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Author: Stephen Barrett Publisher: Consumers Union U.S. ISBN: Category : Consumer protection Languages : en Pages : 264
Book Description
This revised and updated edition of Health quackery is a consumer's guide to identifying and avoiding health quackery in the form of phony doctors, fraudulent nutritionists, dishonest dentists, and crooked therapists. Annotation copyrighted by Book News, Inc., Portland, OR
Author: Stephen Barrett Publisher: Consumers Union U.S. ISBN: Category : Consumer protection Languages : en Pages : 264
Book Description
This revised and updated edition of Health quackery is a consumer's guide to identifying and avoiding health quackery in the form of phony doctors, fraudulent nutritionists, dishonest dentists, and crooked therapists. Annotation copyrighted by Book News, Inc., Portland, OR
Author: Malcolm K. Sparrow Publisher: Routledge ISBN: 0429721099 Category : Health & Fitness Languages : en Pages : 213
Book Description
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.
Author: United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies Publisher: ISBN: Category : Medical Languages : en Pages : 120
Author: Robert Tillman Publisher: UPNE ISBN: 9781555533755 Category : Business & Economics Languages : en Pages : 230
Book Description
As the costs of medical care have skyrocketed, so has the amount of money lost to fraudulent health insurance providers. These bogus operations typically victimize individuals on the lower end of the socioeconomic scale who then face staggering medical bills without coverage. Robert Tillman shows how market conditions and weak regulatory structures have allowed these crimes to occur, and cites recent institutional and legal changes that have created both new demands for insurance and greater opportunities for fraud. He also analyzes the political and economic climate that enables these criminal practices to flourish. Drawing on court documents, congressional hearings, and actual cases, Tillman provides numerous examples of the three most prevalent forms of fraud: scams involving multiple employer welfare arrangements, employee leasing schemes, and fictitious labor unions. He also examines recent innovations in insurance fraud such as "24-hour plans" and coverage offered by dubious religious organizations. With the regulation of health insurance currently in chaos, Broken Promises offers a critical examination of this insidious form of white-collar crime. It is a timely book that raises important questions about the definition of insurance and consumer protection.
Author: Kathleen M. King Publisher: ISBN: 9781457872471 Category : Languages : en Pages : 43
Book Description
While there have been convictions for multimillion dollar schemes that defrauded fedeal health care programs, there are no reliable estimates of the magnitude of fraud within these programs or across the health care industry. In some fraud cases, individuals have billed federal health care programs or private health insurance by using a beneficiary's or provider's identification information without the beneficiary's or provider's knowledge. One idea to reduce the ability of individuals to commit this type of fraud is to use electronically readable card technology, such as smart cards. This report describes (1) health care fraud schemes and their prevalence among cases resolved in 2010; and (2) the extent to which health care fraud schemes could have been affected by the use of smart card technology. Tables. This is a print on demand report.
Author: Charles E. Piper Publisher: Taylor & Francis ISBN: 1040081797 Category : Law Languages : en Pages : 172
Book Description
Some have estimated that healthcare fraud in the United States results in losses of approximately $80 billion a year. Although there are many books available that describe how to detect healthcare fraud, few address what must be done after the fraud is detected. Filling this need, Charles Piper‘s Healthcare Fraud Investigation Guidebook details not only how to detect healthcare fraud, but also how to investigate and prove the wrongdoing to increase the likelihood of successful prosecution in court.The book starts by covering the history of healthcare insurance and the various types of fraud schemes. It presents Charles Piper‘s unique approach to investigating (The Piper Method) which allows readers to conduct as many as 10 simultaneous investigations for each case. It emphasizes the importance of simultaneously searching for waste and abuse as well as systemic weaknesses and deficiencies that caused or contributed to the problem or wrongdoing under investigation and then make recommendations for improvement. It also provides:Questions to ask whistleblowers, complainants, employers, employees, and healthcare providers who are suspectsTips on investigative case planning, goals, and strategiesSample visual aids for use when briefing others about your investigative findingsGuidance on presenting information obtained from healthcare investigations and on how to testify in courtTechniques for uncovering previously undetected fraudThe book includes a sample case study that walks readers through a mock case from the time the case is received through the end. The case study demonstrates how to initiate, plan, and conduct a thorough and complete healthcare fraud investigation while incorporating Piper‘s proven methodology.Sharing insights gained through Charles Piper‘s decades o
Author: Stephen Barrett
Author: Stephen Barrett
Author: Malcolm K. Sparrow
Author: Malcolm K. Sparrow
Author: United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies
Author: Robert Tillman
Author: United States. General Accounting Office
Author: Kathleen M. King
Author: United States. Congress. Senate. Special Committee on Aging
Author: United States
Author: Charles E. Piper