Billing Medicare for a more complicated procedure than was actually done or for a multiple-procedure operation as if several separate procedures were performed are examples of:
A) fraud.
B) abuse.
C) negligence.
D) criminal offense.

Question

Quizplus · Accepted Answer

Billing Medicare for a procedure that was not actually performed or for a higher-cost procedure than what was performed is a deliberate misrepresentation of facts with the intent to receive improper payment, which is considered fraud. Abuse is defined as practices that are inconsistent with accepted sound medical, business, or fiscal practices, but may not involve intentional deception. Negligence refers to a failure to exercise reasonable care that results in harm to another person. A criminal offense is a violation of criminal law that may result in imprisonment, fines, or other penalties.

Billing Medicare for a More Complicated Procedure Than Was Actually