Healthcare errors and abuse are unintentional incidents, practices, or procedures on the part of providers that are inconsistent with sound medical, business, or fiscal practices. They are 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.
