1) Did Isobel ask to be placed in this situation? a) Do you think that Isobel wa

Question

1) Did Isobel ask to be placed in this situation? a) Do you think that Isobel was correct, that Medicare fraud was taking place? patients hand. "W again an a bit of CASE STUDY 1-3 The Courage of Her Convictions lsobel had seen signs of it before, but she had promoted over the years and now f ness manager. as thebu aske pushed it to the back of her mind, not quite sure that she had seen what she had seen. The last thing she ever expected to see from She showed Mario the documentation and said Mario was Medicare fraud. know what this is about?" It started last August when Mr. Hemminger asked lsobel Sotelo, the senior medical assistant at the medical "Hmmm, no. Let me see that. Hmmm, I was supposed to be for someone else. Hmmm, and stop practice, about a Medicare claim that had been filed that sure he didn't have these servic about it. She and Mario had started together at North never gave it a second thought. started out as a Medical Insurance Coder, but he had been person with the complaint was Dr. Fessenden, a professo he didn't know anything about. Isobel copied the paper- work Mr. Hemminger brought in and later asked Mario "He said no," said Isobel. "Hmmm, well, I'll straighten it out," he told her, and s Central Orthopedic Associates many years ago. Mario had Until it seemed to happen again. Only this time, ta 22 JOB READINESS Soft Skills Strategies

Explanation / Answer

1) If Isobel had ignored the actions of Mario,she wouldn't have put herself in this situation. But Isobel's honesty and integrity didn't let her ignore the situation of fraud claims that caused the trouble for the patients for the extra claims that they never made. This made her to probe into the fraudelent of Mario who was her colleague and an old friend.

2) There was indeed a Medicare fraud that was taking place and Isobel was correct. Many of the patients came with claims that they never made for the medicines and medical procedures and when Isobel checked those claims,she was confirmed that they never received those treatments for the claims were, thus, they were all fraud Medicare claims on behalf of patients by Mario who was backed by Dr.Griffiths.

Related Questions

Navigate

• Browse (All)
• Browse 1
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.