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Some of the most common fraud, waste, abuse, mismanagement or misconduct issues identified are: Unbundling of codes Up-coding Add-on codes without primary CPT Diagnosis and/or procedure code not consistent with the members age/gender Use of exclusion codes Excessive use of units Misuse of benefits Claims for services not rendered Claims for services not covered If you suspect or witness a provider inappropriately billing for Medicaid services or a member receiving inappropriate services, please call our anonymous and confidential hotline at 844-509-4669

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"Medwakh smoking induces alterations in salivary proteins and cytokine expression: a clinical exploratory proteomics investigation"

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