Fraud is the fact of doing something wrong, something that the law prohibit but people do it anyway. For example I can take the Medicare and Medicaid Fraud that has been going on for pass years.(Google)
What is Abuse
Abuse is the fact of using something improperly. An example of health care Abuse is, let's say a doctor only sees a patient for 15 minutes but when it comes time to charge the insurance the doctor charges for one hour, or a pharmacist only give 15 milligrams of a medication to a patient but charges the insurance for 45 milligrams. These are some examples of Abuse and Fraud.( Google)
Provider enrollment is the gateway to billing the Medicare program, and CMS implemented new critical safeguards in efforts to better screen providers
What is Abuse
Abuse is the fact of using something improperly. An example of health care Abuse is, let's say a doctor only sees a patient for 15 minutes but when it comes time to charge the insurance the doctor charges for one hour, or a pharmacist only give 15 milligrams of a medication to a patient but charges the insurance for 45 milligrams. These are some examples of Abuse and Fraud.( Google)
Provider enrollment is the gateway to billing the Medicare program, and CMS implemented new critical safeguards in efforts to better screen providers