Which illegal and unethical activities have occurred in health care systems in the past? (Select all that apply.)
a. Inappropriate use of home health services
b. Inaccurate billing for services
c. Excessive administrative staff
d. "Kickbacks" for referrals
e. Primary care services provided in the home
ANS: A, B, C, D
Examples of Medicare fraud and abuse in home health and hospice include inappropriate use of services, excessive payments to administrative staff or owners, "kickbacks" for referrals, and billing for visits and/or medical supplies that are not authorized or provided. The home care nurse must abide by established federal regulations when delivering care to clients.
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