What is an example of fraud in healthcare?

Fraud in healthcare refers to actions that are deceptive and result in unauthorized benefits or payments. Providing unnecessary treatments to clients is a clear example of fraud because it exploits the patient's trust and the healthcare system for financial gain without medical justification. When healthcare providers administer treatments that are not needed, they compromise patient safety and inflate costs unnecessarily.

Documenting care that was not given is also considered fraud. This involves creating false records to suggest that a patient has received care or services they did not actually receive, which can affect billing, insurance claims, and the integrity of the healthcare system. This type of documentation misleads payers and can result in reimbursement for services never rendered, further illustrating deceptive practices in the healthcare field.

Both actions represent unethical behavior that undermines the integrity of healthcare and can lead to serious legal consequences as well as harm to patients. Thus, the choice that includes both examples accurately reflects the multifaceted nature of fraud in the healthcare setting.