Explanation: Way to create fraud in Healthcare: - Most way to commit fraud in he

Question

Explanation:

Way to create fraud in Healthcare:

- Most way to commit fraud in healthcare is to provide wrong data for patient; they tend to provide false data for mere purpose of test with fake diagnosis situation to cover up that. They tend to have surgeries and other procedure which even they are not required.

- Prepare billing for the service which is not happened in actual life with real patient and his details. In many cases this is being done with help of identity theft. In this claim being done for services that did not take in reality.

- Some time patient will claim higher amount of services than actual service charge which have patient took. Patient will fake the amount of service obtained by him giving inflated amount and not the actual price.

- Patient takes unwanted service for just sake of insurance payment they tend to receive.

- Stating non covered treatment a necessary one for claiming insurance money and obtaining that money and stating those as important surgeries.

- When patient had a treatment they state a single procedure into multiple procedures and claiming money for those different services

Explanation / Answer

how does health care entity facilitate fraud?

Related Questions

Navigate

• Browse (All)
• Browse E
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.