Healthcare Fraud & Abuse

Healthcare Fraud & Abuse

Healthcare fraud and abuse refer to illegal or unethical practices that involve deceiving or taking advantage of the healthcare system for financial gain. Healthcare fraud can take many forms, such as billing for services not provided, submitting false claims, or providing unnecessary medical procedures. Healthcare abuse typically involves practices that are inconsistent with accepted healthcare practices and result in unnecessary costs, such as overutilization of services or prescribing unnecessary medications. These practices can lead to significant financial losses for the healthcare system, and they can also harm patients by exposing them to unnecessary treatments or procedures. It’s important for healthcare organizations and individuals to be aware of these issues and to take steps to prevent and report any suspected instances of fraud or abuse. This can help to ensure that the healthcare system operates fairly and effectively for all individuals.