FRAUD AND ABUSE

What is FRAUD AND ABUSE?

FRAUD AND ABUSE meaning Fraud: To purposely bill for services that were never given or to bill for a service that has a higher reimbursement than the service produced. Abuse: Payment for items or services that are billed by mistake by providers, but should not be paid for by Medicare. This is not the same as fraud.

 

reference: Centers for Medicare & Medicaid Services

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