Healthcare Glossary - ABUSE | HealthPocket

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Glossary

ABUSE

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); or
  • Inappropriately allocating costs on a cost report

 

 

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