Asked by jessica marzuki on May 09, 2024
Verified
When a person or company knowingly deceives Medicare as an intentional act to receive inappropriate payment from the program
A) fraud
B) abuse
Fraud
Deceptive action designed to result in financial or personal gain, often at the expense of others.
- Understand thoroughly the process and the importance of aligning healthcare terms with their specific definitions.
- Differentiate between fraud and abuse in the context of Medicare claims.
Verified Answer
LB
Lacie BeharyMay 15, 2024
Final Answer :
A
Explanation :
Fraud involves intentional deception or misrepresentation that someone makes, knowing it is false, and that could result in unauthorized payment from the Medicare program.
Learning Objectives
- Understand thoroughly the process and the importance of aligning healthcare terms with their specific definitions.
- Differentiate between fraud and abuse in the context of Medicare claims.