Download or read book Arizona Health Care Cost Containment System Medicaid Fraud and Abuse Prevention Detection Investigation and Recovery Processes written by Arizona. Office of the Auditor General. Performance Audit Division and published by . This book was released on 2012 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Fraud and Abuse written by United States. Congress. House. Committee on Commerce. Subcommittee on Oversight and Investigations and published by . This book was released on 1999 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Investigations of Medicare and Medicaid Fraud and Abuse improvements Needed Department of Health Education and Welfare written by United States. General Accounting Office and published by . This book was released on 1977 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Fraud a Case History in the Failure of State Enforcement written by Val J. Halamandaris and published by . This book was released on 1982 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Fraud Control in the Health Care Industry written by Malcolm K. Sparrow and published by . This book was released on 1998 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Fraud and Abuse written by United States. General Accounting Office and published by . This book was released on 1997 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Fraud Control written by Krystal O. Holtzer and published by . This book was released on 2016 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid is a significant expenditure for the federal government and the states, with total federal outlays of $310 billion in fiscal year 2014. The Centers for Medicare & Medicaid Services (CMS) reported an estimated $17.5 billion in potentially improper payments for the Medicaid program in 2014. This book identifies and analyzes indicators of improper or potentially fraudulent payments in fiscal year 2011, and examines the extent to which federal and state oversight policies, controls, and processes are in place to prevent and detect fraud and abuse in determining eligibility.

Download or read book Health Care Fraud and Waste written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations and published by . This book was released on 1992 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Federal Funding for State Medicaid Fraud Control Units Still Needed written by United States. General Accounting Office and published by . This book was released on 1980 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Care Fraud written by United States. General Accounting Office and published by . This book was released on 1987 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Care Fraud and Abuse written by United States. Congress. House. Committee on Government Operations. Human Resources and Intergovernmental Relations Subcommittee and published by . This book was released on 1993 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Evaluation of the Arizona Health Care Cost containment System written by Nelda McCall and published by . This book was released on 1985 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Overview of the Arizona Health Care Cost Containment System written by John H. Kelly and published by . This book was released on 1996 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Fraud and Abuse written by Jennifer D. Petross and published by . This book was released on 1977 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Fraud Control Game written by John A. Gardiner and published by . This book was released on 1984 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text describes and analyzes efforts at the state level to control fraud and abuse in Medicaid and AFDC, utilizing detailed case studies of fraud and its control in the states of Illinois, Colorado, and Washington.

Download or read book Information Systems Can Help Prevent But Not Eliminate Health Care Fraud and Abuse written by and published by . This book was released on 2006 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Care Fraud and Abuse Compliance Manual written by Aspen Health Law Center and published by Aspen Pub. This book was released on 1997-01 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: An immensely practical resource, Health Care Fraud and Abuse Compliance Manual provides a comprehensive overview of legislative and regulatory restrictions that affect the way health care providers conduct business and how they structure relationships among themselves. This treatise helps providers determine the boundaries of permissible conduct under the myriad statutes and regulations that relate to health care fraud and abuse at both the federal and state levels. Specific coverage includes: The statutory language in the Medicare/Medicaid civil money penalties and false claims statutes The Medicare/Medicaid antikickback statute The Stark "self-referral" law The numerous safe harbors and exceptions contained with these prohibitions And more! This authoritative resource will make you aware of your crucial obligations and options. Each chapter of the Health Care Fraud and Abuse Compliance Manual describes what the law requires, how it applies in a health care context, and what the penalties are for failure to comply. With Health Care Fraud and Abuse Compliance Manual: You'll receive coverage of all the critical laws and considerations, including: false claims and fraudulent billings, civil and criminal penalties, the antikickback statute, the safe harbor regulations, the Stark Law, and state statutes You'll get practical advice on developing a corporate compliance program that can help you stay on the right side of the law You'll learn about the structures, goals, and procedures of agencies that investigate health care fraud You'll get an in-depth understanding of what goes into a fraud and abuse investigation - and how you can respond to an investigation to best defend your organization And much, much more! Health Care Fraud and Abuse Compliance Manual has been updated to include: Updated nationwide health care fraud and abuse enforcement statistics OIG Work Plan for FY 12 (Medicaid projects) Enforcement actions involving billing for services of unlicensed personnel Enforcement actions involving billing without proper documentation Enforcement actions involving illegal inducements to beneficiaries Hospital liability for submission of false cost reports Cases involving maximum hospital liability for EMTALA violations Criminal false claims liability for unsolicited telemarketing by a DME supplier Managed care provider liability for cherry-picking, retaining overpayments, and other practices Hospice liability for providing services to ineligible patients Pharmaceutical manufacturer liability for pricing-related false claims violations Enforcement actions involving federal research grant fraud Criminal kickback liability for sham consulting arrangements Self-referral liability for office lease agreements and independent contractor relationships inconsistent with fair market value or not memorialized in writing Updated Medicaid Fraud Control Unit performance standards (MFCU) False claims laws of Massachusetts, Montana, and Nevada OIG evaluation of Massachusetts, Montana, and Nevada false claims laws