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Managed Care Nursing

Category - Overview

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What is the recommended action if you see or suspect Medicaid fraud?

Observe the situation until there is evidence of fraud
Report to your State Medicaid agency-program Integrity Office
Report to your immediate supervisor
If you have actual evidence of fraud contact your agency lawyer

Explanation

Answer: B - The recommended process if you see or suspect Medicaid fraud is to report to the State Medicaid agency-program Integrity Office

In addition, there may be additional protocols or policies specific to the company you work for that require additional reporting to your legal department or immediate supervisor.

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Managed Care Nursing

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Managed Care Nursing

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