[5] 2 - Fraud
Wrongfully deceives intending to receive financial or personal gain. Fraud is defined as a criminal deception committed by a person who acts in a false and deceitful way. There are a string of offences under a variety of legislation and essentially the suspect will demonstrate some form of dishonesty and/or deception.
Felony
Sentence: 400 Seconds
Fine: $10,000
Sentence: 400 Seconds
Fine: $10,000
Fraud can be committed by, and affect, stakeholders across every area of the health care system. Health care fraud is a serious crime that affects everyone's health care and is a costly reality that we cannot afford to overlook.
Examples:
1) Billing for services not provided
2) Billing for more expensive services than were actually preformed, commonly known as up-coding
3) Performing medically unnecessary services solely for the purpose of reimbursement
4) Accepting bribes or kickbacks for patient referrals
5) Providing false information during enrolment
1) Billing for services not provided
2) Billing for more expensive services than were actually preformed, commonly known as up-coding
3) Performing medically unnecessary services solely for the purpose of reimbursement
4) Accepting bribes or kickbacks for patient referrals
5) Providing false information during enrolment