Your examples are exemplary. You said it better than I did for the occult example. Also, I think your overt example is an example of covert fraud. For example, trading medical equipment for VIP seat and tickets can be hidden from plain sight. An example of overt fraud can be that a new coder isn’t doing their best to make sure the superbill is properly updated and just uses it as it is. This can be the cause of laziness and ignorance, which is means for penalties. Denied claims can be an overt example because it shows the organization that a coder isn’t coding the proper way and there’s a need for investigation.
