WEBVTT

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Question 72.

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Were all billed services
included in the authorized

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plan, actually provided, properly
documented, and medically or...?

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The 2023 report raises
a concern, not a

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finding.

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People served:

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People served retain informed choice,
necessary services, accessible

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process, and protection from
coercive administration.

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David Medeiros:

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Fraud-related reporting can trigger
specific statutes, but lawful

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protected activity, knowledge,
causation, and timing must be

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shown.

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ABI Resources:

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ABI may have payment, audit,
contract, or retaliation

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interests;

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financial loss alone is
not a constitutional claim.

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Constitutional claims
need state action;

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beneficiary choice does not
guarantee ABI referrals or

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a contract.

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Classify the issue
before choosing a remedy.

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Preserve transactions, contracts,
claims, benefits, authorizations,

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medical necessity, recipients,
timing, and funding sources.

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Apply Constitution, statute,
regulation, contract, then record.