Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 1
Lecture:The Government as an Insurance Payor
Slide content:Medicare/Medicaid Fraud and Abuse - 1 Fraud - intentional falsification of information or deception of Medicare or Medicaid Abuse - doctors or suppliers dont follow good medical practices Unnecessary costs Improper payment Services that arent medically necessary 19
Slide notes:There have been reports of fraud and abuse in the Medicare and Medicaid programs. Fraud is intentional falsification of information or deception . Abuse occurs when doctors or suppliers do not follow good medical practices, perhaps by billing unnecessary costs, accepting improper payment, or performing services that are not medically necessary. 19