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Fee-for-Service

A method of paying for health or medical services. Doctors and hospitals are paid for each individual service they provide to the patient. Bills can be paid in two different ways; paid by the patient who submits the claims to the insurance company or the provider can submit for reimbursement to the patient's insurance carrier.

Fraud Prevention Systems (FPS)

A system used to analyze Medicare claims to detect fraudulent behavior with the goal of preventing improper payments rather than having to collect them after…