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1.4.2 Clinical Service Providers
ОглавлениеClinical specialist co-ops can be medical clinics, specialists, attendants, radiologists and other research centre specialist organizations, and emergency vehicle organizations. Exercises including Clinical Services are comprised of the following:
✓ Justify certain patient related medical service or procedure or diagnosis which is not relevant medically [12],
✓ Claiming certain services which never took place or claiming extra money by altering the original claims [12],
✓ Charging insurance companies an excess amount i.e., the part of an insurance claim to be paid by the insured [12],
✓ Charging insurance companies something which is not necessary for the patient, for example, by increasing the frequency of the check-ups [12, 13],
✓ charging amount for certain expensive procedures or services which were never performed for the patient [12, 13]
✓ By using illegitimate schemes for which the providers of the healthcare exchange money which alternatively could have been provided by Medicare [13]