healthcare system, about 10 percent of healthcare resources are going to waste (“Healthcare fraud and abuse,” 2004). Not only does fraud cause financial harm to payers, but it may also result in physical harm to patients. Common occurrences of fraud in healthcare include physicians performing unnecessary tests or treatments, and the submissions of false claims to health plans to receive greater amounts in reimbursements. The act of a physician providing a non-beneficial form of treatment to a patient puts that patient at risk for adverse side effects or even death. Preventing staff and employees of healthcare organizations from committing fraud should be a top priority for all healthcare administrators. Healthcare administrators must also know how to address fraudulent cases that occur within their
healthcare system, about 10 percent of healthcare resources are going to waste (“Healthcare fraud and abuse,” 2004). Not only does fraud cause financial harm to payers, but it may also result in physical harm to patients. Common occurrences of fraud in healthcare include physicians performing unnecessary tests or treatments, and the submissions of false claims to health plans to receive greater amounts in reimbursements. The act of a physician providing a non-beneficial form of treatment to a patient puts that patient at risk for adverse side effects or even death. Preventing staff and employees of healthcare organizations from committing fraud should be a top priority for all healthcare administrators. Healthcare administrators must also know how to address fraudulent cases that occur within their