraudulent?
6 What are some examples of upcoding?
7 Can upcoding exist with office and hospital visits?
8 Doesn't the new fraud legislation address upcoding?
9 Is "unbundling" or "code gaming" considered fraudulent

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