{"id":112352,"date":"2021-06-15T04:39:46","date_gmt":"2021-06-15T04:39:46","guid":{"rendered":"https:\/\/www.healthbenefitstimes.com\/glossary\/?p=112352"},"modified":"2021-06-15T04:39:46","modified_gmt":"2021-06-15T04:39:46","slug":"fraud-and-abuse","status":"publish","type":"post","link":"https:\/\/www.healthbenefitstimes.com\/glossary\/fraud-and-abuse\/","title":{"rendered":"Fraud and abuse"},"content":{"rendered":"

The criminal misuse of the Medicare system. The crime consists of such behavior as filing false claims for Medicare reimbursement (such as for nonexistent patients, or services that were never performed), paying or receiving “kickbacks” for patient referral, and so forth. Fraud and abuse is a felony which may be punished by fines up to $25,000 or five years in prison, or both, and automatic suspension from participation in Medicare and Medicaid.<\/p>\n

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The criminal misuse of the Medicare system. The crime consists of such behavior as filing false claims for Medicare reimbursement (such as for nonexistent patients, or services that were never performed), paying or receiving “kickbacks” for patient referral, and so forth. Fraud and abuse is a felony which may be punished by fines up to […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-112352","post","type-post","status-publish","format-standard","hentry","category-f"],"yoast_head":"\nFraud and abuse - Definition of Fraud and abuse<\/title>\n<meta name=\"description\" content=\"The criminal misuse of the Medicare system. The crime consists of such behavior as filing false claims for Medicare reimbursement (such as for nonexistent patients, or services that were never performed), paying or receiving "kickbacks" for patient referral, and so forth. Fraud and abuse is a felony which may be punished by fines up to $25,000 or five years in prison, or both, and automatic suspension from participation in Medicare and Medicaid.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthbenefitstimes.com\/glossary\/fraud-and-abuse\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fraud and abuse - Definition of Fraud and abuse\" \/>\n<meta property=\"og:description\" content=\"The criminal misuse of the Medicare system. 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