Download or read book Prescription Fraud and Abuse 2nd Ed written by Julie Wartell and published by . This book was released on 2013-04-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Download or read book Medicare Prescription Drug Sponsors Training to Prevent Fraud Waste and Abuse written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 2011 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book License To Steal written by Malcolm K Sparrow and published by Basic Books. This book was released on 2007-12-14 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Who steals? An extraordinary range of folk -- from low-life hoods who sign on as Medicare or Medicaid providers equipped with nothing more than beepers and mailboxes, to drug trafficking organizations, organized crime syndicates, and even major hospital chains. In License to Steal, Malcolm K. Sparrow shows how the industry's defenses, which focus mostly on finding and correcting billing errors, are no match for such well orchestrated attacks. The maxim for thieves simply becomes "bill your lies correctly." Provided they do that, fraud perpetrators with any degree of sophistication can steal millions of dollars with impunity, testing payment systems carefully, and then spreading fraudulent billings widely enough across patient and provider accounts to escape detection. The kinds of highly automated, quality controlled claims processing systems that pervade the industry present fraud perpetrators with their favorite kind of target: rich, fast paying, transparent, utterly predictable check printing systems, with little threat of human intervention, and with the U.S. Treasury on the end of the electronic line. Sparrow picks apart the industry's response to the government's efforts to control this problem. The provider associations (well heeled and politically influential) have vociferously opposed almost every recent enforcement initiative, creating the unfortunate public impression that the entire health care industry is against effective fraud control. A significant segment of the industry, it seems, regards fraud and abuse not as a problem, but as a lucrative enterprise worth defending. Meanwhile, it remains a perfectly commonplace experience for patients or their relatives to examine a medical bill and discover that half of it never happened, or that; likewise, if patients then complain, they discover that no one seems to care, or that no one has the resources to do anything about it. Sparrow's research suggests that the growth of capitated managed care systems does not solve the problem, as many in the industry had assumed, but merely changes its form. The managed care environment produces scams involving underutilization, and the withholding of medical care schemes that are harder to uncover and investigate, and much more dangerous to human health. Having worked extensively with federal and state officials since the appearance of his first book on this subject, Sparrow is in a unique position to evaluate recent law enforcement initiatives. He admits the "war on fraud" is at least now engaged, but it is far from won.
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.
Download or read book Legal Aspects of Patient Confidentiality 2nd edition written by Bridgit Dimond and published by Andrews UK Limited. This book was released on 2014-11-10 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This revised and updated edition explores the law relating to patient confidentiality and reflects the recent legislation in the field. The text is written in a jargon free, non-legalistic way to allow the reader to understand the principles and how they apply to practice. The book is aimed at all health professionals who care for the patient, and for patient service managers, patient groups, relatives and anybody who is interested in understanding the law relating to patient confidentiality. The book includes case studies throughout.
Download or read book Criminal Justice in America 2 volumes written by Carla Lewandowski and published by Bloomsbury Publishing USA. This book was released on 2020-11-17 with total page 836 pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative set provides a comprehensive overview of issues and trends in crime, law enforcement, courts, and corrections that encompass the field of criminal justice studies in the United States. This work offers a thorough introduction to the field of criminal justice, including types of crime; policing; courts and sentencing; landmark legal decisions; and local, state, and federal corrections systems—and the key topics and issues within each of these important areas. It provides a complete overview and understanding of the many terms, jobs, procedures, and issues surrounding this growing field of study. Another major focus of the work is to examine ethical questions related to policing and courts, trial procedures, law enforcement and corrections agencies and responsibilities, and the complexion of criminal justice in the United States in the 21st century. Finally, this title emphasizes coverage of such politically charged topics as drug trafficking and substance abuse, immigration, environmental protection, government surveillance and civil rights, deadly force, mass incarceration, police militarization, organized crime, gangs, wrongful convictions, racial disparities in sentencing, and privatization of the U.S. prison system.
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Download or read book FDA failure Deception Abuse written by From Life Extension Magazine and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the past 21 years, Life Extension magazine has compiled evidence indicating that conventional medicine is the leading cause of death in our country-and the US Food and Drug Administration is largely responsible. They deny the introduction of life-saving therapies, cause drug prices to be beyond the means of most Americans, approve lethal prescription drugs that kill, censor scientific and medical information that would let consumers protect their health, and actively mislead the public.
Download or read book White Collar Crime written by Brian K. Payne and published by SAGE Publications. This book was released on 2021-06-30 with total page 601 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated with an exciting new chapter on political crime that highlights the debated connections between crime and politics, the Third Edition of White-Collar Crime: A Systems Approach provides students with a comprehensive introduction to the most important topics within white-collar crime. Brian K. Payne provides a theoretical framework and context for students to explore white-collar crime as a crime problem, a criminal justice problem, and a social problem. By introducing the topics within a systems-focused framework, Payne encourages students to examine the many types of white-collar crime as well as the various systems for responding to white-collar crime. Included with this text The online resources for your text are available via the password-protected Instructor Resource Site.
Download or read book White Collar Crime The Essentials written by Brian K. Payne and published by SAGE. This book was released on 2012-03-15 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: White Collar Crime: The Essentials is a comprehensive, yet compact text addresses the most important topics in white collar crime, while allowing for more accessibility through cost. Author Brian Payne provides a theoretical framework and context for students and explores such timely topics as crimes by workers sales oriented systems, crimes in the health care system, crimes by criminal justice professionals and politicians, crimes in the educational system, crimes in the economic and technological systems, corporate crime, environmental crime, and others. This is an easily-supplemented resource for any course that covers white collar crime.
Download or read book Public Policy Politics Analysis and Alternatives 2nd Edition written by Michael E Kraft and published by C Q Press College. This book was released on 2007 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Public Policy' starts with the basics and describes government institutions, identifies primary policy actors, and reviews major theoretical models. The authors then discuss the nature of policy analysis and its practice, and show students how to employ evaluative criteria in six substantive policy areas.
Download or read book Introduction to Health Informatics Second Edition written by Christo El Morr and published by Canadian Scholars. This book was released on 2023-05-29 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first resource of its kind, Introduction to Health Informatics examined the effects of health informatics on healthcare practitioners, patients, and policies from a distinctly Canadian perspective. This second edition has been thoroughly updated to reflect current trends and innovations in health informatics and includes new figures, charts, tables, and web links. In this text, author Christo El Morr presents the subject of health informatics in an accessible, concise way, breaking the topic down into 12 chapters divided into 3 sections. Each chapter includes objectives, key terms, which are defined in a full glossary at the end of the text, and a “Test Your Understanding” section for student review. The second edition also features 15% brand new content, with a full chapter on analytics, machine learning, and AI for health, as well as information on virtual care, mHealth apps, COVID-19 responses, adoption of EHR across provinces, clinical informatics, and precisions medicine. Packed with pedagogical features and updated instructor supplements, this text is a vital resource for students, instructors, and practitioners in health informatics, health management, and health policy. FEATURES: - Takes a uniquely Canadian perspective on health informatics - Contains 15 percent new content on topics such as virtual care, mHealth apps, COVID-19 responses, adoption of EHR across provinces, clinical informatics, and precisions medicine - Updated instructor supplements, including PowerPoint slides and a test bank
Download or read book Impact of Prescription Drug Diversion Control Systems on Medical Practice and Patient Care written by and published by . This book was released on 1993 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Download or read book Sultz and Young s Health Care USA Understanding Its Organization and Delivery written by James A. Johnson and published by Jones & Bartlett Learning. This book was released on 2022-03-09 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: Combining historical perspective with analysis of current trends, Sultz & Young's Health Care USA, Tenth Edition charts the evolution of modern American health care, providing a complete examination of its organization and delivery while offering critical insight into the issues that the U.S. health system faces today. Building on the legacy of its prior successful editions, new co-authors James Johnson, Kim Davey, and Richard Greenhill lend their deep expertise in health services planning, administration, quality assessment, and teaching to the Tenth Edition by providing an updated, wide-ranging, and timely view of today's health care delivery system.
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.
