Fraud Is the Possibility That an Event or Action Will

question 10

True/False

Fraud is the possibility that an event or action will cause an organization to fail to meet its objectives (or goals).

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Definitions:

Clinical Practice

The practice of medicine by healthcare professionals, often within a hospital or clinic, aimed at diagnosing, treating, and preventing illnesses or injuries.

Performance Improvement

Entails the activities, methodologies, and initiatives aimed at enhancing the effectiveness and efficiency of an individual, group, or organization.

Utilization Review

The process of evaluating the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities.

Affordable Care Act

A comprehensive healthcare reform law enacted in March 2010, also known as "Obamacare," aimed at expanding health insurance coverage to uninsured Americans and reducing the overall costs of healthcare.