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Question 3

The most common types of fraud and abuse include (select all that apply):

A. Documenting a service that was never rendered and billing for that service

B. Performing medically unnecessary services solely for generating insurance reimbursement

C. Falsifying a patient's diagnosis to justify tests or procedures to generate insurance reimbursement

D. Billing for more expensive services or procedures than were provided or performed

(1 point)

Sagot :

Final answer:

Health-care fraud encompasses unethical actions like billing for undocumented services and performing unnecessary treatments for profit, significantly affecting healthcare systems.


Explanation:

Health-care fraud involves various unethical practices, such as documenting services never provided and billing for them, performing unnecessary services for insurance reimbursement, and falsifying patient diagnoses for financial gain. One common form of fraud is billing for services or procedures that were never performed, contributing to a significant economic impact on the healthcare system.


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