Healthcare errors and abuse are unintentional incidents, practices or procedures on the part of providers that is inconsistent with sound medical, business or fiscal practices. Procedures that result in receiving payment for services that fail to meet professionally recognized standards of care or are medically unnecessary or incur unnecessary costs.
It’s healthcare fraud when someone intentionally, knowingly and willingly lies in order to get reimbursed for services not provided. Fraud is intentional deception or misrepresentation.
