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Determine Whether the Following Statements Are Cases of Insurance (A)

question 45

Multiple Choice

Determine whether the following statements are cases of insurance (a) abuse or (b) fraud. You may use the two choices as many times as needed.

-Altering fees on an insurance claim form to obtain higher payment.


Definitions:

Criminal Law

Involves crimes against the state. When a state or federal law is violated, the government brings criminal charges against the alleged offender.

Professional Corporation

A business structure legally recognized that allows licensed professionals, such as doctors or lawyers, to offer their services.

National Practitioner Data Bank

A U.S. database that contains information on medical malpractice payments, sanctions, and licensure actions against healthcare providers.

Health Care Quality Improvement Act

A federal statute enacted to improve the quality of medical care, largely by restricting the ability of physicians with a history of malpractice from moving to another state to escape their history.

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