00:01
Alright, so there are two terms, right? healthcare abuse and healthcare fraud.
00:07
So now healthcare abuse refers to practices, refers to practices that may result in, that may result in unnecessary costs to, unnecessary costs to healthcare programs, healthcare programs but are not necessary but are not necessarily illegal.
01:23
These are incidents that may involve overuse or misuse of services but without the intent of deceive or commit fraud, right? but if it is said that, okay let me just write, these are the incidents, these are the incidents that may involve, that may involve overuse or misuse of services, services but without the, but without the intent to deceive or commit fraud, right? on the other hand, if you talk about healthcare fraud, so healthcare, if you simply say about healthcare fraud, so healthcare fraud on the other hand involves intentional deception, so you can say that healthcare fraud is intentional deception, right? or misrepresentation that the individual knows to be false or does not believe to be true and makes knowing that deception could result in some unauthorized benefit to themselves or some other person...