Which one of the following choices is the most common type of Medicare fraud?

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The most common type of Medicare fraud is assigning a code for a higher service than what was actually provided. This practice, known as upcoding, involves billing for services that were not performed or inflating the complexity or duration of a service to receive a higher reimbursement from Medicare. This not only results in financial losses for the Medicare program but also raises ethical concerns, as it can affect the availability of resources for legitimate healthcare needs.

In contrast to upcoding, assigning more than one diagnosis code or procedure code may not inherently constitute fraud unless there is an intent to misrepresent the services provided. Furthermore, assigning an invasive procedure code requires careful documentation and justification, and it may not be as common as the straightforward act of upcoding. Therefore, the manipulation of billing by assigning a higher service code is recognized as the most prevalent fraudulent activity within Medicare billing practices.

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