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Published on: February 16, 2011
Health care fraud: a critical challenge
1MedPath New England, Wallingford, CT, USA.
Abstract:
Fraud is defined as an international deception or misrepresentation that the individual or entity makes knowing that the misrepresentation could result in some unauthorized benefit to the individual, the entity, or some other party. This article focuses on acts committed by health care providers but it is important to note that health care fraud also encompasses those fraudulent acts perpetrated by employer groups, members or insureds, and employees.
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