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Multiple Choice
Which of the following is an example of the clinical impact of fraud and abuse in a healthcare setting?
A
Patients receive unnecessary medical procedures, exposing them to potential harm.
B
Healthcare organizations face higher audit fees.
C
Hospitals experience increased administrative costs due to additional paperwork.
D
Insurance companies delay payments to healthcare providers.
Verified step by step guidance
1
Step 1: Begin by understanding the context of fraud and abuse in a healthcare setting. Fraud refers to intentional deception or misrepresentation for financial gain, while abuse involves practices that result in unnecessary costs or harm.
Step 2: Analyze the clinical impact of fraud and abuse. Clinical impact refers to how fraud and abuse directly affect patient care and outcomes, rather than financial or administrative aspects.
Step 3: Evaluate each option provided in the problem. Focus on identifying which option directly relates to patient care and potential harm caused by unnecessary medical procedures.
Step 4: Recognize that unnecessary medical procedures can expose patients to risks such as complications, infections, or adverse effects, which are examples of clinical impact.
Step 5: Conclude that the correct answer is the option describing patients receiving unnecessary medical procedures, as this directly relates to the clinical impact of fraud and abuse in healthcare.