The Role Of Fraud And Abuse In Healthcare
America pays more for health care than most countries in the world. When the yearly statistical analyzation of the costs spent and earned within the health care system is executed, it brings to question as to where exactly all of this money is being spent. In my opinion, I believe that this is primarily linked to the fraud and abuse that is taking place. Fraud and abuse violations are punishable under the physician self-referral law, the criminal health care fraud statute, and last but least, the criminal disclosure provisions of the social security act. Fraud and abuse consists of many factors such as falsifying medical records, the billing of claims and services that was never administered to the patient, improper conduct towards the patient,
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672 Words | 3 PagesHere is a short clip of an article from the Washington Post which exposes how medicare is corrupt and is an easy target for fraud. …in a Los Angeles courtroom, Bonilla described the workings of a peculiar fraud scheme that — starting in the mid-1990s — became one of the great success stories in American crime. The
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