A medical office assistant notices that a patient encounter form has a service listed that was not performed during the patient's visit. What is the MOST appropriate action for the medical office assistant to take in this situation to avoid participating in fraudulent billing practices?
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Modify the patient's medical records so that they align with the services listed on the encounter form.
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Correct the discrepancy on the encounter form and inform the provider or the billing department about the error.
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Discuss the situation with colleagues during the next staff meeting to determine the best course of action.
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Submit the claim as it is to see if the insurance company will detect the unperformed service.
The medical office assistant should immediately bring the discrepancy to the attention of the provider or the billing department. Correcting the error before the claim is submitted is crucial to prevent fraud. Failing to report it, or reporting after submission could result in fraudulent billing, which is illegal and unethical. Modifying records or discussing with colleagues does not directly address the issue of potential fraud.
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