Health insurance fraud

Health insurance fraud is a problem globally, and Saudi Arabia is not immune. Assume you have been tasked with presenting this problem to your healthcare organization so employees can act appropriately when processing health insurance claims. Be sure to address:

• Actions that would be considered fraudulent;
• Key indicators that fraud is present;
• The impact of fraud on the medical community, health insurance companies, and Saudi Arabia; and
• How to report health insurance fraud and penalties for those that participate in such behavior.

Your presentation should meet the following structural requirements:

• Be organized, using professional themes and transitions.
• Consist of seven slides, plus the title and reference slides.
• Each slide must provide detailed speaker’s notes—a minimum of 100 words. Notes must draw from and cite relevant reference materials.
• Provide support for your statements on the presentation slides, as well as in the speaker’s notes, with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but the others must be external. The Saudi Digital Library is a good place to find these references.
• Follow APA and Saudi Electronic University writing standards.

Answer preview

• Health insurance fraud put more pressure and stress the already burdened health care system.
• This diminishes the quality of healthcare products and services provided.
• Health insurance fraud make customers pay increased insurance premiums or receive unnecessary services.
• Fighting against health insurance fraud should be everyone’s responsibility.
• The government should also put in place stricter punishments for those caught

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Health insurance fraud