respond to one person and summerize

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Discussion Board: Summarize the case and include your most significant finding and elaborate on what you learned from this assignment. I will provide you the PDF to very brifly summerize.

respond to one classmate: after reading the discussion from a classmate, provide a response to their summary and include additional terminology or a law or regulation that could align but may have been missed. For full points, response must be constructive and reference details from the Code of Ethics or the DHBC Law and Regulations

please respond to this:

    1. Article Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC88605…
    2. In this article, the legal case “United States et al. ex red. Simpson v. HQRC et al., No.2017-cv-02823” talks about how a management company by the name of HQRC was found to be doing fraudulent insurance claims. This management company was providing their services for various dental clinics and during the years of 2011-2021, these false insurance claims were being made. The company did a fraud amount of about $754 million and were made to pay the amount of fraud done plus interest on the fee’s. Something I found significant in this was the amount of deception the providers have done. They have not only lied to the insurance company, but also the patients and themselves (as they are doing this unethically). I think the managing company of these dental providers also had to have know about this as they can see what is being charged out and connect it to the patients records. With this assignment I learned how even the smallest things that one may consider “errors” can build up and become something big. In this legal case they claimed to have accidentally sent out the treatment provided under wrong codes, however even if this was the case, the amount of little mistakes they claimed to have had built up to something so big that it ended up doing a lot of damage. Not only were they accused of fraud but they have also misled their patients and even created a burden to those with Medical as the office is no longer able to accept this insurance!
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