Determine whether the following statements are cases of insurance (a) abuse or (b) fraud. You may use the two choices as many times as needed.

-Billing Medicare beneficiaries at a higher rate than other patients.

Question

Determine whether the following statements are cases of insurance (a) abuse or (b) fraud. You may use the two choices as many times as needed.

-Billing Medicare beneficiaries at a higher rate than other patients.

Quizplus · Accepted Answer

Billing Medicare beneficiaries at a higher rate than other patients is considered abuse because it involves practices that are inconsistent with sound fiscal, business, or medical practices and result in unnecessary costs to the Medicare Program. It is not fraud because it does not involve intentional deception or misrepresentation.

Determine Whether the Following Statements Are Cases of Insurance (A)