Fraud And Abuse

Author : Aspen Health Law Center
Publisher :
ISBN 13 :
Total Pages : 156 pages
Book Rating : 4.73/5 ( download)

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Download or read book Health Care Fraud and Abuse written by Aspen Health Law Center and published by . This book was released on 1998 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.

Author : Linda A. Baumann
Publisher : Bureau of National Affairs (BNA)
ISBN 13 : 9781617463013
Total Pages : 0 pages
Book Rating : 4.19/5 ( download)

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Download or read book Health Care Fraud and Abuse written by Linda A. Baumann and published by Bureau of National Affairs (BNA). This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Gerard M. Zack
Publisher : John Wiley & Sons
ISBN 13 :
Total Pages : 388 pages
Book Rating : 4.54/5 ( download)

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Download or read book Fraud and Abuse in Nonprofit Organizations written by Gerard M. Zack and published by John Wiley & Sons. This book was released on 2003-06-19 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Table of contents

Author : Kelly M. Pyrek
Publisher : CRC Press
ISBN 13 : 1439820341
Total Pages : 326 pages
Book Rating : 4.46/5 ( download)

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Download or read book Healthcare Crime written by Kelly M. Pyrek and published by CRC Press. This book was released on 2011-01-19 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Crime perpetrated by healthcare professionals is increasingly pervasive in today‘s hospitals and other healthcare settings. Patients, coworkers, and employers are vulnerable to exploitation, fraud, abuse, and even murder. Investigative journalist Kelly M. Pyrek interviews experts who provide accounts concerning the range of criminality lurking in t

Author : Rebecca S. Busch
Publisher : John Wiley & Sons
ISBN 13 : 1118179803
Total Pages : 374 pages
Book Rating : 4.02/5 ( download)

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Download or read book Healthcare Fraud written by Rebecca S. Busch and published by John Wiley & Sons. This book was released on 2012-05-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud, Second Edition provides tips and techniques to help you spot—and prevent—the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations. Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparency Offers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans Examines the necessary background that internal auditors should have when auditing healthcare activities Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read Healthcare Fraud, Second Edition and get the valuable guidance you need to help combat this critical problem.

Author : Joseph T. Wells
Publisher :
ISBN 13 : 9781889277080
Total Pages : 564 pages
Book Rating : 4.88/5 ( download)

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Download or read book Occupational Fraud and Abuse written by Joseph T. Wells and published by . This book was released on 1997-01-01 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Terry L. Leap
Publisher : Cornell University Press
ISBN 13 : 0801461286
Total Pages : 253 pages
Book Rating : 4.86/5 ( download)

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Download or read book Phantom Billing, Fake Prescriptions, and the High Cost of Medicine written by Terry L. Leap and published by Cornell University Press. This book was released on 2011-04-15 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation’s GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York’s Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse—the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws—Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America.

Author : Alice G. Gosfield
Publisher :
ISBN 13 :
Total Pages : 666 pages
Book Rating : 4.56/5 ( download)

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Download or read book Medicare and Medicaid Fraud and Abuse written by Alice G. Gosfield and published by . This book was released on 2008 with total page 666 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Paul W. Shaw
Publisher :
ISBN 13 : 9781663315007
Total Pages : 775 pages
Book Rating : 4.00/5 ( download)

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Download or read book Fraud and Abuse Investigations Handbook for the Health Care Industry written by Paul W. Shaw and published by . This book was released on 2021 with total page 775 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors examine each stage of a fraud and abuse investigation, beginning with an overview of federal and state enforcement agencies, and concluding with a discussion of the potential collateral consequences of an investigation. They have supplemented their analysis extensively with sample documents, including indictments, requests for records, subpoenas, internal response memoranda, and responses to auditors, prosecutors, and more. Taken together, the materials in this book provide a true Handbook for anyone who needs to quickly and thoroughly understand the complex nature of a government fraud and abuse investigation.-Preface.

Author : David E. Matyas
Publisher :
ISBN 13 : 9781422434369
Total Pages : 495 pages
Book Rating : 4.62/5 ( download)

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Download or read book Legal Issues in Health Care Fraud and Abuse written by David E. Matyas and published by . This book was released on 2006 with total page 495 pages. Available in PDF, EPUB and Kindle. Book excerpt: