Question
7. Routinely waiving the coinsurance for Medicare
beneficiaries is an example of:
O
A. fraud
O
B. abuse
O
C. Both A and B
O
D. None of the above
| 7. Routinely waiving the coinsurance for Medicare |
| beneficiaries is an example of: |
| O |
| A. fraud |
| O |
| B. abuse |
| O |
| C. Both A and B |
| O |
| D. None of the above |
Ask by Wang Weston. in the United States
Jan 16,2025
Upstudy AI Solution
Tutor-Verified Answer
Answer
Routinely waiving coinsurance for Medicare beneficiaries is both fraud and abuse.
Solution
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Bonus Knowledge
Routinely waiving coinsurance for Medicare beneficiaries is often considered a significant issue in healthcare regulation. It can lead to improper billing practices and may encourage overutilization of medical services, which can ultimately drive up costs for everyone involved, including taxpayers and the Medicare program itself.
In real-world terms, this practice is not just a minor infraction; it has serious implications for healthcare providers. When providers routinely waive coinsurance, they can face penalties from Medicare, including fines or exclusion from the program. This not only affects their practice but also undermines trust in the healthcare system.
