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How To Spot Health Fraud
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Download or read book How to Spot Health Fraud written by and published by DIANE Publishing. This book was released on with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Food and Drug Administration (FDA) features the full text of an article entitled "How To Spot Health Fraud," written by Paula Kurtzweil. The article appeared in the November-December 1999 issue of the FDA's "Consumer Magazine." The author highlights tips for recognizing health fraud.
Download or read book MediScams written by Chuck Whitlock and published by . This book was released on 2001 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Trillion Dollar Scam by : Saul William Seidman
Download or read book Trillion Dollar Scam written by Saul William Seidman and published by Universal-Publishers. This book was released on 2008 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fraud is the result of government and insurance company control of health care. The growth of bureaucracy is a precursor to incompetence and soaring costs of medical care. A lack of clinical diagnosis and a dependence on expensive testing has increased costs while decreasing the doctor's competence. The FBI and the attorneys general of all states are dealing with exploding health care fraud. The result is a trillion dollars in waste and deception. Trillion Dollar Scam details the origin of this fraud and waste, and offers solutions to fixing the broken U.S. health care system.
Book Synopsis Health Scams by : U.S. Food and Drug Administration
Download or read book Health Scams written by U.S. Food and Drug Administration and published by GPO FCIC. This book was released on 2009 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health fraud can cause pain and suffering, and cost you money. Learn to recognize scams before you get taken. Includes examples of typical claims to watch out for.
Author :Williamd Edward Ackerman, III Publisher :Createspace Independent Publishing Platform ISBN 13 :9781976463044 Total Pages :360 pages Book Rating :4.4/5 (63 download)
Book Synopsis Health Care Fraud by : Williamd Edward Ackerman, III
Download or read book Health Care Fraud written by Williamd Edward Ackerman, III and published by Createspace Independent Publishing Platform. This book was released on 2017-09-24 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: The medical profession and health care in general has deteriorated over the past twenty years. It has become plagued with fraudulent behaviors. It is difficult for individuals to know if they are being scammed. Fraud unfortunately exists in all aspects of health care today. In 2011, $2.27 trillion was spent on health care and more than four billion health insurance claims were processed in the United States. It is an undisputed reality that some of these health insurance claims are fraudulent. No institution has undone more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that susceptible and sick Americans place in their healthcare. No doctor wants to be identified as being out of step with medical practice norms. Furthermore, most health care providers do not want a decrease in profit margins as well. This book is about the millions of Americans who have access to what some would call the best medical care in the world but are being swindled. Of course, there are millions of uninsured Americans whose access to care is heartlessly limited. The problems of fraudulent health care described in this book are less likely to transpire to the latter group, simply because they receive less medical care. This book is about the relentless expansion of medicine and our health providers increasing tendency to only make a diagnosis so that further treatments can be done to increase their revenues. Americans have been taught to be concerned about their health. We are all aware that types of hidden jeopardies prowl inside of us. The conventional wisdom is that it's always better to know about these dangers so that something can be done. That's why we are so enthusiastic about amazing medical technologies that can detect abnormalities even when we reason we are well. That's also why we welcome the identification of risk factors, disease awareness campaigns, cancer screening, genetic testing etc. Americans love a diagnosis so that they can receive attention and health care whether or not it helps them. But it's also true that we do receive too much of it in some circumstances. Some people are diagnosed and treated needlessly by swindlers who do unnecessary or dangerous treatments to increase their profit which is one reason why this book was written. Our legislators have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life. The majority of health care frauds are committed by a very small minority of dishonest health care providers. Unfortunately, the stock in trade of fraud-doers is to take advantage of the confidence that has been entrusted to them in order to commit ongoing fraud on a very broad scale. Another reason for this book is to inform individuals that rewards can be made by reporting health care fraud by becoming a whistle blower. Health care consumers need to identify these health care fraudsters and report them to ultimately attempt to salvage what remains of our health care structure. Fighting Medicare fraud is an important part of safeguarding our healthcare for future generations. Health deception costs Americans billions of dollars. We all must do our parts to reverse this trend. If you suspect that something has happened illegally with respect to medical care, then it is your duty to blow the whistle. Doing so makes you part of the solution. This book addresses the types of fraud which plague the healthcare industry and describes the most common fraudulent behavior throughout this industry and how to report fraud and possibly receive a reward. We must all do our part in trying to save our health care system!
Book Synopsis Healthcare Fraud Investigation Guidebook by : Charles E. Piper
Download or read book Healthcare Fraud Investigation Guidebook written by Charles E. Piper and published by Taylor & Francis. This book was released on 2017-07-27 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some have estimated that healthcare fraud in the United States results in losses of approximately $80 billion a year. Although there are many books available that describe how to detect healthcare fraud, few address what must be done after the fraud is detected. Filling this need, Charles Piper‘s Healthcare Fraud Investigation Guidebook details not only how to detect healthcare fraud, but also how to investigate and prove the wrongdoing to increase the likelihood of successful prosecution in court.The book starts by covering the history of healthcare insurance and the various types of fraud schemes. It presents Charles Piper‘s unique approach to investigating (The Piper Method) which allows readers to conduct as many as 10 simultaneous investigations for each case. It emphasizes the importance of simultaneously searching for waste and abuse as well as systemic weaknesses and deficiencies that caused or contributed to the problem or wrongdoing under investigation and then make recommendations for improvement. It also provides:Questions to ask whistleblowers, complainants, employers, employees, and healthcare providers who are suspectsTips on investigative case planning, goals, and strategiesSample visual aids for use when briefing others about your investigative findingsGuidance on presenting information obtained from healthcare investigations and on how to testify in courtTechniques for uncovering previously undetected fraudThe book includes a sample case study that walks readers through a mock case from the time the case is received through the end. The case study demonstrates how to initiate, plan, and conduct a thorough and complete healthcare fraud investigation while incorporating Piper‘s proven methodology.Sharing insights gained through Charles Piper‘s decades o
Download or read book Health Fraud Kit written by and published by . This book was released on 1989 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Little Black Book of Scams by : Industry Canada
Download or read book The Little Black Book of Scams written by Industry Canada and published by Competition Bureau Canada. This book was released on 2014-03-10 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Canadian edition of The Little Black Book of Scams is a compact and easy to use reference guide filled with information Canadians can use to protect themselves against a variety of common scams. It debunks common myths about scams, provides contact information for reporting a scam to the correct authority, and offers a step-by-step guide for scam victims to reduce their losses and avoid becoming repeat victims. Consumers and businesses can consult The Little Black Book of Scams to avoid falling victim to social media and mobile phone scams, fake charities and lotteries, dating and romance scams, and many other schemes used to defraud Canadians of their money and personal information.
Book Synopsis The Professional's Guide to Health & Nutrition Fraud by :
Download or read book The Professional's Guide to Health & Nutrition Fraud written by and published by . This book was released on 1987 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: A handbook provides practical guidelines and basic information developed from actual experiences to assist the health care professional in identifying and combatting health fraud, for use as an effective guide to understanding fraudulent practices and for treating and counseling victims of health quackery. It is argued that health fraud can be fought through education and enforcement, and a listing of agencies to which fraudulent practices should be reported is included. The text is organized into 4 principal parts: methods and advice for identifying quackery; the characteristics of food faddism, cultism, and quackery; specific approaches for treating and counseling health fraud victims; and guidelines for taking action. Information on agencies for reporting suspected health frauds and lists of ancillary resource information, are appended. Examples of health fraud are given throughout the text.
Author :United States. Federal Trade Commission. Bureau of Consumer Protection Publisher : ISBN 13 : Total Pages :32 pages Book Rating :4.:/5 (31 download)
Book Synopsis Dietary Supplements by : United States. Federal Trade Commission. Bureau of Consumer Protection
Download or read book Dietary Supplements written by United States. Federal Trade Commission. Bureau of Consumer Protection and published by . This book was released on 1998 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Book Synopsis Legal Issues in Health Care Fraud and Abuse by : Carrie Valiant
Download or read book Legal Issues in Health Care Fraud and Abuse written by Carrie Valiant and published by American Hospital Association. This book was released on 1997-01-01 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book navigates the reader through federal health care program anti-kickback statutes, federal physician self-referral prescriptions, false claims and other fraudulent billing activities. It covers fraud and abuse issues that arise in managed care state and private health care fraud initiatives, patient transfers, and procedural issues in health care investigations enforcement.
Book Synopsis Health Care Fraud and Abuse by : Linda A. Baumann
Download or read book Health Care Fraud and Abuse written by Linda A. Baumann and published by Bureau of National Affairs (BNA). This book was released on 2013 with total page 0 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 Expert Fraud Investigation by : Tracy L. Coenen
Download or read book Expert Fraud Investigation written by Tracy L. Coenen and published by John Wiley & Sons. This book was released on 2009-01-23 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: A fraud investigation is aimed at examining evidence to determine if a fraud occurred, how it happened, who was involved, and how much money was lost. Investigations occur in cases ranging from embezzlement, to falsification of financial statements, to suspicious insurance claims. Expert Fraud Investigation: A Step-by-Step Guide provides all the tools to conduct a fraud investigation, detailing when and how to investigate. This guide takes the professional from the point of opening an investigation, selecting a team, gathering data, and through the entire investigation process. Business executives, auditors, and security professionals will benefit from this book, and companies will find this a useful tool for fighting fraud within their own organizations.
Book Synopsis The Book of Scams by : Rodney Hobson
Download or read book The Book of Scams written by Rodney Hobson and published by Harriman House Limited. This book was released on 2016-02-01 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: These days fraudsters operate on a massive scale that was previously unimaginable. Thousands of people from all walks of life are relieved of billions of pounds each year. No-one knows the full scale of fraud because embarrassed victims often fail to report it. Despite all the press coverage, people keep falling for old tricks that often re-emerge in new guises. Scammers are ingenious, utterly ruthless and without conscience. Rodney Hobson, author of the best-selling beginners guide to stock market investing Shares Made Simple, has produced the first definitive guide to scams, categorising the different types, listing tell-tale signs and advising how to spot a fraudster and avoid becoming the next victim. This makes the basic principles behind each type of scam more recognisable and it shows how scams have evolved and re-emerged over time. Danger lurks for those unwary souls who part only too readily with their hard-earned cash and this book will help you be alert to the risks. It is also meant to entertain, as we learn to grudgingly admire as well as despise the ingenious crooks who lurk in the shadows.
