Fact Based List:
10 Popular Health Care Provider Fraud Schemes
Submitted by Anonymous on Wed, 01/09/2013 - 17:17
- Billing for services not rendered.
- Billing for a non-covered service as a covered service.
- Misrepresenting dates of service.
- Misrepresenting locations of service.
- Misrepresenting provider of service
- Waiving of deductibles and/or co-payments.
- Incorrect reporting of diagnoses or procedures (includes unbundling).
- Overutilization of services.
- Corruption (kickbacks and bribery).
- False or unnecessary issuance of prescription drugs.
Source: The Association of Certified Fraud Examiners
Source URL: http://www.acfe.com/article.aspx?id=4294976280
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