Abuse in Medical Billing
Abuse in medical billing refers to practices that result in unnecessary costs to the healthcare system, typically due to improper billing.
Abuse in Medical Billing Explained
Abuse includes billing for services that are not medically necessary, submitting claims with inaccurate information, or coding procedures inappropriately to receive higher payments. While abuse does not necessarily involve intent to defraud, it is harmful to the healthcare system and can lead to penalties.
For example, a provider who consistently bills for a higher level of care than was provided may be committing billing abuse.
Learn more about common acronyms and abbreviations in Medical billing glossary.
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