The Office of Inspector General works to fight against health care fraud, waste, and abuse. Fraud is defined is obtaining something of value through misrepresentation. An example of fraud would be to bill for a service that was not provided. Waste is overutilization of services that result in unnecessary cost to health care. An example of waste would be prescribing a higher-priced supply for a patient instead of one that is comparable at a lower cost. Abuse directly or indirectly results in unnecessary costs, improper payments, payments for services that don't meet standards, and services that aren't medically necessary. An example of abuse would be billing a patient for something that they did not need.

Take a moment and go to the OIG websites Enforcement Actions page. This page lists investigations and outcomes of fraud, waste, and abuse.

https://oig.hhs.gov/fraud/enforcement/index.asp

After reading through a couple of cases what would if you were the biller and a provider asked you to bill something that is fraudulent? Why or why not would you bill the services that were not completed?