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Fraud And Abuse In Employer Sponsored Health Benefit Plans
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Author :United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations Publisher : ISBN 13 : Total Pages :428 pages Book Rating :4.0/5 (16 download)
Book Synopsis Fraud and Abuse in Employer Sponsored Health Benefit Plans by : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Download or read book Fraud and Abuse in Employer Sponsored Health Benefit Plans written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1990 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations Publisher : ISBN 13 : Total Pages :21 pages Book Rating :4.:/5 (256 download)
Book Synopsis U.S. Government Efforts to Combat Fraud and Abuse in the Insurance Industry by : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Download or read book U.S. Government Efforts to Combat Fraud and Abuse in the Insurance Industry written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1992 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations Publisher : ISBN 13 : Total Pages :0 pages Book Rating :4.:/5 (19 download)
Book Synopsis Fraud and Abuse in Employer Sponsored Health Benefit Plans by : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Download or read book Fraud and Abuse in Employer Sponsored Health Benefit Plans written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1990 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations Publisher : ISBN 13 : Total Pages :416 pages Book Rating :4.0/5 ( download)
Book Synopsis Fraud and Abuse in Employer Sponsored Health Benefit Plans by : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Download or read book Fraud and Abuse in Employer Sponsored Health Benefit Plans written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1990 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Governmental Affairs Publisher : ISBN 13 : Total Pages :26 pages Book Rating :4.:/5 (16 download)
Book Synopsis U.S. Government Efforts to Combat Fraud and Abuse in the Insurance Industry. Interim Report on Combatting Fraud and Abuse in Employer Sponsored Health Benefit Plans Together with Additional Views Made by the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate. March 12 (legislative Day, January 30), 1992. -- Ordered to be Printed by : United States. Congress. Senate. Committee on Governmental Affairs
Download or read book U.S. Government Efforts to Combat Fraud and Abuse in the Insurance Industry. Interim Report on Combatting Fraud and Abuse in Employer Sponsored Health Benefit Plans Together with Additional Views Made by the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate. March 12 (legislative Day, January 30), 1992. -- Ordered to be Printed written by United States. Congress. Senate. Committee on Governmental Affairs and published by . This book was released on 1992 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Broken Promises written by Robert Tillman and published by UPNE. This book was released on 1998 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the costs of medical care have skyrocketed, so has the amount of money lost to fraudulent health insurance providers. These bogus operations typically victimize individuals on the lower end of the socioeconomic scale who then face staggering medical bills without coverage. Robert Tillman shows how market conditions and weak regulatory structures have allowed these crimes to occur, and cites recent institutional and legal changes that have created both new demands for insurance and greater opportunities for fraud. He also analyzes the political and economic climate that enables these criminal practices to flourish. Drawing on court documents, congressional hearings, and actual cases, Tillman provides numerous examples of the three most prevalent forms of fraud: scams involving multiple employer welfare arrangements, employee leasing schemes, and fictitious labor unions. He also examines recent innovations in insurance fraud such as "24-hour plans" and coverage offered by dubious religious organizations. With the regulation of health insurance currently in chaos, Broken Promises offers a critical examination of this insidious form of white-collar crime. It is a timely book that raises important questions about the definition of insurance and consumer protection.
Book Synopsis Fraud and Abuse by : United States. General Accounting Office
Download or read book Fraud and Abuse written by United States. General Accounting Office and published by . This book was released on 1991 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. General Accounting Office. Health, Education, and Human Services Division Publisher : ISBN 13 : Total Pages :48 pages Book Rating :4.3/5 (91 download)
Book Synopsis Medicare Fraud and Abuse by : United States. General Accounting Office. Health, Education, and Human Services Division
Download or read book Medicare Fraud and Abuse written by United States. General Accounting Office. Health, Education, and Human Services Division and published by . This book was released on 1997 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Benefits Coverage Under Federal Law--. by :
Download or read book Health Benefits Coverage Under Federal Law--. written by and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Home Care Fraud and Abuse by : Martha Dale Nathanson
Download or read book Home Care Fraud and Abuse written by Martha Dale Nathanson and published by . This book was released on 1999 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt: Due to many changes in medical care and hospital discharge patterns, home health care is experiencing its share of fraud and abuse. In response, the government has increased its legislation efforts to crack down on abuse and fraud. This text will keep agencies advised on all the changes in legislation and regulations facing the home care industry in an easy-to-follow question & answer format.
Book Synopsis Employment and Health Benefits by : Institute of Medicine
Download or read book Employment and Health Benefits written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.
Author :United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations Publisher : ISBN 13 : Total Pages :264 pages Book Rating :4.0/5 ( download)
Book Synopsis Health Care Fraud/Medicare Secondary Payer Program by : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Download or read book Health Care Fraud/Medicare Secondary Payer Program written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1990 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Labor and Human Resources Publisher : ISBN 13 : Total Pages :100 pages Book Rating :4.3/5 (121 download)
Book Synopsis Employer Group Purchasing Reform Act of 1995 by : United States. Congress. Senate. Committee on Labor and Human Resources
Download or read book Employer Group Purchasing Reform Act of 1995 written by United States. Congress. Senate. Committee on Labor and Human Resources and published by . This book was released on 1995 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Benefits for Federal Employees and Members of Congress by : Nathaniel Marsh
Download or read book Health Benefits for Federal Employees and Members of Congress written by Nathaniel Marsh and published by . This book was released on 2015 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: The federal government is the largest employer in the United States, and the Federal Employees Health Benefits (FEHB) Program is the largest employer-sponsored health insurance program in the country. It provides more than $40 billion in health care benefits annually. This first chapter of this book provides a general overview of FEHB. It describes the structure of FEHB, including eligibility for the program and coverage options available to enrollees, as well as premiums, benefits and cost sharing, and general financing of FEHB. The chapter also describes the role of the Office of Personnel Management (OPM) in administering the program. The second chapter discusses the Patient Protection and Affordable Care Act (ACA) which generally specifies that the only health plans that the federal government may make available to Members and certain congressional staff are either created under ACA or offered through an exchange. The chapter summarizes the provisions of the final rule made me OPM which amends FEHBP eligibility regulations, and describes how it affects current and retired Members and congressional staff. The third chapter in this book provides historical and background information that helps explain how FEHBP has evolved into the program it is today. The fourth and final chapter describes oversight of fraud and abuse programs by OPM's contracting office, and the OPM contracting office's approach to measuring the effectiveness of FEHBP carriers' fraud and abuse programs.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781983756962 Total Pages :34 pages Book Rating :4.7/5 (569 download)
Book Synopsis Federal Employees Health Benefits Program by : United States Government Accountability Office
Download or read book Federal Employees Health Benefits Program written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-11 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM: Oversight of Carriers' Fraud and Abuse Programs
Book Synopsis Fraud and Abuse in the Health Care Market of California by : Elias Lopez
Download or read book Fraud and Abuse in the Health Care Market of California written by Elias Lopez and published by . This book was released on 1997 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
