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Book The Fraud Control Game

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.

Book Restoring Program Effectiveness

Download or read book Restoring Program Effectiveness written by and published by . This book was released on 1983 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicaid Fraud and Abuse

    Book Details:
  • Author : United States. Congress. House. Committee on Commerce. Subcommittee on Oversight and Investigations
  • Publisher :
  • Release : 1999
  • ISBN :
  • Pages : 108 pages

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:

Book Medicaid Fraud and Abuse

Download or read book Medicaid Fraud and Abuse written by Fred Upton and published by . This book was released on 1999-04-01 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Witnesses: Mitchell Adams, Healthwatch, Technologies, LLC, accompanied by Jim Gorman; Leslie Aronovitz, Chicago Field Office, GAO; Marc Fecteau, Bureau of Medical Services, State of Maine; Michael Glynn & Philip Caper, Codman Group; John Hartwig, Officer of the Inspector General, Dept. of Health & Human Services; John Krayniak, Medicaid Fraud Control Unit, State of New Jersey; Jean MacQuarrie, Medstat; Penny Thompson, Medicare Program Integrity Group, Health Care Financing Admin., accompanied by Rhonda Hall, Medicaid Fraud & Abuse; Greg Viola, Deloitte & Touche; & Gwendolyn Williams, Montgomery, AL.

Book NIJ Program Plan

Download or read book NIJ Program Plan written by National Institute of Justice (U.S.) and published by . This book was released on 1993 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book NIJ Program Plan  1993

Download or read book NIJ Program Plan 1993 written by National Institute of Justice (U.S.) and published by . This book was released on 1993 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Cheating Welfare

    Book Details:
  • Author : Kaaryn S. Gustafson
  • Publisher : NYU Press
  • Release : 2012-07-01
  • ISBN : 0814760791
  • Pages : 240 pages

Download or read book Cheating Welfare written by Kaaryn S. Gustafson and published by NYU Press. This book was released on 2012-07-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses the history and prevalence of welfare fraud using interviews and case studies.

Book Overseers of the Poor

    Book Details:
  • Author : John Gilliom
  • Publisher : University of Chicago Press
  • Release : 2001-12
  • ISBN : 0226293610
  • Pages : 203 pages

Download or read book Overseers of the Poor written by John Gilliom and published by University of Chicago Press. This book was released on 2001-12 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents the views and experiences of low-income American mothers who live everyday with the advanced surveillance capacity of the modern welfare state. In their pursuit of food, health care, and shelter for their families, they are watched, analyzed, assessed, monitored, checked, and reevaluated in an ongoing process involving supercomputers, caseworkers, fraud control agents, grocers, and neighbors. They know surveillance. [preface].

Book License To Steal

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 304 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.

Book Monthly Catalogue  United States Public Documents

Download or read book Monthly Catalogue United States Public Documents written by and published by . This book was released on 1984 with total page 1252 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book International Handbook of White Collar and Corporate Crime

Download or read book International Handbook of White Collar and Corporate Crime written by Henry N. Pontell and published by Springer Science & Business Media. This book was released on 2010-05-27 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: Insider trading. Savings and loan scandals. Enron. Corporate crimes were once thought of as victimless offenses, but now—with billions of dollars and an increasingly global economy at stake—this is understood to be far from the truth. The International Handbook of White-Collar and Corporate Crime explores the complex interplay of factors involved when corporate cultures normalize lawbreaking, and when organizational behavior is pushed to unethical (and sometimes inhumane) limits. Featuring original contributions from a panel of experts representing North America, Asia, Europe, and Australia, this timely volume presents multidisciplinary views on recent corporate wrongdoing affecting economic and social conditions worldwide. Criminal liability and intent Stock market and financial crime Bribery and extortion Computer and identity fraud Health care fraud Crime in the professions Industrial pollution Political corruption War crimes and genocide Contributors offer case studies, historical and sociopolitical analyses, theoretical and legal perspectives, and comparative studies, featuring examples as varied as NASA, Parmalat, the Italian government, and Watergate. Criminal justice responses to these phenomena, the role of the media in exposing or minimizing them, prevention, regulation, and self- policing strategies, and larger global issues emerging from economic crime are also featured. Richly diverse in its coverage, The International Handbook of White-Collar and Corporate Crime is stimulating reading for students, academics, and professionals in a wide range of fields, from criminology and criminal justice to business and economics, psychology to social policy to ethics. This powerful information is certain to change many of our deeply held views on criminal behavior.

Book The Will to Empower

    Book Details:
  • Author : Barbara Cruikshank
  • Publisher : Cornell University Press
  • Release : 2019-06-30
  • ISBN : 1501733915
  • Pages : 164 pages

Download or read book The Will to Empower written by Barbara Cruikshank and published by Cornell University Press. This book was released on 2019-06-30 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do liberal democracies produce citizens who are capable of governing themselves? In considering this question, Barbara Cruikshank rethinks central topics in political theory, including the relationship between welfare and citizenship, democracy and despotism, and subjectivity and subjection. Drawing on theories of power and the creation of subjects, Cruikshank argues that individuals in a democracy are made into self-governing citizens through the small-scale and everyday practices of voluntary associations, reform movements, and social service programs. She argues that our empowerment is a measure of our subjection rather than of our autonomy from power. Through a close examination of several contemporary American "technologies of citizenship"—from welfare rights struggles to philanthropic self-help schemes to the organized promotion of self-esteem awareness—she demonstrates how social mobilization reshapes the political in ways largely unrecognized in democratic theory. Although the impact of a given reform movement may be minor, the techniques it develops for creating citizens far extend the reach of govermental authority. Combining a detailed knowledge of social policy and practice with insights from poststructural and feminist theory, The Will to Empower shows how democratic citizens and the political are continually recreated.

Book Fraud Control in the Health Care Industry

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:

Book Welfare Realities

Download or read book Welfare Realities written by Mary Jo Bane and published by Harvard University Press. This book was released on 1996 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mary Jo Bane and David T. Ellwood examine the welfare system - its recipients, its providers and the many policy ideas surrounding it. Focusing on the AFDC Programme (Aid to Families with Dependent Children), they identify three models that have been used to explain welfare dependency and test them against an accumulating body of evidence, offering suggestions for identifying potential long-term recipients so that resources can be targeted to encourage self-sufficiency. Finally, they review policy options.