Healthcare fraud and abuse are a big deal now in time. To begin fraud is “wrongful or criminal deception intended to result in financial or personal gain.” (dictionary). Abuse is “either directly or indirectly, result in unnecessary costs to the Medicare Program. Abuse includes any practice not consistent with providing patients with services that are medically necessary, meet professionally recognized standards, and are priced fairly”. (Cms.gov) some of the healthcare insurance claims are fraud placed. Over charged or used codes that have nothing to do with what was attended. So something
Healthcare fraud and abuse are a big deal now in time. To begin fraud is “wrongful or criminal deception intended to result in financial or personal gain.” (dictionary). Abuse is “either directly or indirectly, result in unnecessary costs to the Medicare Program. Abuse includes any practice not consistent with providing patients with services that are medically necessary, meet professionally recognized standards, and are priced fairly”. (Cms.gov) some of the healthcare insurance claims are fraud placed. Over charged or used codes that have nothing to do with what was attended. So something