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Billing for services not actually performed
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Falsifying a patient's diagnosis to justify tests, surgeries or other procedures that aren't medically necessary
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Misrepresenting procedures performed to obtain payment for non-covered services, such as cosmetic surgery
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Upcoding, or billing for a service that is more costly than the one actually performed
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Unbundling, or billing each stage of a procedure as if it were a separate treatment
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Accepting kickbacks for member referrals
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Waiving member co-pays or deductibles and over-billing the insurance carrier or benefit plan
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