Cross final chiro - Study guides, Class notes & Summaries

fraud - _______ = an INTENTIONAL misrepresentation where these conditions are present: -There must be a cause of deception -The act or acts must show an intentional misrepresentation of fact -The provider stands to gain financially from the deception and misrepresentation of fact no! there must be financial gain for it to be fraud if pt/insurance is not charged = not fraud - If a chiropractor uses Ultrasound as therapy on EVERY patient, regardless of whether they need it or no...

what is defined as an intentional misrepresentation where these conditions are present: · *There must be a cause of deception. · *The act or acts must show an intentional misrepresentation of fact. · *The provider stands to gain financially from the deception and misrepresentation of fact. fraud what differs from fraud in that it describes incidents or practices of providers that are inconsistent with accepted sound clinical, business or fiscal practices (including but not limited to...