Question

35. What is the major difference between Medicare fraud and abuse?

Answer 1

Medican fraud :- medicare fraud occurs when a person or company kreungley Picks medicame. They do this intentionally, to Recieve an appropriate payment from the program. Medricare abuse & - Medicare knowingly billing Medicare abuse Occas when prünless Seek payment they don't deserve but they have not or intentionally done so, Abuse can also involve for unbund medical practices. Difference between traud es abuse o hot na The main differences are * fraud is an intentional deception or misrepresentation of sevices that an individual knows to be fare & could Result in an unauthaused Reimbursement to a practice. describes incidents or practices incorsistent worth Accepted & sound medical, bauneur of the fiscal practices. The difference between fraud & abur boils down to the person's intent. Both activities have the same effects.

Examples of fraud Ee Abuse in medicare: - Balling for sewicer, suppliex nor eaupment that were not provided ibond uit welpe » calling medicare beneficiaries and asking for their medicare number, Saying 't is needed to get a hew medicare card or keep their medicare benefits + Truying to get medicave number in Exchange for free " serpicex. sub puloroint is the » Billing for Saricey different than what was provided. [to get a higher payment) * Belling for medically unneculary servicey Billing for excenine medical services or suppies, CODE but Ba d of oud lubivibilno till * please rate The Answer 600) 1 sibo