WEBVTT

00:00:00.200 --> 00:00:01.023
Question 68.

00:00:01.023 --> 00:00:04.316
Who authorized, funded, delivered,
received, and recorded each

00:00:04.316 --> 00:00:05.139
alleged benefit?

00:00:05.139 --> 00:00:08.432
The 2023 report raises
a concern, not a

00:00:08.432 --> 00:00:08.844
finding.

00:00:08.844 --> 00:00:09.667
People served:

00:00:09.667 --> 00:00:12.960
People served retain informed choice,
necessary services, accessible

00:00:12.960 --> 00:00:15.430
process, and protection from
coercive administration.

00:00:15.430 --> 00:00:16.253
David Medeiros:

00:00:16.253 --> 00:00:19.546
Fraud-related reporting can trigger
specific statutes, but lawful

00:00:19.546 --> 00:00:22.839
protected activity, knowledge,
causation, and timing must be

00:00:22.839 --> 00:00:23.251
shown.

00:00:23.251 --> 00:00:24.074
ABI Resources:

00:00:24.074 --> 00:00:27.367
ABI may have payment, audit,
contract, or retaliation

00:00:27.367 --> 00:00:27.778
interests;

00:00:27.778 --> 00:00:31.071
financial loss alone is
not a constitutional claim.

00:00:31.071 --> 00:00:33.130
Constitutional claims
need state action;

00:00:33.130 --> 00:00:36.422
beneficiary choice does not
guarantee ABI referrals or

00:00:36.422 --> 00:00:37.246
a contract.

00:00:37.246 --> 00:00:40.127
Classify the issue
before choosing a remedy.

00:00:40.127 --> 00:00:42.597
Preserve transactions, contracts,
claims, benefits, authorizations,

00:00:42.597 --> 00:00:45.478
medical necessity, recipients,
timing, and funding sources.

00:00:45.478 --> 00:00:48.359
Apply Constitution, statute,
regulation, contract, then record.
