health fraud


health fraud

A generic healthcare term for:
(1) Financial swindling in any form committed against a third-party payer of healthcare (43% of health fraud is in the form of services not rendered, 33% for fraudulent diagnoses); or
(2) Deceit for profit, including false representation of efficacy and concealment of adverse effects of medications or “natural curatives”.

health fraud

A general term for those practices in which either 1. Health services are promised and/or paid for, but not provided at an appropriate standard of professionalism or skill. See Quackery or.2. Practices in which health care is provided–or allegedly provided, but reimbursement claims to Medicare, Medicaid or other 3rd-party payer are fraudulent. See Medicare fraud.