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Fraudulent Medical Billing – An Overview Fraudulent medical billing is one
of
the major contributing factors to
the
rising healthcare costs in the U.S.
This
can be attributed to human or computer
error,
but
in
some
cases it may be an intentional deception by the hospital, doctor, insurer or other medical billing specialist. A person who knowingly submits a false claim to benefit himself or others commits fraud. Fraud can also result from medical coding and billing errors that reimbursement.
Examples
lead of
to fraud
excessive may
include
submitting claims for services not provided, falsifying claims or medical records and misrepresenting dates, frequency, duration or description of services rendered.