The nurse closely follows hospital policy for recording patient charges. After attending a conference break out session on reimbursement, the nurse realizes that the hospital policy is in violation of Medicare rules. Is this nurse guilty of fraud?
1. Yes, but since the nurse was following hospital policy no charges can be filed.
2. Yes, this is a clear example of fraud.
3. No, but the hospital is clearly guilty of fraud.
4. No, fraud requires intention to do wrong.
4
Explanation: 1. Fraud requires intent.
2. Fraud requires intent.
3. It would have to be proved that the hospital intended to violate this policy.
4. In order to be guilty of fraud, the nurse would have to have intention of doing wrong. That is not present in this case.
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