Opinion Based List:
15 Types of Medical Billing Fraud & Abuse
Submitted by PayerFusion on Thu, 01/24/2013 - 16:00
- Upcoding
- Cloning
- Phantom Billing
- Inflated Hospital Bills
- Service Unbundling or Fragmentation
- Self-Referrals
- Repeat Billing
- Length of Stay
- Correct charge for type of room
- Time in OR
- Keystroke Mistake
- Cancelled Service
- No Medical Value
- Standard of Care
- Unnecessary Treatment
Notes: It is estimated that medical fraud and abuse accounts for $80 billion worth of healthcare costs in the US. We highlight 15 types of medical billing fraud and abuse affecting the US healthcare system.
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