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Essays 1 - 30

Reports on Medicare

Activities performed by the Department of Health and Human Services are discussed in comprehensive semiannual reports that are aut...

Fraudulent Billing and Medicare

frameworks include the "Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act in 1998" (Texas Le...

Fraud and Medicare

$3 billion annually, that is about 10 percent of all claims (Albert, 2004). There are a number of laws that specifically address ...

Abuse and Fraud in Medicare

American Medical Colleges, American Medical Assn. et al. v. United States), which alleged the government is conducting illegal Med...

Regulatory Agencies and Medicare Prospective Payment System

that Park Medical had hired a contractor, Quorum, to conduct the program. Shortly after agreeing to pay the large settlement, Par...

Increasng Sustainability of Medicaid and Medicare

It is public knowledge that the Medicare and Medicare programs are going broke. They are not sustainable with current expenses. It...

Preventing Fraud,Waste and Abuse

Further, there are some instances that the government would label practices as being fraudulent when they are not, or are fraudule...

Can Inspectors General be Independent

Inspectors General are supposed to be the independent watchdogs of fraud, waste, abuse, and crime in government agencies but they ...

Dishonest Claims from Dentist

Fraud hurts everyone and there is fraud happening in all industries, even those we deem to be professional. This essay discusses a...

Scams from Africa

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...

Connectivity, External and Internal Drive Bays

front panel." Kozierok (2001) also explains that the term "external drive bay" is a "bit of a misnomer" in that the term ex...

Microeconomics Issues

need for reform and the shape that such reform should take. As politicians haggle over private interests and noble ideals that no...

Fraud Involving Medicaid and Medicare

In ten pages this paper examines what is being done to prevent instances of fraud in Medicaid and Medicare. There are 12 sources ...

Medicaid Fraud and Medicare

of how the treatment may be paid for. Other problems erupt when patients ask their doctors to fudge a code through the system beca...

Hospital Medicare Reimbursement

to take expensive prescription medications as prescribed. This acerbates medical conditions and results in increases in acuity lev...

Formal Plan of Compliance and Medicare Fraud

This is one of the largest settlements reached in the many similar cases that have come under review. Aside from the fraud involv...

Fraud in Medicare Deterrence and the False Claims Act

payments is more lucrative then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of...

Medicare Crime Deterrence and the FCA

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...

Acme Hospital Information Technology Project Plan Synthesis

cost billions to bring a new drug to market, and the developer has patent protection only for relatively few years. To recoup its...

Medicare Policy Memo

insurance coverage, Medicare requires full participation by everyone over the age of 65 (Scanlon, 2001). As costs continue ...

Medicare/Medicaid Fraud

doctor is simply unaware of changes in the coding system, but, for the purposes of this paper, it will be assumed that the errors ...

Embezzlement that Lasted Twenty Years

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...

On-Line Fraud and E-Commerce

rise despite the best efforts of companies to fight it. The reasons why companies are getting beaten is that "fighting online cri...

Case Study of the Westchester Distributing Company

This paper consists of seven pages and examines business kickbacks and fraud as they pertain to the Westchester Distributing Compa...

MATTEL TOYS AND ARTHUR ANDERSEN

Given, however, that sales forecasts were prepared for the disposed of Hot Wheels, a red flag should have been raised among the au...

A REVIEW OF SMALL BUSINESS FRAUD PREVENTION MANUAL

trust and friendship in a small business. Because the relationships in smaller businesses tend to be friends as well as co-workers...

About Voter Fraud

paid signature-gatherers to sign up people to vote. At times, since their pay depends on how many signatures they get, these worke...

Considerin a Medicare Fraud Case

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...

Human and Health Services Planning

This is a memorandum of twenty four pages that is directed toward the former HHS secretary Donna Shalala and discuses corruption, ...

Safeguards and Penalties for Improper Use of Data and U.S. Law

to criminal issues were not sufficient to address computer fraud. To an extent, wire and mail fraud issues were addressed in the p...