A case manager submits documentation that a nursing visit was completed at a client's home, but it was never performed. According to the general areas of legal risk, how would this action best be categorized?
A) Liability for managing care
B) Fraud/abuse
C) Negligent referral
D) Confidentiality/security

Question

Quizplus · Accepted Answer

This action is best categorized as fraud/abuse because it involves falsely claiming for services that were not actually provided, which is a form of deceit for financial gain or advantage.

A Case Manager Submits Documentation That a Nursing Visit Was