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Essays 1 - 30
frameworks include the "Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act in 1998" (Texas Le...
$3 billion annually, that is about 10 percent of all claims (Albert, 2004). There are a number of laws that specifically address ...
Fraud hurts everyone and there is fraud happening in all industries, even those we deem to be professional. This essay discusses a...
Many types of fraud seem to be increasing, one of these is the Nigerian scams that many people are so familiar with. This is a cas...
Activities performed by the Department of Health and Human Services are discussed in comprehensive semiannual reports that are aut...
American Medical Colleges, American Medical Assn. et al. v. United States), which alleged the government is conducting illegal Med...
need for reform and the shape that such reform should take. As politicians haggle over private interests and noble ideals that no...
This is one of the largest settlements reached in the many similar cases that have come under review. Aside from the fraud involv...
payments is more lucrative then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of...
then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of legal directive or its enf...
cost billions to bring a new drug to market, and the developer has patent protection only for relatively few years. To recoup its...
insurance coverage, Medicare requires full participation by everyone over the age of 65 (Scanlon, 2001). As costs continue ...
to take expensive prescription medications as prescribed. This acerbates medical conditions and results in increases in acuity lev...
doctor is simply unaware of changes in the coding system, but, for the purposes of this paper, it will be assumed that the errors ...
In ten pages this paper examines what is being done to prevent instances of fraud in Medicaid and Medicare. There are 12 sources ...
of how the treatment may be paid for. Other problems erupt when patients ask their doctors to fudge a code through the system beca...
rise despite the best efforts of companies to fight it. The reasons why companies are getting beaten is that "fighting online cri...
In all likelihood, fraud is going on in most if not all organizations every day. It might be small or it could be large like the n...
trust and friendship in a small business. Because the relationships in smaller businesses tend to be friends as well as co-workers...
Given, however, that sales forecasts were prepared for the disposed of Hot Wheels, a red flag should have been raised among the au...
paid signature-gatherers to sign up people to vote. At times, since their pay depends on how many signatures they get, these worke...
This paper consists of seven pages and examines business kickbacks and fraud as they pertain to the Westchester Distributing Compa...
responsible for their actions of over or under treating patients, and when can one say that the fine line is too sketchy? A case s...
resolve. Our nations seniors are responsible for most health care expenditures, merely because of their age and the increased nee...
to the expected results of any options in regards to the future of the program. DeParle (2002) introduces the readers to the intr...
a few years ago. Managed care was quite effective in cost containment until the mid-1990s, when health care costs began to rise a...
that Park Medical had hired a contractor, Quorum, to conduct the program. Shortly after agreeing to pay the large settlement, Par...
a study can be conducted and makes conclusions based on the expected results. Logic suggests that if caps are placed on certain ki...
In a paper consisting of forty five pages this paper examines the implementation and beneficiary impact of Medicare's PPS as dicta...
essentially sets prices for all of American health care, as explained below. Aside from pricing according to production cos...