The board's fraud-prevention rules include which areas?

• A. The filing of workers' compensation and insurance claims
• B. Records required to be maintained in connection with the practice
• C. Both 1 and 2
• D. Neither 1 nor 2

Answer: (C)

Fraud-prevention rules cover both how claims are filed and how records are maintained. The board requires claims for workers’ compensation and other insurance to be accurate and truthful, with appropriate documentation supporting the services billed. Misrepresenting diagnoses, services, or amounts, or submitting false claims, is treated as fraud and violates the board’s rules. At the same time, maintaining complete, accurate records for every patient is essential to prevent fraud, because those records justify the services and billing and help detect discrepancies. Because fraud-prevention oversight targets both the claims process and the record-keeping practices, both areas are included.