Contrast and compare the concepts of fraud and abuse

What will be an ideal response?


Answer: Fraud is knowingly billing for services that were never provided or billing for a service that has a higher reimbursement that the service that was actually provided. Abuse is mistakenly accepting payment for items or services that should not be paid for by Medicare due to improper coding and billing practices.

Health Professions

You might also like to view...

Which of the following Class recalls has a reasonable probability that the use of the drug will result in serious adverse effects or even death?

I II III IV

Health Professions

Which of the following devices is used to seal vials and other types of containers with caps?

Brush Crimper Tong Beaker

Health Professions

The auditory system is divided into ____________________ regions.?

Fill in the blank(s) with correct word

Health Professions

Which condition causes wrist pain and numbness because the medial nerve is compressed?

A. Bursitis B. Osteomyelitis C. Carpal tunnel syndrome D. Scoliosis E. Paget's disease

Health Professions