Billing for unauthorized locations, where the facility has never been approved can be deemed fraud:
This may include services performed at a facility that is inappropriate for that service, or a facility that is improperly staffed or equipped for the procedure. Or for example hospitals systems that bill for services at the higher hospital rates, even though the services were provided outside of the hospital. Healthcare employers and healthcare whistleblowers are on the lookout for unauthorized locations that are used to increase Medicare or insurance compensated revenue dollars.
