The Role of Medical Billing and Coding in Preventing Healthcare Fraud and Abuse

Fraud is an illegal act done intentionally by running or employees to attain an unfair or illicit benefit. It is always pre-planned and one-sided. It may usually refer to as a ‘deprivation by deceit.’ They will assess its impact on creditors and investors. Creditors and investors are the backbones of the financial condition of any organization. In preventing fraud, medical coding, and billing play an important role. Medical billing and coding prevent fraud and abuse activity from happening by ensuring compliance, accuracy, and transparency with regulations. These frauds could result in substantial financial loss, erode public trust, and compromise patient care in the healthcare system. The article will discuss how medical coding and billing contribute to preventing healthcare abuse and fraud from happening.