Certified Fraud Examiner 2025 – 400 Free Practice Questions to Pass the Exam

Billing for services not rendered is a clear example of excessive billing in healthcare fraud because it entails charging patients or insurers for healthcare services that were never actually provided. This fraudulent practice not only inflates the costs associated with healthcare but also misleads payers and can result in significant financial penalties for the healthcare provider involved. By submitting claims for non-existent services, the perpetrator takes advantage of the system, leading to unjust financial gains and undermining the integrity of healthcare funding.

In contrast, charging less than the market rate, providing discounts for low-income patients, and billing solely for preventive services do not fit the definition of excessive billing. These practices can be legitimate approaches to pricing and billing within the healthcare sector, often aimed at making care more accessible or affordable rather than exploiting the system for profit.