In Grey's Anatomy, Dr Meredith Grey (Ellen Pompeo) committed insurance fraud to help a father and daughter seeking asylum, saving the girl's life. Meredith inputted her own daughter's name Ellis on the form, and this was found out as the insurance company paid a visit.

 

https://www.youtube.com/watch?v=mJPWGc3094M&t=92s

 What is the difference between fraud and abuse? 

• How would you go about investigating this particular case? What would you review? How would you proceed?
• What is the impact of having fraud and abuse occur at your facility? 

Answer rating: 100% (QA)

Fraud and abuse are two distinct concepts in healthcare though they can sometimes overlap Heres a breakdown of the differences Fraud Fraud involves in... View the full answer