Question: For items A-G below, identify the definitions and examples below as either a factually false claim or a legally false claim using either factually false
For items A-G below, identify the definitions and examples below as either a factually false claim or a legally false claim using either factually false claim or legally false claim
- Violations of express or implied certifications
- Illegally paying kickbacks for referrals
- Upcoding (coding a procedure or treatment so as to maximize reimbursement).
- Illegally billing for services of a related entity.
- The claim is false on its face. An incorrect description of goods or services provided or a request for reimbursement for goods or services provided.
- Billing for products or services not provided.
- Providing services that are not medically necessary.
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