Home Health Agency Fraud

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CRIME IN THE HOME HEALTH CARE FIELD

Author : Brian K. Payne
Publisher : Charles C Thomas Publisher
ISBN 13 : 0398083541
Total Pages : 193 pages
Book Rating : 4.3/5 (98 download)

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Book Synopsis CRIME IN THE HOME HEALTH CARE FIELD by : Brian K. Payne

Download or read book CRIME IN THE HOME HEALTH CARE FIELD written by Brian K. Payne and published by Charles C Thomas Publisher. This book was released on 2003-01-01 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past couple of decades, individuals have come to rely more on home health care visits for their health care needs. While there have been decreases in hospital stays and in the percentage of older persons living in nursing homes the consequence has been the emergence of a new type of occupational crime: home health care abuse. In considering offending in the home health care industry, it is important to focus on crimes by and against home health care professionals. This book is one of the first to fully address abuses occurring in the home health care industry. Its intent is not to suggest that home health care is a dangerous field for workers and consumers; rather, the intent is to shed some light on the types of misconduct found in home health care. Each chapter will include a wealth of examples to illustrate that these incidents actually are real, devastating, and significant. At the end of each chapter the reader will find a series of discussion questions designed to encourage the reader to reflect back on the content of the chapter through the eyes of those involved in the response to home health care fraud. Also included are Web site addresses where readers can learn more about the offenses and other resources to help demonstrate ways to deal with the problem. It is intended for criminal justice officials, health care professionals, academics, and researchers who want to better understand the nature of offending in the home health care industry. It is also intended for use in criminal justice, sociology, and white-collar crime courses exploring crime in the workplace as well as courses examining the home health care field. Chapters include: Home, Home on the Range: Where Health Care is Provided and Crimes are Committed; Home Health Care Professionals as Victims and Witnesses; Crimes by Home Health Professionals: Violence, Theft, and Deception; Responding to Crime in the Home Health Care Field: Strategies, Obstacles, and Issues; and Preventing Home Health Care Misconduct.

Health Care Fraud in Nursing Homes

Author : United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources
Publisher :
ISBN 13 :
Total Pages : 128 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Health Care Fraud in Nursing Homes by : United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources

Download or read book Health Care Fraud in Nursing Homes written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources and published by . This book was released on 1997 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Fraud

Author : United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies
Publisher :
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Health Care Fraud by : United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies

Download or read book Health Care Fraud written by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies and published by . This book was released on 1994 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Home Care Fraud and Abuse

Author : Martha Dale Nathanson
Publisher :
ISBN 13 :
Total Pages : 506 pages
Book Rating : 4.F/5 ( download)

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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.

Medicare and Medicaid Frauds

Author : United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care
Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis Medicare and Medicaid Frauds by : United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care

Download or read book Medicare and Medicaid Frauds written by United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care and published by . This book was released on 1976 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare and Medicaid Frauds: Washington, D.C

Author : United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care
Publisher :
ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Medicare and Medicaid Frauds: Washington, D.C by : United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care

Download or read book Medicare and Medicaid Frauds: Washington, D.C written by United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care and published by . This book was released on 1977 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Home Health Agency Fraud

Author : United States. Congress. Senate. Committee on the Budget
Publisher :
ISBN 13 :
Total Pages : 64 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Home Health Agency Fraud by : United States. Congress. Senate. Committee on the Budget

Download or read book Home Health Agency Fraud written by United States. Congress. Senate. Committee on the Budget and published by . This book was released on 1992 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Fraud

Author : United States. Congress. Senate. Special Committee on Aging
Publisher :
ISBN 13 :
Total Pages : 102 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Care Fraud by : United States. Congress. Senate. Special Committee on Aging

Download or read book Health Care Fraud written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1996 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Catch Me If You Can

Author : United States. Congress. Senate. Special Committee on Aging
Publisher :
ISBN 13 :
Total Pages : 112 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Catch Me If You Can by : United States. Congress. Senate. Special Committee on Aging

Download or read book Catch Me If You Can written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 2009 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Healthcare Fraud

Author : Rebecca S. Busch
Publisher : John Wiley & Sons
ISBN 13 : 1118179803
Total Pages : 374 pages
Book Rating : 4.1/5 (181 download)

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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.

Whistle-Blower Guide to Identification of Home Health Care Agency Fraud Issues

Author : Joe Pappacoda
Publisher : Independently Published
ISBN 13 : 9781081253301
Total Pages : 99 pages
Book Rating : 4.2/5 (533 download)

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Book Synopsis Whistle-Blower Guide to Identification of Home Health Care Agency Fraud Issues by : Joe Pappacoda

Download or read book Whistle-Blower Guide to Identification of Home Health Care Agency Fraud Issues written by Joe Pappacoda and published by Independently Published. This book was released on 2019-11-29 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: WHISTLE-BLOWER GUIDE TO IDENTIFICATION OF HOME HEALTH CARE AGENCY FRAUD ISSUES UNDER THE FEDERAL FALSE CLAIMS ACT 2019By GhostWriter Paralegal, Chartered www.GhostWriterParalegal.com. Ghostwriter Paralegal is not a law firm, but a legal technical research and writing firm that assists law firms with specific needs, as assigned. This Guide was one such assignment. The Guide is also suitable for Home Health Care Agency group discussions and other in house training, or seminars, or break out group exercises, by topic. This guide is a fraud identification tool intended for consideration by a whistle-blower health care professional employed by a home health care agency that is suspected of perpetrating Medicare fraud. Attorneys may also find this detailed technical information useful if involved with home health care agency litigation. This guide can be one tool in your arsenal. The primary purpose of this guide is to aid a home healthcare whistle-blower in the identification of certain specific categories of fraud prevalent in the home health industry in 2019, to identify the types of source documents necessary to prove the frauds identified, and to keep this process as simple as possible, in consideration of the complexity of federal healthcare regulations in general. After reading this guide, if you suspect fraud at your agency, you should immediately consult with a qualified attorney, or report the fraud directly to The United States by calling The Medicare Fraud Hotline 1-800-MEDICARE. There are several bright-line areas of law that are covered in detail in this process. Spoiler Alert! This information is highly technical and boring for most people. Unless you already have a working understanding of home health care agency practices, you will likely hate this book. Conversely, if you have a working knowledge of home health and Medicare guidelines for home health, this book should be an eye opener for you. Four main categories of home health care agency frauds are examined in detail with analysis of specific Medicare regulations and descriptions of exactly how unscrupulous home health care agencies turn these laws upside-down, ultimately resulting in false claims made to Medicare for services that were not provided, were not medically necessary, or both. Lastly an analysis is provided relative to application of information contained within the source documents acquired evidencing home healthcare fraud to four main provisions of The Federal False Claims act and how those Medicare fraud violations can be proven in a court of law. GhostWriter Paralegal is not a law firm, and the topics contained in this publication are intended to foster critical thinking on the subjects presented. As such, the guide, per se, does not constitute legal advice and any such interpretation is completely unintended. If you suspect fraud in your workplace, please consult with a qualified attorney immediately. Once again, you can report suspected Medicare or Medicaid fraud directly to The United States by calling The Medicare Fraud Hotline 1-800-MEDICARE.

Medicare Home Health Services, No Surety in the Fight Against Fraud and Waste

Author : United States. Congress. House. Committee on Government Reform and Oversight
Publisher :
ISBN 13 :
Total Pages : 34 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Medicare Home Health Services, No Surety in the Fight Against Fraud and Waste by : United States. Congress. House. Committee on Government Reform and Oversight

Download or read book Medicare Home Health Services, No Surety in the Fight Against Fraud and Waste written by United States. Congress. House. Committee on Government Reform and Oversight and published by . This book was released on 1998 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare Fraud Prevention and Enforcement Efforts

Author : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Medicare Fraud Prevention and Enforcement Efforts by : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations

Download or read book Medicare Fraud Prevention and Enforcement Efforts written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1999 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare Fraud

Author : United States. Congress. Senate. Special Committee on Aging
Publisher :
ISBN 13 :
Total Pages : 64 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Medicare Fraud by : United States. Congress. Senate. Special Committee on Aging

Download or read book Medicare Fraud written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1995 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Distributed to some depository libraries in microfiche.

Medicare Home Health Agencies, Still No Surety Against Fraud and Abuse

Author : United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources
Publisher :
ISBN 13 :
Total Pages : 186 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Medicare Home Health Agencies, Still No Surety Against Fraud and Abuse by : United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources

Download or read book Medicare Home Health Agencies, Still No Surety Against Fraud and Abuse written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources and published by . This book was released on 1999 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare at Risk

Author : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Publisher :
ISBN 13 :
Total Pages : 354 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Medicare at Risk by : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations

Download or read book Medicare at Risk written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1997 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Statistics and Health Care Fraud

Author : Tahir Ekin
Publisher : CRC Press
ISBN 13 : 1315278235
Total Pages : 142 pages
Book Rating : 4.3/5 (152 download)

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Book Synopsis Statistics and Health Care Fraud by : Tahir Ekin

Download or read book Statistics and Health Care Fraud written by Tahir Ekin and published by CRC Press. This book was released on 2019-02-07 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Statistics and Health Care Fraud: How to Save Billions helps the public to become more informed citizens through discussions of real world health care examples and fraud assessment applications. The author presents statistical and analytical methods used in health care fraud audits without requiring any mathematical background. The public suffers from health care overpayments either directly as patients or indirectly as taxpayers, and fraud analytics provides ways to handle the large size and complexity of these claims. The book starts with a brief overview of global healthcare systems such as U.S. Medicare. This is followed by a discussion of medical overpayments and assessment initiatives using a variety of real world examples. The book covers subjects as: • Description and visualization of medical claims data • Prediction of fraudulent transactions • Detection of excessive billings • Revealing new fraud patterns • Challenges and opportunities with health care fraud analytics Dr. Tahir Ekin is the Brandon Dee Roberts Associate Professor of Quantitative Methods in McCoy College of Business, Texas State University. His previous work experience includes a working as a statistician on health care fraud detection. His scholarly work on health care fraud has been published in a variety of academic journals including International Statistical Review, The American Statistician, and Applied Stochastic Models in Business and Industry. He is a recipient of the Texas State University 2018 Presidential Distinction Award in Scholar Activities and the ASA/NISS y-Bis 2016 Best Paper Awards. He has developed and taught courses in the areas of business statistics, optimization, data mining and analytics. Dr. Ekin also serves as Vice President of the International Society for Business and Industrial Statistics.