Fraudulent billing practices pose a significant challenge across various sectors, particularly in healthcare, insurance, and finance. These practices not only lead to substantial financial losses but also undermine the integrity of services and trust in these industries. Effective fraud and abuse prevention measures are essential to safeguard resources, maintain transparency, and ensure fair practices. This article delves into the key strategies and measures that can be employed to detect and prevent fraudulent billing practices. Understanding Fraudulent Billing Practices Fraudulent billing refers to the act of deliberately falsifying billing information to receive unearned benefits or payments. Common fraudulent billing practices include: Upcoding: Billing for a more expensive service than what was …