Download or read book Criminal Prosecution As a Deterrent to Health Care Fraud written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2018 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Criminal prosecution as a deterrent to health care fraud : hearing before the Subcommittee on Crime and Drugs of the Committee on the Judiciary, United States Senate, One Hundred Eleventh Congress, first session, May 20, 2009.
Download or read book Criminal Prosecution As a Deterrent to Health Care Fraud written by United States Senate and published by . This book was released on 2019-09-27 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Criminal prosecution as a deterrent to health care fraud: hearing before the Subcommittee on Crime and Drugs of the Committee on the Judiciary, United States Senate, One Hundred Eleventh Congress, first session, May 20, 2009.
Download or read book Criminal Prosecution as a Deterrent to Health Care Fraud written by United States. Congress. Senate. Committee on the Judiciary. Subcommittee on Crime and Drugs and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Criminal Prosecution as a Deterrent to Health Care Fraud written by United States. Subcommittee on Crime and Drugs. Committee on the Judiciary. Senate. Congress and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Criminal Prosecution as a Deterrent to Health Care Fraud S Hrg 111 322 May 20 2009 111 1 Hearing written by United States. Congress. Senate. Committee on the Judiciary and published by . This book was released on 2010* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Deceit that Sickens America written by United States. Congress. House. Committee on the Judiciary. Subcommittee on Crime and Criminal Justice and published by . This book was released on 1995 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Fraud written by Robert Fabrikant and published by Law Journal Press. This book was released on 2023-12-28 with total page 1308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Fraud: Enforcement and Compliance focuses on fraud and abuse issues involving health care providers as well as application of the laws governing fraud and abuse to manufacturers of drugs and medical devices and other non-providers such as medical researchers.
Download or read book Deviance Among Physicians written by Thaddeus L. Johnson and published by Routledge. This book was released on 2019-05-15 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of deviance is complex, given that norms vary considerably across groups, times, and places. Society tends to primarily recognize traditional portraits of deviants such as street-offenders and drug addicts. The label "deviant" is commonly cast upon society’s undesirables, but this socially constructed image often overlooks subtler—and arguably more dangerous—deviance. Physician malfeasance is an especially problematic form, given that medical professionals garner trust, autonomy, and prestige from society, which allows them to operate outside of the public eye. This book responds to a growing number of concerns regarding deviant physician actions such as physically and sexually abusive behaviors, fabricating medical findings and records, and taking advantage of patients (e.g., filing fraudulent Medicaid claims). It explores theoretical explanations for physician deviance, and goes on to consider potential responses such as Medicaid Fraud Control Units, the Questionable Doctors database, and the ability of doctors to police themselves. The unique perspective offered in this book informs discussions of white-collar crime and deviance and has important implications for researchers, policymakers, and students involved in criminal justice and public policy.
Download or read book Health Care Fraud written by U. s. Government Accountability Office and published by CreateSpace. This book was released on 2012-11-22 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: GAO has designated Medicare and Medicaid--which are administered by the Centers for Medicare & Medicaid Services (CMS), an agency of HHS--as high-risk programs partly because their size and complexity make them vulnerable to fraud. Several federal agencies conduct health care fraud investigations and related activities, including HHS-OIG and DOJ's Civil Division, and the 93 U.S. Attorney's Offices (USAO). In fiscal year 2011, the federal government devoted at least $608 million to conduct such activities. Additionally, state MFCUs investigate health care fraud in their state's Medicaid and CHIP programs. GAO was asked to provide information on the types of providers that are the subjects of fraud cases. This report identifies provider types who were the subjects of fraud cases in (1) Medicare, Medicaid, and CHIP that were handled by federal agencies, and changes in the types of providers in 2005 and 2010; and (2) Medicaid and CHIP fraud cases that were handled by MFCUs. To identify subjects of fraud cases handled by federal agencies, GAO combined data from three agency databases--HHS-OIG, USAOs, and DOJ's Civil Division--and removed duplicate subject data. GAO also reviewed public court records, such as indictments, to identify subjects' provider types because the USAOs and DOJ Civil Division data did not consistently include provider type. To describe providers involved in fraud cases handled by the MFCUs, GAO collected aggregate data from 10 state MFCUs, which represented the majority of fraud investigations, indictments, and convictions nationwide.
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 United States Attorneys Manual written by United States. Department of Justice and published by . This book was released on 1988 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Prosecuting and Defending Health Care Fraud Cases written by Michael K. Loucks and published by Bna Books. This book was released on 2001 with total page 954 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fraud & abuse issues faced by health providers & health care attorneys--whether prosecutor or defense counsel--are complex & wide-ranging. This book, written by two experienced litigators, identifies & analyzes these difficult medical, regulatory, & law enforcement issues. The book will assist prosecutors in conducting thorough & complete investigations--& guide transactional lawyers & defense counsel in anticipating & dealing with potential pitfalls. Beginning with a detailed overview of the law of health care fraud, the authors explain how the disconnected nature of treatment choices & payment mechanisms has increased the opportunity for abuse of the system & raised the stakes for all players. Drawing on their valuable experience, authors address the enforcement tools designed by Congress & the regulatory agencies to prevent & prosecute false billing & corruption. Chapters focus on federal criminal statutes, the civil False Claims Act, the Food & Drug Act, the Anti-Kickback Statute & Stark Prohibitions (and related safe harbors), & Department of Health & Human Services advisory opinions. The authors also explain the litigation & settlement process & the various outcomes.
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.
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.
Download or read book Health Care Fraud written by United States. Congress. Senate. Committee on the Judiciary and published by . This book was released on 1993 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book License To Steal written by Malcolm K. Sparrow and published by Routledge. This book was released on 2019-03-13 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service—all of which have to defend themselves against fraud.
Download or read book Prescription for Profit written by Paul Jesilow and published by Univ of California Press. This book was released on 2023-09-01 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this explosive exposé of our health care system, Paul Jesilow, Henry N. Pontell, and Gilbert Geis uncover the dark side of physician practice. Using interviews with doctors and federal, state, and private officials and extensive investigation of case files, they tell the stories of doctors who profit from abortions on women who aren't pregnant, of needless surgery, overcharging for services, and excessive testing. How can doctors, recipients of a sacred trust and sworn to the Hippocratic Oath, violate Medicaid so egregiously? The authors trace patterns of abuse to the program's inauguration in the mid 1960s, when government authorities, not individual patients, were entrusted with responsibility for payments. Determining fees and regulating treatment also became the job of government agencies, thus limiting the doctors' traditional role. Physicians continue to disagree with Medicare and Medicaid policies that infringe on their autonomy and judgment. The medical profession has not accepted the gravity or extent of some members' illegal behavior, and individual doctors continue to blame violations on subordinates and patients. In the meantime, program guidelines have grown more confusing, hamstringing efforts to detect, apprehend, and prosecute Medicaid defrauders. Failure to institute a coherent policy for fraud control in the medical benefit program has allowed self-serving and greedy practitioners to violate the law with impunity. Prescription for Profit is a shocking revelation of abuse within a once-hallowed profession. It is a book that every doctor, and every patient, needs to read this year.
