Asked by Santiago Talamantes on Apr 26, 2024
Verified
When providers seek Medicare payment they do not deserve but have not knowingly or intentionally done so
A) fraud
B) abuse
Abuse
The intentional mistreatment or harmful behavior towards another person, animal, or entity that can be physical, emotional, sexual, or neglectful.
- Fathom the approach and criticality of matching healthcare terminology to its appropriate definitions.
- Differentiate the characteristics of fraud versus abuse in the domain of Medicare claims.
Verified Answer
JA
Jazmin ArceoApr 29, 2024
Final Answer :
B
Explanation :
Abuse involves practices that may indirectly lead to unnecessary costs to Medicare but do not involve intentional misrepresentation. Seeking payment for services not deserved, without the intent to deceive, falls under abuse.
Learning Objectives
- Fathom the approach and criticality of matching healthcare terminology to its appropriate definitions.
- Differentiate the characteristics of fraud versus abuse in the domain of Medicare claims.