Abuse are practices that are inconsistent with sound fiscal, business, or medical practices resulting in unnecessary costs and improper payment.
Corporate compliance programs are a well-established means of preventing fraud and abuse in health care organizations.
Abuse generally encompasses incidents or practices that are inconsistent with sound fiscal, business, or medical practices that may result directly or indirectly in unnecessary program costs, improper payment, or payment for services that fail to meet professional standards of care, or that are medically unnecessary.
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