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Divide and simplify.
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Health Care Fraud
Health Care Fraud involves the intentional deception or misrepresentation that an individual or entity makes, knowing that the misrepresentation could result in some unauthorized benefit to the individual, other persons, or entities.
Investigations
Procedures or actions taken to gather information or evidence, often used in medical contexts to diagnose illnesses or conditions.
Prosecutions
The process of carrying out legal proceedings against an individual or entity accused of breaking the law.
ICD-10-CM
The International Classification of Diseases, Tenth Revision, Clinical Modification; a system used in the United States for coding diagnoses, symptoms, and procedures in healthcare settings.
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