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Examining Options To Combat Healthcare Waste Fraud And Abuse
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Author :United States. Congress Publisher :Createspace Independent Publishing Platform ISBN 13 :9781981684502 Total Pages :306 pages Book Rating :4.6/5 (845 download)
Book Synopsis Examining Options to Combat Healthcare Waste, Fraud, and Abuse by : United States. Congress
Download or read book Examining Options to Combat Healthcare Waste, Fraud, and Abuse written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-14 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining options to combat healthcare waste, fraud, and abuse : hearing before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Twelfth Congress, second session, November 28, 2012.
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health Publisher : ISBN 13 : Total Pages : pages Book Rating :4.:/5 (124 download)
Book Synopsis Examining Options to Combat Healthcare Waste, Fraud, and Abuse :. by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Download or read book Examining Options to Combat Healthcare Waste, Fraud, and Abuse :. written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Examining Options to Combat Healthcare Waste, Fraud, and Abuse, Serial No. 112-182, Nov. 28, 2012, 112-2 Hearing, *. by :
Download or read book Examining Options to Combat Healthcare Waste, Fraud, and Abuse, Serial No. 112-182, Nov. 28, 2012, 112-2 Hearing, *. written by and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health Publisher : ISBN 13 : Total Pages :302 pages Book Rating :4.:/5 (21 download)
Book Synopsis Examining Options to Combat Healthcare Waste, Fraud, and Abuse by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Download or read book Examining Options to Combat Healthcare Waste, Fraud, and Abuse written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2013 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Fraud, Progress Made, But More Action Needed to Address Medicare Fraud, Waste and Abuse by : U.s. Government Accountability Office
Download or read book Medicare Fraud, Progress Made, But More Action Needed to Address Medicare Fraud, Waste and Abuse written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-07-27 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: " GAO has designated Medicare as a high-risk program, in part because the program's size and complexity make it vulnerable to fraud, waste, and abuse. In 2013, Medicare financed health care services for approximately 51 million individuals at a cost of about $604 billion. The deceptive nature of fraud makes its extent in the Medicare program difficult to measure in a reliable way, but it is clear that fraud contributes to Medicare's fiscal problems. More broadly, in fiscal year 2013, CMS estimated that improper payments-some of which may be fraudulent-were almost $50 billion. This statement focuses on the progress made and important steps to be taken by CMS and its program integrity contractors to reduce fraud in Medicare. These contractors perform functions such as screening and enrolling providers, detecting and investigating potential fraud, and identifying improper payments and vulnerabilities that could lead to payment errors. This statement is based on relevant GAO products and recommendations issued from 2004 through 2014 using a variety of methodologies. In April 2014, GAO also received updated information from CMS on its actions related to the laws, regulations, and guidance discussed in this statement. Additionally, GAO updated information by examining public documents and relevant policies"
Book Synopsis Healthcare Fraud by : Rebecca S. Busch
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.
Book Synopsis Health Care Fraud and Abuse by : Aspen Health Law Center
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.
Book Synopsis Mandating the Measurement of Fraud by : M. Tunley
Download or read book Mandating the Measurement of Fraud written by M. Tunley and published by Springer. This book was released on 2014-04-25 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: This project examines the concept of fraud loss measurement by critiquing existing measurement methodologies, and argues for the mandating of fraud loss measurement by enforced self regulation, the creation of a British Standard of fraud loss measurement, and the establishment of an information exchange matrix to develop best practice.
Book Synopsis Activity Report of the Committee on Energy and Commerce of the U.S. House of Representatives ... Together with Dissenting Views by : United States. Congress. House. Committee on Energy and Commerce
Download or read book Activity Report of the Committee on Energy and Commerce of the U.S. House of Representatives ... Together with Dissenting Views written by United States. Congress. House. Committee on Energy and Commerce and published by . This book was released on 2011 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309477891 Total Pages :399 pages Book Rating :4.3/5 (94 download)
Book Synopsis Crossing the Global Quality Chasm by : National Academies of Sciences, Engineering, and Medicine
Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Author :United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment Publisher : ISBN 13 : Total Pages :152 pages Book Rating :4.0/5 ( download)
Book Synopsis Waste, Fraud, and Abuse in the Medicare Program by : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Download or read book Waste, Fraud, and Abuse in the Medicare Program written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1995 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Congressional Record by : United States. Congress
Download or read book Congressional Record written by United States. Congress and published by . This book was released on 2000 with total page 1520 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
Book Synopsis Report on the Legislative and Oversight Activities of the Committee on Ways and Means During the ... Congress by : United States. Congress. House. Committee on Ways and Means
Download or read book Report on the Legislative and Oversight Activities of the Committee on Ways and Means During the ... Congress written by United States. Congress. House. Committee on Ways and Means and published by . This book was released on 2003 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Energy Policy, Health Care, and Entitlements Publisher : ISBN 13 : Total Pages :132 pages Book Rating :4.:/5 (319 download)
Book Synopsis Examining Ways the Social Security Administration Can Improve the Disability Review Process by : United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Energy Policy, Health Care, and Entitlements
Download or read book Examining Ways the Social Security Administration Can Improve the Disability Review Process written by United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Energy Policy, Health Care, and Entitlements and published by . This book was released on 2014 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis License To Steal by : Malcolm K Sparrow
Download or read book License To Steal written by Malcolm K Sparrow and published by Basic Books. This book was released on 2007-12-14 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Who steals? An extraordinary range of folk -- from low-life hoods who sign on as Medicare or Medicaid providers equipped with nothing more than beepers and mailboxes, to drug trafficking organizations, organized crime syndicates, and even major hospital chains. In License to Steal, Malcolm K. Sparrow shows how the industry's defenses, which focus mostly on finding and correcting billing errors, are no match for such well orchestrated attacks. The maxim for thieves simply becomes "bill your lies correctly." Provided they do that, fraud perpetrators with any degree of sophistication can steal millions of dollars with impunity, testing payment systems carefully, and then spreading fraudulent billings widely enough across patient and provider accounts to escape detection. The kinds of highly automated, quality controlled claims processing systems that pervade the industry present fraud perpetrators with their favorite kind of target: rich, fast paying, transparent, utterly predictable check printing systems, with little threat of human intervention, and with the U.S. Treasury on the end of the electronic line. Sparrow picks apart the industry's response to the government's efforts to control this problem. The provider associations (well heeled and politically influential) have vociferously opposed almost every recent enforcement initiative, creating the unfortunate public impression that the entire health care industry is against effective fraud control. A significant segment of the industry, it seems, regards fraud and abuse not as a problem, but as a lucrative enterprise worth defending. Meanwhile, it remains a perfectly commonplace experience for patients or their relatives to examine a medical bill and discover that half of it never happened, or that; likewise, if patients then complain, they discover that no one seems to care, or that no one has the resources to do anything about it. Sparrow's research suggests that the growth of capitated managed care systems does not solve the problem, as many in the industry had assumed, but merely changes its form. The managed care environment produces scams involving underutilization, and the withholding of medical care schemes that are harder to uncover and investigate, and much more dangerous to human health. Having worked extensively with federal and state officials since the appearance of his first book on this subject, Sparrow is in a unique position to evaluate recent law enforcement initiatives. He admits the "war on fraud" is at least now engaged, but it is far from won.
Book Synopsis Report on the Legislative and Oversight Activities of the Committee on Ways and Means During the 109th Congress by : United States. Congress. House. Committee on Ways and Means
Download or read book Report on the Legislative and Oversight Activities of the Committee on Ways and Means During the 109th Congress written by United States. Congress. House. Committee on Ways and Means and published by . This book was released on 2007 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Operations Publisher : ISBN 13 : Total Pages :78 pages Book Rating :4.3/5 ( download)
Book Synopsis Examining Billion Dollar Waste Through Improper Payments by : United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Operations
Download or read book Examining Billion Dollar Waste Through Improper Payments written by United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Operations and published by . This book was released on 2017 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:
