Phantom Billing, Fake Prescriptions, and the High Cost of Medicine

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Author :
Publisher : Cornell University Press
ISBN 13 : 0801461286
Total Pages : 253 pages
Book Rating : 4.8/5 (14 download)

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Book Synopsis Phantom Billing, Fake Prescriptions, and the High Cost of Medicine by : Terry L. Leap

Download or read book Phantom Billing, Fake Prescriptions, and the High Cost of Medicine written by Terry L. Leap and published by Cornell University Press. This book was released on 2011-04-15 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation’s GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York’s Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse—the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws—Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America.

Capital Failure

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Publisher : Oxford University Press, USA
ISBN 13 : 0198712227
Total Pages : 433 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Capital Failure by : Nicholas Morris

Download or read book Capital Failure written by Nicholas Morris and published by Oxford University Press, USA. This book was released on 2014 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title argues that the trust-intensive nature of the financial services industry makes it essential to rebuild trustworthiness in the provision of financial services. It considers the lack of trust that emerged following deregulation of the financial sector and examines what is needed to rebuild trustworthiness.

Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume I

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Author :
Publisher : Springer Nature
ISBN 13 : 9811514240
Total Pages : 266 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume I by : Kıymet Tunca Çalıyurt

Download or read book Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume I written by Kıymet Tunca Çalıyurt and published by Springer Nature. This book was released on 2020-02-03 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book grapples with the numerous risks organizations face in order to succeed. These include economic risks, disaster risks, supply-chain risks, regulatory risks, and technology risks, all of which affect organizations in different ways and in varying degrees. Referencing Mahatma Gandhi’s seven unethical behaviors in the business world—wealth without work, pleasure without conscience, knowledge without character, commerce without morality, science without humanity, religion without sacrifice, and politics without principle—the authors analyze the healthcare sector. As competition in the health sector increases, there has also been a rise in unethical behavior. Corruption in the health sector results in severe consequences as it could affect the health of millions. This volume explores fraud schemes and cases, legislation to avoid cheating, lack of law, transparency, ethical issues, corporate governance and transparency in the health and pharmaceutical sector bringing together the perspectives of practitioners, professionals, as well as academic authors.

Ethnomedicine and Tribal Healing Practices in India

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Publisher : Springer Nature
ISBN 13 : 9811942862
Total Pages : 371 pages
Book Rating : 4.8/5 (119 download)

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Book Synopsis Ethnomedicine and Tribal Healing Practices in India by : Sunita Reddy

Download or read book Ethnomedicine and Tribal Healing Practices in India written by Sunita Reddy and published by Springer Nature. This book was released on 2023-02-19 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines various aspects of ethnomedicine and tribal healing practices, including its importance for inclusion and integration from a health systems perspective. Tribal healing practices is an under-studied component in healthcare system, health policy and health systems research. The book consists of original research papers based on empirical studies done by anthropologists, sociologists, public health practitioners and research scientists in various parts of India. It discusses issues of non-codified folk healing, with a focus on the therapeutic ideas and practices of tribal communities, located in anthropological theory and methods. It has a balance of empirical papers, review and theoretical papers, not only explaining ‘what is inside the healing practices’ but also touching upon the question of ‘why’ and delving into ‘what should be’ looking into the possibility to apply it for a larger good i.e., health care for all. This book discusses several important issues related to legitimacy, evidence and efficacy, recognition, certification and integration, protection and preservation, bio-piracy and bioprospecting, benefit sharing and intellectual property rights, sustainable use of medicinal herbs and conservation of nature and natural resources, biodiversity and possibilities of mainstreaming tribal healing. It is of interest to students and researchers from medical anthropology, medical sociology, cultural geography, liberal studies, tribal studies, ecology, sustainability and development and public health.

Regulations and Applications of Ethics in Business Practice

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Publisher : Springer
ISBN 13 : 9811080623
Total Pages : 325 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Regulations and Applications of Ethics in Business Practice by : Jing Bian

Download or read book Regulations and Applications of Ethics in Business Practice written by Jing Bian and published by Springer. This book was released on 2018-06-29 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a variety of discussions from different countries about regulations and applications of ethics in business practice. It demonstrates how Ethics, both in the world of business and in academic life, is consistently a central and unavoidable issue that institutions must devise new regulations on a regular basis to address. Given that applying such regulations becomes complicated in a global business landscape and that International companies have lost large amounts of revenues due to fraudulent activities, the book provides insights for professionals in business world to teach, learn, apply, measure and report on companies' daily business. Business and Professional Ethics: Theories, Standards, and Analysis is essential reading for researchers and students in business schools around the world.

Justice, Crime, and Ethics

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Author :
Publisher : Routledge
ISBN 13 : 1317522281
Total Pages : 501 pages
Book Rating : 4.3/5 (175 download)

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Book Synopsis Justice, Crime, and Ethics by : Michael C. Braswell

Download or read book Justice, Crime, and Ethics written by Michael C. Braswell and published by Routledge. This book was released on 2014-05-19 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: Justice, Crime, and Ethics, a leading textbook in criminal justice programs, examines ethical dilemmas pertaining to the administration of criminal justice and professional activities in the field. Comprehensive coverage is achieved through focus on law enforcement, legal practice, sentencing, corrections, research, crime control policy, and philosophical issues. The contributions in this book examine ethical dilemmas pertaining to the administration of criminal justice and professional activities in the field.

Understanding the Private–Public Divide

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Publisher : Cambridge University Press
ISBN 13 : 1108853528
Total Pages : 243 pages
Book Rating : 4.1/5 (88 download)

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Book Synopsis Understanding the Private–Public Divide by : Avner Offer

Download or read book Understanding the Private–Public Divide written by Avner Offer and published by Cambridge University Press. This book was released on 2022-04-07 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: Markets are taken as the norm in economics and in much of political and media discourse. But if markets are superior why does the public sector remain so large? Avner Offer provides a distinctive new account of the effective temporal limits on private, public, and social activity. Understanding the Private–Public Divide accounts for the division of labour between business and the public sector, how it changes over time, where the boundaries ought to run, and the harm that follows if they are violated. He explains how finance forces markets to focus on short-term objectives and why business requires special privileges in return for long-term commitment. He shows how a private sector policy bias leads to inequality, insecurity, and corruption. Integrity used to be the norm and it can be achieved again. Only governments can manage uncertainty in the long-term interests of society, as shown by the challenge of climate change.

Crime and Everyday Life

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Author :
Publisher : SAGE Publications
ISBN 13 : 1483384691
Total Pages : 242 pages
Book Rating : 4.4/5 (833 download)

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Book Synopsis Crime and Everyday Life by : Marcus Felson

Download or read book Crime and Everyday Life written by Marcus Felson and published by SAGE Publications. This book was released on 2015-01-29 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Crime and Everyday Life, Fifth Edition, offers a bold approach to crime theory and crime reduction. The text shows how crime opportunity is a necessary condition for illegal acts to occur. The authors offer realistic, often common-sense, ways to reduce or eliminate crime and criminal behavior in specific settings by removing the opportunity to complete the act. Using a clear and engaging writing style, author Marcus Felson and new co-author Mary Eckert talk directly to the student about criminal behavior, the routine activity approach, and specific crime reduction ideas. The authors emphasize how routine daily activities set the stage for illegal acts -- offering fascinating new ideas and examples not presented in earlier editions. Most importantly, this book teaches the student how to think about crime, and then do something about it.

Industrial & Labor Relations Review

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Author :
Publisher :
ISBN 13 :
Total Pages : 216 pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis Industrial & Labor Relations Review by :

Download or read book Industrial & Labor Relations Review written by and published by . This book was released on 2011 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Dishonest Dollars

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Publisher : Cornell University Press
ISBN 13 : 150173296X
Total Pages : 256 pages
Book Rating : 4.5/5 (17 download)

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Book Synopsis Dishonest Dollars by : Terry L. Leap

Download or read book Dishonest Dollars written by Terry L. Leap and published by Cornell University Press. This book was released on 2018-10-18 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an environment where corporate scandals fill the headlines and ethics courses have suddenly become standard fare in business schools, Terry Leap offers welcome insights into and useful ways of thinking about a critical problem that permeates our society. His main contribution is an integrative model of white-collar crime, which smoothly incorporates influences from sociology, psychology, public policy, and business. As he explains the process that occurs across the many different categories of crimes within organizations, he finds that there are more similarities than differences between "criminals in the suites" and "criminals in the streets."Leap's definition of crimes within organizations and the people who commit them are laid out in his first chapter. He then goes on to discuss the causes of and events surrounding white-collar crime, types of crimes and criminals, the decision-making processes of white-collar criminals, and the impact of these crimes. His concluding chapter predicts future trends in corporate crime, including an explanation of why we are likely to see more crime in health care. Throughout, Leap presents numerous specific examples and cases—from famous meltdowns such as Enron and WorldCom to less-publicized incidents including a weight-loss franchisee mislabeling doughnuts as low fat and a CEO of a South Carolina regional transportation authority misusing taxpayer money for lavish meals, personal expenses, and world travel.

Clinical Case Studies for the Family Nurse Practitioner

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Clinical Case Studies for the Family Nurse Practitioner by : Leslie Neal-Boylan

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Beyond Prescriptions

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Publisher : Partridge Publishing
ISBN 13 : 1482847906
Total Pages : 110 pages
Book Rating : 4.4/5 (828 download)

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Book Synopsis Beyond Prescriptions by : Dr. Rakesh Periwal

Download or read book Beyond Prescriptions written by Dr. Rakesh Periwal and published by Partridge Publishing. This book was released on 2015-05-18 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a doctor looks beyond diseases, he starts writing beyond prescriptions. The doctor here is not only the story writer, he is also one of the characters. He sees it all; hope, despair, drama, ecstasy, magic, humour, agony, denial, belief, sometimes all in a blend. The reader may have a reaction of his own! The stories are short but leave a lingering feel. There is flow, there is pause. Sometimes its like a roller coaster ride, sometimes like a dropped beat. There are intense moments; there is a lighter side to life as well. With all the technicalities of disease aside, it is the human behaviour in focus. Both of the doctor and the patient! You can read them on the move; or relaxed. You may consider them as a related experience or a totally new insight. Be whatever, you should be able to feel the intensities.

Pharmaceutical Freedom

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Publisher : Oxford University Press
ISBN 13 : 0190684542
Total Pages : 289 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis Pharmaceutical Freedom by : Jessica Flanigan

Download or read book Pharmaceutical Freedom written by Jessica Flanigan and published by Oxford University Press. This book was released on 2017 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Jessica Flanigan defends patients' rights of self-medication on the grounds that same moral reasons against medical paternalism in clinical contexts are also reasons against paternalistic pharmaceutical policies, including prohibitive approval processes and prescription requirements.--

Managing Risk in High-Stakes Faculty Employment Decisions

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Publisher : Cornell University Press
ISBN 13 : 1501728970
Total Pages : 277 pages
Book Rating : 4.5/5 (17 download)

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Book Synopsis Managing Risk in High-Stakes Faculty Employment Decisions by : Julee T. Flood

Download or read book Managing Risk in High-Stakes Faculty Employment Decisions written by Julee T. Flood and published by Cornell University Press. This book was released on 2018-11-15 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding the risks involved in hiring new faculty is becoming increasingly important. In Managing Risk in High-Stakes Faculty Employment Decisions Julee T. Flood and Terry Leap critically examine the landscape of US institutions of higher learning and the legal and human resource management practices pertinent to college and university faculty members. To help minimize the potential pitfalls in the hiring and promotion processes, Flood and Leap suggest ways that risk management principles can be applied within the unique culture of academia. Claims of workplace harassment and discrimination, violation of free speech and other First Amendment rights, social movements decrying unequal hiring practices, and the growing number of non-tenure track and adjunct faculty, require those involved in hiring and promotion decisions to be more knowledgeable about contract law, best practices in hiring, and risk management, yet many newly appointed administrators are often not sufficiently trained in these matters or in understanding how they might be applied in an academic setting. Human resource departments, hiring committees, department chairs, and academics seeking faculty jobs need resources such as Managing Risk in High-Stakes Faculty Employment Decisions now more than ever. Outlines critical issues affecting U.S. higher education Analyzes the social and psychological biases that can arise during hiring, promotion, and tenure decisions Discusses contract and constitutional law from the perspective of institutions of higher learning Illustrates complex interactions that shape contractual, constitutional, and collegial issues in institutions of higher learning Examines contract rights and controversies for tenured and tenure-track faculty Describes how risk management processes can help to deal with these complicated, but critical, issues Addresses constitutional issues associated with academic freedom and free speech on campus Investigates the nebulous, but important, issue of collegiality Discusses the future for institutions of higher learning in hiring faculty

Machine Learning and AI for Healthcare

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Author :
Publisher : Apress
ISBN 13 : 1484237994
Total Pages : 390 pages
Book Rating : 4.4/5 (842 download)

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Book Synopsis Machine Learning and AI for Healthcare by : Arjun Panesar

Download or read book Machine Learning and AI for Healthcare written by Arjun Panesar and published by Apress. This book was released on 2019-02-04 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explore the theory and practical applications of artificial intelligence (AI) and machine learning in healthcare. This book offers a guided tour of machine learning algorithms, architecture design, and applications of learning in healthcare and big data challenges. You’ll discover the ethical implications of healthcare data analytics and the future of AI in population and patient health optimization. You’ll also create a machine learning model, evaluate performance and operationalize its outcomes within your organization. Machine Learning and AI for Healthcare provides techniques on how to apply machine learning within your organization and evaluate the efficacy, suitability, and efficiency of AI applications. These are illustrated through leading case studies, including how chronic disease is being redefined through patient-led data learning and the Internet of Things. What You'll LearnGain a deeper understanding of key machine learning algorithms and their use and implementation within wider healthcare Implement machine learning systems, such as speech recognition and enhanced deep learning/AI Select learning methods/algorithms and tuning for use in healthcare Recognize and prepare for the future of artificial intelligence in healthcare through best practices, feedback loops and intelligent agentsWho This Book Is For Health care professionals interested in how machine learning can be used to develop health intelligence – with the aim of improving patient health, population health and facilitating significant care-payer cost savings.

Iowa Alumni Magazine

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Author :
Publisher :
ISBN 13 :
Total Pages : 418 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Iowa Alumni Magazine by :

Download or read book Iowa Alumni Magazine written by and published by . This book was released on 2011 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Review of Forensic Medicine and Toxicology

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Author :
Publisher : JP Medical Ltd
ISBN 13 : 935025896X
Total Pages : 602 pages
Book Rating : 4.3/5 (52 download)

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Book Synopsis Review of Forensic Medicine and Toxicology by : Gautam Biswas

Download or read book Review of Forensic Medicine and Toxicology written by Gautam Biswas and published by JP Medical Ltd. This book was released on 2012-07-20 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt: Up-to-date information, substantial amount of material on clinical Forensic Medicine included in a nutshell. Medical Jurisprudence, Identification, Autopsy, Injuries, Sexual Offences, Forensic Psychiatry and Toxicology are dealt with elaborately.