<h4><strong>FRAUD & ABUSE EXAMPLES</strong></h4>
<p>The following are examples of Fraud and Abuse:</p>
<ul>
<li>Billing for medical services not provided </li>
<li>Routinely waiving beneficiary cost shares </li>
<li>Billing for more expensive services than performed, up-coding </li>
<li>Performing medically unnecessary services solely for the purpose of reimbursement </li>
<li>Billing and masking non-covered services as other covered services for reimbursement </li>
<li>Falsifying/altering medical claims </li>
<li>Overutilization of services </li>
<li>Billing for all authorized services prior to services being rendered </li>
<li>Falsifying/altering medical diagnosis to justify unnecessary services/treatments </li>
<li>Billing for the same services on the same date of service more than once</li>
</ul>