When a health insurance professional intentionally and knowingly misrepresents facts to increase the payment of a claim,it is commonly known as:

Question

Quizplus · Accepted Answer

Intentionally and knowingly misrepresenting facts to increase payment of a claim is classified as fraud, which is considered a criminal offense. It involves deceit, dishonesty, and, in some cases, an intent to deceive or profit at someone else's expense. Medical insurance fraud can affect healthcare costs, healthcare quality, and patient care.

When a Health Insurance Professional Intentionally and Knowingly Misrepresents Facts