Eliminating Waste And Fraud In Medicare And Medicaid
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Author | : Aspen Health Law Center |
Publisher | : |
Total Pages | : 156 |
Release | : 1998 |
Genre | : Business & Economics |
ISBN | : |
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.
Author | : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security |
Publisher | : |
Total Pages | : 136 |
Release | : 2009 |
Genre | : Administrative agencies |
ISBN | : |
Author | : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health |
Publisher | : |
Total Pages | : 102 |
Release | : 2013 |
Genre | : Medicaid fraud |
ISBN | : |
Author | : United States. Congress. Senate. Committee on Finance |
Publisher | : |
Total Pages | : 128 |
Release | : 2011 |
Genre | : Medical |
ISBN | : |
Author | : Tamara Thompson |
Publisher | : Greenhaven Publishing LLC |
Total Pages | : 130 |
Release | : 2014-12-02 |
Genre | : Young Adult Nonfiction |
ISBN | : 0737771496 |
The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Author | : |
Publisher | : DIANE Publishing |
Total Pages | : 110 |
Release | : |
Genre | : |
ISBN | : 9781422320280 |
Author | : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security |
Publisher | : |
Total Pages | : 128 |
Release | : 2012 |
Genre | : Business & Economics |
ISBN | : |
Author | : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs |
Publisher | : |
Total Pages | : 304 |
Release | : 2011 |
Genre | : History |
ISBN | : |
Author | : Rebecca S. Busch |
Publisher | : John Wiley & Sons |
Total Pages | : 374 |
Release | : 2012-05-01 |
Genre | : Business & Economics |
ISBN | : 1118179803 |
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.
Author | : National Academies of Sciences, Engineering, and Medicine |
Publisher | : National Academies Press |
Total Pages | : 399 |
Release | : 2019-01-27 |
Genre | : Medical |
ISBN | : 0309477891 |
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.