Like I stated in the beginning fraud is defined as the “wrongful or criminal deception intended to result in financial or personal gain” (Definition of Fraud in English by Oxford Dictionaries). There can be many things that can indicate or give a trigger to fraud some examples of fraud are, Phantom Billing which is billing for services that were never performed to that patient Inflated Hospital Bills: overcharging for procedures and /or equipment used on that patient. Service Unbundling or Fragmentation: billing for the procedures separately when they should all be billed in a bundle. Repeat Billing: Billing the patient twice for something that they only received once. Correct charge for type of room: When they bill you for a private room
