Enforcement Of The Criminal Laws Against Medicare And Medicaid Fraud

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Enforcement of the Criminal Laws Against Medicare and Medicaid Fraud

Author : United States. Congress. House. Committee on the Judiciary. Subcommittee on Crime, Terrorism, and Homeland Security
Publisher : Unknown
Page : 128 pages
File Size : 49,7 Mb
Release : 2010
Category : Law
ISBN : PURD:32754081522520

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Enforcement of the Criminal Laws Against Medicare and Medicaid Fraud by United States. Congress. House. Committee on the Judiciary. Subcommittee on Crime, Terrorism, and Homeland Security Pdf

White-Collar Crime

Author : Brian K. Payne
Publisher : SAGE Publications
Page : 721 pages
File Size : 51,6 Mb
Release : 2011-11-04
Category : Social Science
ISBN : 9781483341439

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White-Collar Crime by Brian K. Payne Pdf

White-Collar Crime: A Text/Reader, part of the text/reader series in criminology and criminal justice incorporates contemporary and classic readings (some including policy implications) accompanied by original text that provides a theoretical framework and context for students. The comprehensive coverage of the book includes crimes by workers sales oriented systems, crimes in the health care system, crimes by criminal justice professionals and politicians, crimes in the educational system, crimes in the economic and technological systems, crimes by employees in the housing industry, corporate crime, environmental crime, explanations of white-collar crime, the police and court responses to white-collar crime, and the corrections sub-system and white-collar crime. Features of the book include key points, in focus box inserts, discussion questions, section summaries, and photos.

Health Care Fraud and Abuse

Author : Aspen Health Law Center
Publisher : Unknown
Page : 156 pages
File Size : 44,5 Mb
Release : 1998
Category : Business & Economics
ISBN : PSU:000031855273

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Health Care Fraud and Abuse by Aspen Health Law Center Pdf

Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.

Report on the Activities of the Committee on the Judiciary of the House of Representatives During the ... Congress, Pursuant to Clause 1(d) Rule XI of the Rules of the House of Representatives

Author : United States. Congress. House. Committee on the Judiciary
Publisher : Unknown
Page : 184 pages
File Size : 49,8 Mb
Release : 2011
Category : Electronic
ISBN : UCR:31210023151721

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Report on the Activities of the Committee on the Judiciary of the House of Representatives During the ... Congress, Pursuant to Clause 1(d) Rule XI of the Rules of the House of Representatives by United States. Congress. House. Committee on the Judiciary Pdf

Healthcare Crime

Author : Kelly M. Pyrek
Publisher : CRC Press
Page : 185 pages
File Size : 51,6 Mb
Release : 2011-01-19
Category : Law
ISBN : 9781040080993

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Healthcare Crime by Kelly M. Pyrek Pdf

Crime perpetrated by healthcare professionals is increasingly pervasive in today‘s hospitals and other healthcare settings. Patients, coworkers, and employers are vulnerable to exploitation, fraud, abuse, and even murder. Investigative journalist Kelly M. Pyrek interviews experts who provide accounts concerning the range of criminality lurking in t

Encyclopedia of White-Collar and Corporate Crime

Author : Lawrence M. Salinger
Publisher : SAGE Publications
Page : 1224 pages
File Size : 41,5 Mb
Release : 2013-06-14
Category : Business & Economics
ISBN : 9781506332772

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Encyclopedia of White-Collar and Corporate Crime by Lawrence M. Salinger Pdf

Since the first edition of the Encyclopedia of White Collar and Corporate Crime was produced in 2004, the number and severity of these crimes have risen to the level of calamity, so much so that many experts attribute the near-Depression of 2008 to white-collar malfeasance, namely crimes of greed and excess by bankers and financial institutions. Whether the perpetrators were prosecuted or not, white-collar and corporate crime came near to collapsing the U.S. economy. In the 7 years since the first edition was produced we have also seen the largest Ponzi scheme in history (Maddoff), an ecological disaster caused by British Petroleum and its subcontractors (Gulf Oil Spill), and U.S. Defense Department contractors operating like vigilantes in Iraq (Blackwater). White-collar criminals have been busy, and the Second Edition of this encyclopedia captures what has been going on in the news and behind the scenes with new articles and updates to past articles.

Hearings, Reports and Prints of the Senate Committee on the Judiciary

Author : United States. Congress. Senate. Committee on the Judiciary
Publisher : Unknown
Page : 1290 pages
File Size : 49,8 Mb
Release : 1978
Category : Administrative procedure
ISBN : UCAL:B3608122

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Hearings, Reports and Prints of the Senate Committee on the Judiciary by United States. Congress. Senate. Committee on the Judiciary Pdf

Department of Justice Budget Authorization

Author : United States. Congress. Senate. Committee on the Judiciary
Publisher : Unknown
Page : 726 pages
File Size : 50,6 Mb
Release : 1978
Category : Electronic
ISBN : PURD:32754076882145

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Department of Justice Budget Authorization by United States. Congress. Senate. Committee on the Judiciary Pdf

Developments in Aging

Author : United States. Congress. Senate. Special Committee on Aging
Publisher : Unknown
Page : 1216 pages
File Size : 46,9 Mb
Release : 1979
Category : Older people
ISBN : UOM:39015073357371

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Developments in Aging by United States. Congress. Senate. Special Committee on Aging Pdf

The Oxford Handbook of Comparative Health Law

Author : David Orentlicher,Tamara K. Hervey
Publisher : Oxford University Press
Page : 1135 pages
File Size : 41,8 Mb
Release : 2021
Category : Law
ISBN : 9780190846756

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The Oxford Handbook of Comparative Health Law by David Orentlicher,Tamara K. Hervey Pdf

"Abstract: The Oxford Handbook of Comparative Health Law addresses some of the most critical issues facing scholars, legislators, and judges. How, for example, can the law protect against threats to public health that can quickly cross national borders? How can it ensure access to affordable health care or regulate the pharmaceutical industry? Indeed, when matters of life and death literally hang in the balance, it is especially important for policymakers to get things right, and the making of policy can be greatly enhanced by learning from the successes and failures of approaches taken in other countries. Where there are "common challenges" in law and health, there is much to be gained from experiences elsewhere. Accordingly, this Handbook considers key health law questions from a comparative perspective. In health law, common challenges are frequent. In addition to those mentioned above, there are questions about addressing the social determinants of health (e.g., poverty and pollution), organizing health systems to optimize use of available resources, ensuring that physicians provide care of the highest quality, protecting patient privacy in a data-driven world, and properly balancing patient autonomy with the interest in preserving life when reproductive and end-of-life decisions are made. This Handbook's wide scope and comparative perspective on health law are particularly timely. Economic globalization has made it increasingly important for different countries to harmonize their legal rules. The many paired and complementary chapters that cover law in American and European contexts represent a novel approach that should allow scholars, students, and policymakers to develop new insight into this complex field. Keywords: health law; comparative law; EU law; UK law; US law; public health; healthcare; social determinants of health; public policy"--

Gaming the Health Care System

Author : United States. Congress. Senate. Special Committee on Aging
Publisher : Unknown
Page : 216 pages
File Size : 41,9 Mb
Release : 1995
Category : Business & Economics
ISBN : UCR:31210013741952

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Gaming the Health Care System by United States. Congress. Senate. Special Committee on Aging Pdf

Fundamentals of Clinical Practice

Author : Mark B. Mengel,Warren Holleman,Scott A. Fields
Publisher : Springer Science & Business Media
Page : 840 pages
File Size : 53,8 Mb
Release : 2002-10-31
Category : Education
ISBN : 9780306466922

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Fundamentals of Clinical Practice by Mark B. Mengel,Warren Holleman,Scott A. Fields Pdf

Fundamentals of Clinical Practice, Second Edition presents medical students with a comprehensive guide to the social ramifications of a physician's work, and more experienced practitioners with the tools to augment their own patient-centered techniques.

Commerce, Justice, Science, and Related Agencies Appropriations for Fiscal Year 2011

Author : United States. Congress. Senate. Committee on Appropriations. Subcommittee on Commerce, Justice, Science, and Related Agencies
Publisher : Unknown
Page : 434 pages
File Size : 41,9 Mb
Release : 2011
Category : Political Science
ISBN : UCSD:31822037829975

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Commerce, Justice, Science, and Related Agencies Appropriations for Fiscal Year 2011 by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Commerce, Justice, Science, and Related Agencies Pdf

Encyclopedia of Law Enforcement

Author : Larry E. Sullivan
Publisher : SAGE
Page : 1729 pages
File Size : 42,5 Mb
Release : 2005
Category : Social Science
ISBN : 9780761926498

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Encyclopedia of Law Enforcement by Larry E. Sullivan Pdf

This three-volume Encyclopedia of Law Enforcement provides a comprehensive, critical, and descriptive examination of all facets of law enforcement on the state and local, federal and national, and international stages. This work is a unique reference source that provides readers with informed discussions on the practice and theory of policing in an historical and contemporary framework. The volumes treat subjects that are particular to the area of state and local, federal and national, and international policing. Many of the themes and issues of policing cut across disciplinary borders, however, and several entries provide comparative information that places the subject in context.

License To Steal

Author : Malcolm K Sparrow
Publisher : Hachette UK
Page : 304 pages
File Size : 45,6 Mb
Release : 2007-12-14
Category : Political Science
ISBN : 9780465010745

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License To Steal by Malcolm K Sparrow Pdf

Who steals? An extraordinary range of folk -- from low-life hoods who sign on as Medicare or Medicaid providers equipped with nothing more than beepers and mailboxes, to drug trafficking organizations, organized crime syndicates, and even major hospital chains. In License to Steal, Malcolm K. Sparrow shows how the industry's defenses, which focus mostly on finding and correcting billing errors, are no match for such well orchestrated attacks. The maxim for thieves simply becomes "bill your lies correctly." Provided they do that, fraud perpetrators with any degree of sophistication can steal millions of dollars with impunity, testing payment systems carefully, and then spreading fraudulent billings widely enough across patient and provider accounts to escape detection. The kinds of highly automated, quality controlled claims processing systems that pervade the industry present fraud perpetrators with their favorite kind of target: rich, fast paying, transparent, utterly predictable check printing systems, with little threat of human intervention, and with the U.S. Treasury on the end of the electronic line. Sparrow picks apart the industry's response to the government's efforts to control this problem. The provider associations (well heeled and politically influential) have vociferously opposed almost every recent enforcement initiative, creating the unfortunate public impression that the entire health care industry is against effective fraud control. A significant segment of the industry, it seems, regards fraud and abuse not as a problem, but as a lucrative enterprise worth defending. Meanwhile, it remains a perfectly commonplace experience for patients or their relatives to examine a medical bill and discover that half of it never happened, or that; likewise, if patients then complain, they discover that no one seems to care, or that no one has the resources to do anything about it. Sparrow's research suggests that the growth of capitated managed care systems does not solve the problem, as many in the industry had assumed, but merely changes its form. The managed care environment produces scams involving underutilization, and the withholding of medical care schemes that are harder to uncover and investigate, and much more dangerous to human health. Having worked extensively with federal and state officials since the appearance of his first book on this subject, Sparrow is in a unique position to evaluate recent law enforcement initiatives. He admits the "war on fraud" is at least now engaged, but it is far from won.