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USING HEALTHCARE FRAUD ENFORCEMENT TOOLS-ADDRESSING QUALITY ISSUES OCTOBER 26, 2006 US ATTORNEY S OFFICE

1. THE ENTIRE HISTORY OF HEALTH CARE PAYMENT AND FRAUD ENFORCEMENT . IN FIVE MINUTES!INPUTSPROCESSESOUTCOMES. 2. THE SIX WAYS-GETTING PAID IN HEALTH CARE. FEE FOR SERVICECOST REPORTSPER DIEMNAME THAT DISEASE (Diagnosis Related Groups, RUGS)CAPITATION ($ per member per month) OUTCOMES. 3. EA

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USING HEALTHCARE FRAUD ENFORCEMENT TOOLS-ADDRESSING QUALITY ISSUES OCTOBER 26, 2006 US ATTORNEY S OFFICE

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