Honesty is the best policy. As the person in charge of billing it is your responsibility to make sure that all medical claims are accurate before submitting them to insurance companies. If you happen to notice a discrepancy you should certainly not approach your boss and accuse him of fraudulent activity but you should most definitely discuss the issue with him immediately. It could simply be an error and the medical tests were coded incorrectly or placed with the wrong patient file. If your boss is indeed being dishonest and knows that you are verifying claims before submitting them he will be less likely to continue this activity.
When starting a new job it is important to establish a clear set of ethical standards. If this is done from the start your boss will be less likely to ask you to do something that is unethical. If you continue to feel that he is asking you to submit fraudulent claims then it may be best to look for employment elsewhere.
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