Providers should check which documents for suspicious activity related to medical identity theft?

Prepare for the HealthStream EMTALA HIPPA Test. Study with flashcards and multiple choice questions, each with hints and explanations. Get ready for your compliance exam!

The correct choice emphasizes the significance of the Explanation of Benefits (EOB) and Remittance Advice (RA) as crucial documents for identifying suspicious activity associated with medical identity theft.

EOB documents detail the services that were billed to an insurance provider and the corresponding payments made. By reviewing these statements, providers can detect discrepancies such as services charged that were not received, or multiple claims for the same service, which may indicate fraudulent activity.

Similarly, Remittance Advice provides a breakdown of what was paid, rejected, or adjusted by the insurance company for claims submitted. Any unusual patterns or unexpected denials could raise red flags regarding potential identity theft or billing fraud.

In summary, both EOBs and RAs are essential tools for healthcare providers to monitor for potential signs of medical identity theft, as they give insights into the financial transactions made on behalf of patients and can highlight abnormalities that warrant further investigation.

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