WebThe transition to value-based care revolves around a recalibration of how healthcare is measured and how payments are reimbursed. The traditional model, known as fee-for-service, simply assigns reimbursements based on what services a healthcare organization provides. But in value-based care, reimbursement is contingent upon the quality of the ... WebHealthcare fraud is a deliberate misrepresentation, deception, or intentional act of deceit for the purpose of receiving greater reimbursement thus harming the healthcare industry. Healthcare abuse is wrongdoing with disregard and reckless conduct that goes against acceptable business and / or medical practices resulting in greater reimbursement.

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Glossary of billing and insurance terms - Mayo Clinic

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