ABUSE

What is ABUSE?

ABUSE meaning A range of the following improper behaviors or billing practices including, but not limited to:Billing for a non-covered service;Misusing codes on the claim (i.e., the way the service is coded on the claim does not comply with national or local coding guidelines or is not billed as rendered); orInappropriately allocating costs on a cost report

 

reference: Centers for Medicare & Medicaid Services

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