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What does the Criminal Health Care Fraud Statute prohibit. Which of the following practices constitutes fraud? Billing for services not provided. Billing for services not

  1. What does the Criminal Health Care Fraud Statuteprohibit.
  2. Which of the following practices constitutes fraud?
    • Billing for services not provided.
    • Billing for services not covered under a patient's health insurance.
    • Unbundling (Billing separately for each stage of a procedure).
    • A licensed health care practitioner allows an unlicensed person to bill an insurancer under his name.
    • A medical facility waives deductibles and copayments.
  3. Are all of these practices illegal? Why?
  4. Are all of these practices unethical? Why?

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