fraud(redirected from Fraud Detection)
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Etymology: L, fraudare, to cheat
(in law) the act of intentionally misleading or deceiving another person by any means so as to cause him or her legal injury, usually the loss of something valuable or the surrender of a legal right resulting from the action of that person on the misrepresentation.
fraudManaged care The intentional misrepresentation or deception resulting in payment(s) for services not rendered or payment above that normally paid. See Medicaid fraud, Medicare fraud Patient care Dishonest practice; breach of confidence. See AIDS fraud, Health fraud. Cf Misrepresentation.
An act of deliberate deception performed to acquire an unlawful benefit, such as the improper coding of health services in a claim for payment.
An act of deliberate deception performed to acquire an unlawful benefit.