health fraud


Also found in: Dictionary, Thesaurus, Legal, Encyclopedia.
Related to health fraud: public health

health fraud

A generic healthcare term for:
(1) Financial swindling in any form committed against a third-party payer of healthcare (43% of health fraud is in the form of services not rendered, 33% for fraudulent diagnoses); or
(2) Deceit for profit, including false representation of efficacy and concealment of adverse effects of medications or “natural curatives”.

health fraud

A general term for those practices in which either
1. Health services are promised and/or paid for, but not provided at an appropriate standard of professionalism or skill. See Quackery or.
2. Practices in which health care is provided–or allegedly provided, but reimbursement claims to Medicare, Medicaid or other 3rd-party payer are fraudulent. See Medicare fraud.
References in periodicals archive ?
See Overlapping Jurisdiction a Factor in Health Fraud Cases, Attorneys Say, 7 Medicare Rep.
However, the report noted that fewer resources were available for the federal government to fight health fraud and abuses because of sequestration of mandatory funding in 2014.
assistant clinical professor of medicine, Boston University School of Medicine; and president, National Council Against Health Fraud, Inc.
Health fraud has also had a negative effect on the legitimate forms of alternative therapies that are practiced.
The inviting size of the booklet provides an excellent introduction to the issue of health fraud.
Unfortunately, many Americans do fall prey to this kind of quackery, particularly the elderly who tend to be targeted by the marketers of health fraud products and services.
Not so, according to the National Council Against Health Fraud, a US organisation that debunks dangerous science.
BOTTOM LINE: For more information on AIDS treatment fraud, contact the Texas AIDS Health Fraud Network (800.
HIPAA federalized health fraud law, stiffened penalties, ramped up spending committed to fraud control, and stimulated an unprecedented number of enforcement actions.
Miracle" Health Claims: Add a Dose of Skepticism This FDA/FTC joint agency information piece focuses on how to assess claims and seek advice, and avoid becoming a victim of health fraud.
The FTC will step up its efforts to combat internet health fraud," said Timothy Muris, chairman of the commission.
The Feds are winning billions from hospitals and doctors for health fraud.

Full browser ?