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. 2018 Mar 23;16(3):289–302. doi: 10.1007/s40258-018-0386-6

Table 1.

European Healthcare Fraud and Corruption Network (EHFCN) categories, generic definitions and examples extracted from the EHFCN Waste typology® [28]

Errors “Unjustly obtaining a benefit of any nature by unintentionally breaking a rule”
Example: unintentionally billing for a service that has not been rendered
Abuses “Unjustly obtaining a benefit of any nature by knowingly stretching a rule or by taking advantage of an absence of rule”
Example: knowingly taking and billing a service without medical indication
Fraud “Illegally obtaining a benefit of any nature by intentionally breaking a rule”
Example: intentionally billing for a service that has not been rendered
Corruption “Illegally obtaining a benefit of any nature by abuse of power with third party involvement”
Example: intentionally prescribing an ineffective medication to receive a kickback payment from the pharmaceutical manufacturer