Download e-book for iPad: Phantom Billing, Fake Prescriptions, and the High Cost of by Terry L. Leap

By Terry L. Leap

U.S. health and wellbeing care is a $2.5 trillion process that debts for greater than 17 percentage of the nation's GDP. it's also hugely vulnerable to fraud. Estimates fluctuate, yet a few observers think that up to 10 percentage of all scientific billing consists of a few kind of fraud. In 2009, New York's Medicaid fraud workplace recovered $283 million and bought 148 legal convictions. In July 2010, the U.S. Justice division charged approximately a hundred sufferers, medical professionals, and well-being care executives in 5 states of bilking the Medicare method out of greater than $251 million via fake claims for companies that have been medically pointless or by no means supplied. those circumstances in basic terms trace on the scope of the problem.

In Phantom Billing, pretend Prescriptions, and the excessive expense of Medicine, Terry L. bounce takes on clinical fraud and its fiscal, mental, and social bills. Illustrated all through with dozens of particular and infrequently attention-grabbing instances, this ebook covers a large choice of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, assurance scams, short-pilling, off-label advertising and marketing of prescribed drugs, and rebate fraud, in addition to legal acts that let this fraud (mail and twine fraud, conspiracy, and cash laundering).

After assessing the effectiveness of the federal legislation designed to struggle overall healthiness care fraud and abuse-the antikickback statute, the Stark legislations, the fake Claims Act, HIPAA, and the nutrition and drug laws-Leap indicates a couple of ways in which overall healthiness care companies, shoppers, insurers, and federal and nation officers can carry well-being care fraud and abuse less than keep watch over, thereby lowering the final rate of remedy in America.

Show description

Read or Download Phantom Billing, Fake Prescriptions, and the High Cost of Medicine: Health Care Fraud and What to Do about It (The Culture and Politics of Health Care Work) PDF

Similar personal health books

Read e-book online How to Survive Your Health Care PDF

How one can continue to exist Your health and wellbeing Care is an important advisor for buying the main out of your well-being care services. This e-book grants step by step easy methods to bring up your health and wellbeing care safeguard, easy methods to get monetary savings and get the main from your wellbeing and fitness care funds. easy methods to continue to exist Your healthiness Care additionally offers instructions for elder care administration and criminal and fiscal making plans.

New PDF release: Birth Chairs, Midwives, and Medicine

There has been a time while delivery used to be taken care of as a normal technique instead of a scientific situation. earlier than 1800, girls gave start seated in start chairs or on stools and have been helped alongside through midwives. Then societal alterations in attitudes towards ladies and the perform of drugs made birthing a province of the male-dominated scientific occupation.

Download e-book for kindle: Why Being Happy Matters: Discover How the Power of Joy Will by Peter Jennings,Yvonne Heath

“Why Being chuffed issues” introduces readers to humans in U. S. A, Canada, Asia, Australia and Europe who show what happiness potential to them and why it can be crucial. you will additionally meet foreign Ph. Ds. learning confident psychology. Peter Jennings is the acclaimed writer of "Shark attack: an grand tale of Survival" (sharkassault.

Download e-book for kindle: World’s Best Pure Fruits Raw Vegetables Healthiest by May Lee

World’s most sensible natural culmination uncooked greens Healthiest SmoothiesDirect food Your physique must reside lengthy satisfied fit existence

Extra info for Phantom Billing, Fake Prescriptions, and the High Cost of Medicine: Health Care Fraud and What to Do about It (The Culture and Politics of Health Care Work)

Sample text

Download PDF sample

Phantom Billing, Fake Prescriptions, and the High Cost of Medicine: Health Care Fraud and What to Do about It (The Culture and Politics of Health Care Work) by Terry L. Leap


by Steven
4.3

Rated 4.09 of 5 – based on 50 votes