What is a consequence of billing for services already included in a global fee?

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Billing for services that are already covered under a global fee can lead to legal actions against the provider due to fraudulent billing practices. A global fee encompasses all the services related to a treatment or a procedure, meaning the provider receives a single payment that includes multiple services. When a provider bills for additional services that are supposed to be included in this fee, it can be viewed as an attempt to obtain additional compensation unlawfully. This can result in investigations by payers, legal repercussions, and penalties for violating billing regulations. Providers must adhere to established billing guidelines to ensure compliance and maintain transparency in their billing practices. This not only protects the provider from legal action but also upholds ethical standards within the healthcare system.

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