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Briefly describe a healthcare situation (real or hypothetical) in which potential for fraud or abuse is a concern

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Briefly describe a healthcare situation (real or hypothetical) in which potential for fraud or abuse is a concern. How would you advise a colleague who came to you concerned about a similar issue of fraud or abuse in an organization where you work or one that you do business with? What questions would you ask? What are some key issues to consider? What might you tell him or her to do in this situation?