Medicare abuse may include:

Question

Quizplus · Accepted Answer

Medicare abuse involves practices that may indirectly result in unnecessary costs to the Medicare program. This includes misusing codes on a claim (upcoding or unbundling codes to increase reimbursement), charging excessively for services or products, and billing for items or services that are not medically necessary. All these actions represent forms of abuse as they inflate healthcare costs without directly defrauding the system but still represent improper practices under Medicare guidelines.

Medicare Abuse May Include