is defined as practices that are inconsistent with sound fiscal, business, or medical practices resulting in unnecessary costs and improper payment.
Abuse is defined as ââ¦ provider practices that are inconsistent with sound fiscal, business, or medical practices, and that result in an unnecessary cost to the Medical Assistance Program, or that result in reimbursement for services that are not medically necessary or that fail to meet professionally recognized standards for health care.â Fraud, Waste and Abuse