Medical Fraud And Abuse Case Study
Carolyn,
Thanks for sharing your thoughts. Medical fraud and abuse are the serious problems for health care system, which need to be prevented from reducing the health care cost and providing quality of services to the people who need care. It is most important to educate health care worker and new employees about these issues so that they will be aware providing patient 's personal information to others. Also, potential providers need to be surveyed to ensure that they are reasonable providers or
Arcadia Healthcare Solutions Integration Project: Ethical And Legal Issues
515 Words | 3 PagesPrivacy is of the utmost importance within a medical practice, ethically a patient’s privacy is very important as a medical record contains information regarding a patient’s health. According to
Guy Ross Health Care Fraud Case
216 Words | 1 PagesPage 1 of 2 Caterra Bruno05/17/2018HS115A medical assistant was sentenced today to 36 months in prison for his role in a conspiracy to defraud the Medicare program, the Departments of Justice and Health and Human Services announced. Guy Ross was also sentenced by U.S. District Judge Denise Page Hood in the Eastern District of Michigan to three years of supervised release following his prison term and was ordered to pay $472,623 in restitution. Ross, 51, pleaded guilty in July 2010 to one count of conspiracy to commit health care fraud. According to court documents, Ross received kickbacks from the owners and/or operators of two Detroit-area home health agencies, Patient Choice Home Healthcare Inc. and All American Home Care Inc., in exchange
Unit 3 Assignment 1 Medical Identity Theft
132 Words | 1 PagesThere are some many ways if Identity theft. There is when someone uses a person name, social security number. Medical Identity theft can come from a Friend, family, and acquaintances. Even by strangers, who can steal someone 's Identity who can obtain medical care, service, or equipment. They don 't have medical care.
HIPAA: Mandatory In Healthcare Organizations
50 Words | 1 PagesSince HIPAA become mandatory on most of the health care organization, patient information is more secure compared to previous. Health care organization are investing huge amount of fund for safety measures to protect the patient information and i think this is the main concern in today's advanced health care
HIPAA Breaches Case Study
540 Words | 3 PagesThing can fall through our fingers yes, but it is the organizations job to follow the right procedures mandated by the law. This in turn can contribute to finding better ways to protect patient’s personal information and keep the hospitals quality for caring and protecting their members not just their physical needs, but personal needs as
Icd-9 In The Health Care Industry
424 Words | 2 PagesFraud is all around us. Especially in the health care industry. What is being done to prevent fraud from reoccurring over and over in the health care industry? In the article “New medical codes can better catch fraud, but training is needed” by Tami Rockholt, RN, BSN; Mike Fossey; Mary McLean, BS discuses the topic of health care organizations transferring from ICD-9 to ICD-10 to help decrease fraud in the coding and billing department.
HIPAA Compliance Risk Analysis
1369 Words | 6 Pagesis a privately run home healthcare agency. Our company is operating in several locations in ten states, to date with over 40 agencies. We take confidentiality very seriously throughout all the departments of the company, making sure that the staff is aware of the policies and procedures that are put in place for assurance of our patients’ privacy. As I stated in my previous homework assignment, there are several departments within AngMar that handle different aspects of the healthcare process having the possibility of seeing patient information and there are compliance procedures set in place that are mandated by the company and the state in order to prevent any employees from sharing anyone’s private information. We work closely with Medicare and Medicaid in order to serve our patients, who are usually under a physician’s plan of care and need skilled nurses to assist them in their home (About Us, n.d.).
Prescription Drug Abuse Case Study
1306 Words | 6 PagesThere was improvement in many areas of the country following the crackdown on prescription drug abuse and pill mills. However, another result of the crackdownwas a diminution in the availability of prescription painkillers and the price for the painkillers on the street became more expensive. The ones who became addicted to painkillers during the pill mill epidemic then turned to heroin. The crackdown of pill mills inadvertently fueled the epidemic of heroin. “Between 2007 and 2012, heroin use rose 79 percent nationwide, according to federal data.
Health Insurance Portability Act Of 1996
516 Words | 3 PagesThis is called protected health information or PHI. Information meets the definition of PHI if, even without the patient’s name, if you look at certain information and you can tell who the person is then it is PHI. The PHI can relate to past, present or future physical or mental health of the individual. PHI describes a disease, diagnosis, procedure, prognosis, or condition of the individual and can exist in any medium files, voice mail, email, fax, or verbal communications. defines information as protected health information if it contains the following information about the patient, the patient’s household members, or the patient’s employers, Names, Dates relating to a patient, i.e. birth dates, dates of medical treatment, admission and discharge dates, and dates of death, Telephone numbers, addresses (including city, county, or zip code) fax numbers and other contact information, Social Security numbers, Medical records numbers, Photographs, Finger and voice prints, Any other unique identifying
Patient Confidentiality
1406 Words | 6 PagesConfidentiality and data breaches are a few of the main concerns, as many providers become neglectful when sharing patient electronic health information. Current use of Electronic Health Records (EHR) has proven to be helpful for hospitals and independent medical practice to provide efficient care for patients. Balestra reports that using computers to maintain patient health records and care reduces errors, and advances in health information technology are saving lives and reducing cost (Balestra, 2017). As technology advances EHR are going to continue to be the main method of record keeping among medical providers. Therefore, staff and medical providers need to be trained on how to properly share patients EHR safely and in a secure form in order to maintain patient confidentiality.
Medical Identity Theft Research Paper
213 Words | 1 PagesYou should also make it a point to never discuss any patient information within ear shot of another person or patient. If a patient is in need of a copy of their personal records, take all the necessary steps
Medicare Billing Violations
186 Words | 1 PagesI think it’s wrong for the government to penalize physicians for not meeting compliance standards. However, It’s a great opportunity for the government to aim at small practices because this is where physicians are self-employed. These types of physicians have numerous clinic or health care facilities and are most likely to commit fraud. This seems kind of biased, but it’s true. According to, Ornstein, the most common sanctions are against physicians who have odd Medicare billing reputations (2014, title).
Medicare Fraud Research Paper
301 Words | 2 PagesMedicare fraud is a very common occurrence in the United States. However, there are whistleblowers who are working hard to stop Medicare fraud. The vast majority of people who report Medicare fraud are healthcare professionals. This includes people such as ambulance drivers, physicians, nursing home workers, hospice workers and nurses. There have been some changes recently to the United States whistleblower laws.
Annotated Bibliography: Medicare Fraud And Abuse Issues
752 Words | 4 PagesAnnotated Bibliography: Medicare Fraud and Abuse Carolann Stanek University of Mary Annotated Bibliography: DiSantostefano, J. (2013). Medicare Fraud and Abuse Issues. Journal for Nurse Practitioners, 9(1), 61-63. doi:10.1016/j.nurpra.2012.11.014
Reimbursement: The Role Of Ethical Issues In Healthcare
635 Words | 3 PagesHealthcare ethics involves making well researched and considerate decisions about medical treatments, while taking into consideration a patient's beliefs and wishes regarding all aspects of their health. The healthcare industry has regard for the issues surrounding the welfare of their patients. Doctors, nurses, and other professionals who have the ability to affect a patient's health are all forced to make ethical decisions on a daily basis. I believe the result of ability to pay versus quality of care comes into ethical question in today’s society.
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