Medicare Fraud Abuse
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Medicare Fraud Abuse
![Medicare Fraud Abuse](https://youbookinc.com/wp-content/uploads/2024/06/cover.jpg)
Author | : Jeanie M. Johnson,Janet Seifert |
Publsiher | : Unknown |
Total Pages | : 292 |
Release | : 1986-01-01 |
Genre | : Medicare fraud |
ISBN | : 0918945011 |
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Health Care Fraud and Abuse
Author | : Aspen Health Law Center |
Publsiher | : Unknown |
Total Pages | : 156 |
Release | : 1998 |
Genre | : Business & Economics |
ISBN | : PSU:000031855273 |
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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.
Medicare and Medicaid Fraud and Abuse
![Medicare and Medicaid Fraud and Abuse](https://youbookinc.com/wp-content/uploads/2024/06/cover.jpg)
Author | : Alice G. Gosfield,Marc S. Raspanti,Kevin E. Raphael |
Publsiher | : Unknown |
Total Pages | : 666 |
Release | : 2008 |
Genre | : Medicaid fraud |
ISBN | : OCLC:276432956 |
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Fraud and Abuse
Author | : Sarah F. Jaggar |
Publsiher | : Unknown |
Total Pages | : 22 |
Release | : 1995 |
Genre | : Fraud |
ISBN | : UOM:39015042558430 |
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Medicare Fraud and Abuse
Author | : United States. Congress. Senate. Special Committee on Aging |
Publsiher | : Unknown |
Total Pages | : 268 |
Release | : 1992 |
Genre | : Law |
ISBN | : STANFORD:36105021024638 |
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Medicare Fraud
Author | : United States. Congress. Senate. Special Committee on Aging |
Publsiher | : Unknown |
Total Pages | : 64 |
Release | : 1995 |
Genre | : Law |
ISBN | : STANFORD:36105020994625 |
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Distributed to some depository libraries in microfiche.
Phantom Billing Fake Prescriptions and the High Cost of Medicine
Author | : Terry L. Leap |
Publsiher | : Cornell University Press |
Total Pages | : 253 |
Release | : 2011-04-15 |
Genre | : Medical |
ISBN | : 9780801461286 |
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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.