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University of North Carolina-Chapel Hill
Health Care
Financial / Billing Concerns Concerns about questionable billing, coding and medical record documentation practices. Also includes concerns relating to the falsification of coding, billing or financial records or issues with accounting and auditing practices.
Health Care Fraud Deliberate submittal of false claims to private health insurance and/or tax-funded health insurance programs such as Medicare or Medicaid.
HIPAA Improper use, viewing, or disclosure of protected health information. Violation of protected health information privacy or security rules.
Insurance Issues Exclusion of insurance for preexisting conditions, discrimination or non treatment based on health status, non-renew ability of insurance based on health conditions.
Patient Care Concerns regarding patient care, patient safety, and quality of care. Also encompasses patient discrimination or abuse, or failure of those responsible for patient care to properly attend to reasonable needs of a patient(s).
Research See Research reporting category for issues regarding clinical research practices and conduct.
Other Medical Research or Patient Matters Other matters of concern not specifically outlined above.