Reducing Medicare fraud, waste, and abuse
著者
書誌事項
Reducing Medicare fraud, waste, and abuse
（Health care issues, costs and access series）（Nova biomedical）
Nova Science Publishers, c2011
- : hardcover
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注記
Contains edited, excerpted and augmented editions of Congressional publications
Includes index
内容説明・目次
内容説明
The issue of health care fraud and abuse has attracted a lot of attention in recent years, primarily due to the fact that financial losses attributed to it are estimated to be billions of dollars each year. Based on the fact that the Medicare and Medicaid programs make up the largest single purchaser of health care in the world, and over 20% of all U.S. federal government spending, it is not surprising that these federal health programs have been considered prime targets for fraudulent activity. The government has an array of statutes that it may use to combat health care fraud. This book provides an overview of selected federal statutes, including program-related civil and criminal penalties, the anti-kickback statute, the Stark law, and the False Claims Act, that may be used to address fraud and abuse in federal health care programs.
目次
- Preface
- Medicare Program Integrity: Activities to Protect Medicare from Payment Errors, Fraud, & Abuse
- Health Care Fraud & Abuse Laws Covering Medicare & Medicaid: An Overview
- Medicare Recovery Audit Contracting: Weaknesses Remain in Addressing Vulnerabilities to Improper Payments, Although Improvements Made to Contractor Oversight
- Medicare Part D: CMS Oversight of Part D Sponsor's Fraud & Abuse Programs Has Been Limited, but CMS Plans Oversight Expansion
- Medicare Fraud, Waste, & Abuse: Challenges & Strategies for Preventing Improper Payments
- Testimony of Lewis Morris, Chief Counsel, Office of Inspector General, U.S. Dept. of Health & Human Services, before the House Committee on Ways & Means, Subcommittee on Health & Oversight
- Statement of Edward N. Siskel, Associate Deputy Attorney General, before the Subcommittee on Health & Oversight, Hearing on "Reducing Fraud, Waste & Abuse in Medicare"
- Statement of Kimberly L. Brandt, Director, Program Integrity Group, Centers for Medicare & Medicaid Services, before the Subcommittee on Health & Oversight, Hearing on "Reducing Waste, Fraud & Abuse in Medicare"
- Statement of Congressman Peter Roskam, before the Subcommittee on Health & Oversight, Hearing on "Reducing Waste, Fraud & Abuse in Medicare"
- Testimony of Congressman Scott Murphy, House Committee on Ways & Means, before the Subcommittee on Health & Oversight, Hearing on "Reducing Waste, Fraud & Abuse in Medicare"
- Medicare: Improvements Needed to Address Improper Payments in Home Health
- Medicare: Thousands of Medicare Providers Abuse the Federal Tax System
- Medicare: Covert Testing Exposes Weaknesses in the Durable Medical Equipment Supplier Screening Process
- Index.
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