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Discussion: Fraud and Abuse

In your post, critique legal and ethical practices to prevent fraud and abuse. Have the practices been effective in reducing or preventing fraud and abuse? How does fraud and abuse impact the costs of healthcare?

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Fraud and Abuse

A clear distinction exists between healthcare fraud and abuse. While the former concerns intentional scheming to obtain money or property through false pretense, the latter involves actions by healthcare providers or suppliers that have a direct or indirect impact on healthcare benefit programs in terms of unnecessary...

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