Title: Explain the healthcare fraud and abuse climate.
Course: Medical Coding and Billing II (14151-IV) > Section: Understanding Issues with Fraud and Abuse

Explanation should include

- upcoding
- downcoding
- unbundling
- kitchen sink coding
- inconsistent coding
- inflated charges.

Process/Skill Questions:

- How do unbundling and decoding differ?
- How is fraudulent behavior recognized and reported?
- What is the fraud and abuse whistleblower?
- What are the consequences of fraudulent behavior?