Here are three common examples of healthcare fraud:
- Billing for services not provided
A provider charges an insurance company or patient for procedures, tests, or visits that never actually happened.
- Upcoding
A healthcare provider performs a basic service but bills for a more expensive or complex one to receive higher reimbursement.
- Kickbacks
A doctor or facility receives money, gifts, or other benefits in exchange for referring patients, prescribing certain drugs, or choosing specific medical services—this is illegal in many healthcare systems.
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