“Hospital scams” refer to fraudulent or deceptive practices perpetrated by hospitals, medical staff, or related entities to improperly obtain money or other benefits. These scams can take many forms, including:
* **Billing fraud:** Overcharging for services, billing for services not provided, or billing for more expensive services than were actually rendered (upcoding).
* **Unnecessary procedures:** Recommending or performing medical procedures or tests that are not medically necessary, solely to generate revenue.
* **Kickbacks:** Receiving illegal payments or incentives for referring patients to specific facilities or services.
* **Insurance fraud:** Submitting false or inflated claims to insurance companies.
* **Phantom billing:** Billing patients or insurance companies for services they never received or for deceased patients.
These scams can result in patients and insurers paying excessive medical bills, receiving unnecessary or harmful treatments, and ultimately contributing to rising healthcare costs.
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