Download or read book Fraud Detection and Deterrence in Medicare and Medicaid written by Anton Ferilli and published by Nova Science Publishers. This book was released on 2013-04-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Government Accountability Office (GAO) has designated Medicare and Medicaid as high-risk programs, in part due to their susceptibility to improper payments -- estimated to be about $70 billion in fiscal year 2010. Improper payments have many causes, such as submissions of duplicate claims or fraud, waste, and abuse. As the administrator of these programs, the Centers for Medicare and Medicaid Services (CMS) is responsible for safeguarding them from loss. This book explores fraud detection and deterrence in Medicare and Medicaid, with a focus on fraud detection systems; screening providers and suppliers; and program integrity.

Download or read book Eliminating Waste and Fraud in Medicare and Medicaid written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2009 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Keeping Fraudulent Providers Out of Medicare and Medicaid written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources and Intergovernmental Relations and published by . This book was released on 1996 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Fighting Fraud and Waste in Medicare and Medicaid written by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies and published by . This book was released on 2012 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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.

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 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 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 Standards for Internal Control in the Federal Government written by United States Government Accountability Office and published by Lulu.com. This book was released on 2019-03-24 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Policymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers' Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.

Download or read book Medicare and Medicaid Frauds written by United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care and published by . This book was released on 1976 with total page 2184 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Guidelines Manual written by United States Sentencing Commission and published by . This book was released on 1996-11 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare and Medicaid Guide written by and published by . This book was released on 1969 with total page 3170 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Waste Fraud and Abuse written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2005 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare and Medicaid Frauds Washington D C written by United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care and published by . This book was released on 1976 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Whistleblower s Handbook written by Stephen M. Kohn and published by Rowman & Littlefield. This book was released on 2011-03-01 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: UPDATED IN MARCH 2013 to include the historic $104-million Bradley Birkenfeld whistleblower case and more! From the nation’s leading whistleblower attorney, comes the third edition of the first-ever consumer guide to whistleblowing. In The Whistleblower’s Handbook, Stephen Martin Kohn explains nearly all federal and state laws regarding whistleblowing. In the step-by-step bulk of the book, he also presents twenty-one rules for whistleblowers.

Download or read book Fraud in Government Benefit Programs written by John A. Gardiner and published by . This book was released on 1982 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Anti fraud Programs written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1978 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: