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Preferred term

fraud and abuse  

Definition

  • Fraud and abuse in healthcare involve threats to the integrity of reimbursement programs. The most far-reaching laws concerning these practices prohibit illegitimate means of obtaining payment from public programs, most notably Medicare and Medicaid. [Source: Encyclopedia of Health Services Research; Fraud and Abuse]

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https://concepts.sagepub.com/social-science/concept/fraud_and_abuse

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