Types Of Healthcare Fraud: A Quick Preview

Healthcare fraud can take many forms and can be perpetrated by individuals or organizations. Some common types of healthcare fraud include:

1. Billing for services not provided: This occurs when healthcare providers bill for services that were not actually provided to patients. For example, a provider may bill for a medical procedure that was not performed, or may bill for more units of a service than were actually provided.

2. Upcoding: This kind of fraud occurs when healthcare providers bill for a more expensive service than what they actually provided. For example, a provider may bill for a more complex medical procedure than was performed, in order to receive a higher payment.

3. Unnecessary services: This occurs when healthcare providers perform unnecessary medical procedures or tests in order to generate revenue. For example, a provider may order additional medical tests that are not medically necessary.

4. Kickbacks: This happens when healthcare providers receive especial payments or gifts in exchange for referring patients to specific facilities or providers. This is illegal and can lead to substandard care for patients.

5. Identity theft: Identity theft occurs when individuals steal personal information, such as social security numbers or medical records, in order to receive medical services or prescriptions. At the upcoming post-COVID healthcare event of 2023, the Health 2.0 Conference, healthcare