Author : Paul Robert DeMuro
Publisher : Atlantic Information Systems Incorporated
ISBN 13 : 9780929156378
Total Pages : 134 pages
Book Rating : 4.1/5 (563 download)
Book Synopsis Health Care Executives' Guide to Fraud and Abuse by : Paul Robert DeMuro
Download or read book Health Care Executives' Guide to Fraud and Abuse written by Paul Robert DeMuro and published by Atlantic Information Systems Incorporated. This book was released on 1998-01-01 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Columbia/HCA "event" was a wake-up call for the health care industry: maintain your status as a partner in good standing" with federal and state governments...or else! The message is clear: the government is serious about not only ferreting out fraud and abuse, but also punishing business crimes with severe, often devastating criminal penalties. Search warrants, grand jury subpoenas, unexpected visits from the IG at your employees' homes, treble damages and stiff penalties are becoming the norm. And ignorance of the laws or the existence of fraud and abuse in a hospital, managed care plan, lab, home health agency or other provider organization is no longer an excuse. This important new book, by two of the nation's top fraud and abuse experts, is written exclusively for health care executives rather than lawyers. It provides a thorough understanding of fraud and abuse across the health care industry by explaining the laws themselves as well as of what those laws mean for executives, physicians, service providers and others working in the industry. Included are straightforward discussions of kickbacks, self-referral bans, reimbursement fraud, what to do when fraud is suspected or uncovered, how to prevent it from occurring, a provider's obligation to report violations, and how to weather fraud and abuse problems if and when they occur.