TeachMeFinance.com - explain False Positives
False Positives The term 'False Positives ' as it applies to the area of Medicare in the United States can be defined as ' Occurs when the encounter data contain evidence of a service that is not documented in the patient's medical record. If we assume that the medical record contains complete information on the patients medical history, a false positive may be considered a fraudulent service. In a fully capitated environment, however, the provider would receive no additional reimbursement for the submission of a false positive encounter'.
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