When conducting billing activities, what constitutes fraud or abuse?

Your answer would be, > The misrepresentation of facts can constitute to fraud, Also falsifying documents intentionally so as to get benefits can lead to fraud, or abuse. An example of FRAUD or ABUSE in hospitals is Cloning. To resolve this Cloning activities by providers organizations should come up with investigators who would pursue, and prosecute fraudulent activities in healthcare matters .

Hope that helps                                  : )

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