The facts that you have provided indicate extremely troubling circumstances that could seriously jeopardize the welfare of your organization. It is well-settled law that entities contracting for the services of subsidiaries are legally responsible Continue Reading...
Fraud and Abuse Case Healthcare fraud and abuse continues to threaten the country, costing the facility billions of dollars per year. Brodeur, (2007) stated that fraud is something difficult to understand because it is a contagious issue. Healthcare Continue Reading...
Medicare and Medicaid Services (CMS), previously the Health Care Financing Administration (HCFA), that by the time 2011, health care expenditure will arrive at $2.8 trillion, as well as it will bill for 17% of the Gross Domestic Product. As a result Continue Reading...
The safe harbors do not cover every area of permissible behavior, and an arrangement may not qualify as a safe harbor, but still not subject someone to the risk of prosecution. In fact, the courts have interpreted the Federal Anti-Kickback Law rela Continue Reading...
Corporate fraud as a dishonest activity for organizations that is considered as white collar crime has serious legal implications. Though it can be difficult to detect and catch, it is important to prevent it by creating effective and efficient polic Continue Reading...
President George Bush proposed a two part strategy with initial implemented drug coverage to low-income beneficiaries coupled with a White House task force to develop a plan to reform Medicare (Health Policy, 2001). Under this plan beneficiaries wit Continue Reading...
Child and Elder Abuse Child Abuse The American Academy of Pediatrics (AAP) publishes a website called healthychildren.org. -- and the section called "What do I need to know about child abuse?" provides excellent information on the particulars of ch Continue Reading...
Medicaid and Medicare Fraud Describe health news story combating health care fraud Medicare Medicaid• Examine evaluate corporate structure governance, culture, focus social responsibility • Recommends Medicare and Medicaid fraud: An ove Continue Reading...
Insurance Fraud After tax evasion, insurance fraud is considered the highest-ranked among white-collar crimes. The original concept of insurance, as a for-profit endeavor, was to collect funds from a large number of people to pay for damages and acc Continue Reading...
Mortgage Fraud If a rash of armed bank robberies swept across America next year, and if in these robberies criminals absconded with $30 billion dollars, one may be certain that a public panic would ensue. The banking system would likely be changed f Continue Reading...
Identity & Medical Theft Identity Theft and Medical Theft Identity theft occurs when a victim's name, social security number, or other personal identifying information gets used to commit fraud or other crimes (Lafferty, 2007). Fraudsters use t Continue Reading...
The security rule also requires the physician to train his staff periodically on security policies and procedures and to come up with a contingency plan in cases of calamities like an earthquake, fire or other events that can destroy his information Continue Reading...
Fraudulent activities such as these resulted in violations under the act, including a fine of not more than $25,000.00 or imprisonment for not more than five years, or both. Analysis of Current Fraud legal analysis of the current fraud committed in Continue Reading...
Furthermore, we cannot forge a safe harbor under 42 C.F.R. §1001.952(p), because Sundown Community Hospital is not a physician's group (Altshuler, Creekpaum, & Fang, 2008). Finally, the proposed arrangement does not fall within the safe har Continue Reading...
Because numerous clinics decline to offer sleeping medication to the individual withdrawing from opiates, many addicts discharge themselves early from the treatment process (Carver). In regard to treatment, Carver notes: Detoxification technology i Continue Reading...
Economics of Alchohol Abuse Alcohol for consumption is not a necessary food item, but for some has become a standard part of adult culture. Increasing the level of alcohol consumption, however, moves from an economic paradigm to a social issue due t Continue Reading...
Health Care Situation: Medical Error Due to Doctors' Bad Handwriting Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company. I have identified the following health care news sit Continue Reading...
126). Although there are an increasing number of elderly in the United States today with many more expected in the future, the study of elder abuse is of fairly recent origin. During the last three decades of the 20th century, following the "discove Continue Reading...
This site contains no information directly related to the problem of substance abuse within the profession. The industry related information on the workplace environment is geared towards serving the nursing professional, and especially protecting Continue Reading...
Nursing Home Abuse Irrespective of the fact that the sphere of elder ill-treatment prevention has traditionally been concentrated on ill-treatment in the domestic environment, growing interest is seen against the ill-treatment of residents in nursin Continue Reading...
Army Substance Abuse Program, in terms of the program's history, its employment requirements, and the rationale behind them. It looks at various jobs within the hierarchy of this program, from the commanders responsible for implementing the program Continue Reading...
A lack of good relationships with staff can also result in a high risk factor for abuse from caregivers at these facilities. According to Woolf (1998), other factors that can contribute to the abuse of elderly persons, either in care facilities or Continue Reading...
CHILD SEXUAL ABUSE ON WOMEN INVOLVED IN PROSTITUTION Conceptual Paper Millions of children around the globe are sexually abused or exploited. This paper includes several descriptions of studies that relate sexual abuse during childhood to delinque Continue Reading...
Using forensic medical evidence in court It is a requirement by the International law for all states to carry out investigations for all allegations of torture and bring to book the culprits. The victims of such torture also need to be compensated ad Continue Reading...
Institutional Code of Ethics Today, the healthcare industry is faced with rising costs, increasing regulation and growing numbers of patients with age-related conditions as the Baby Boomer segment of the U.S. population enters their retirement age. Continue Reading...
Reimbursement Ethics and Compliance: Impact of Health Care Reform on Medical Coding and Billing "Medical billing and coding lays the foundation for any successful healthcare provider," yet its common practices are undergoing significant changes unde Continue Reading...
Healthcare Fraud Identity theft and fraud of many types and forms are obviously a major inconvenience and hindrance to anyone that falls prey to a person that engages that crime. There are many variants and forms of fraud and identity theft out ther Continue Reading...
healthcare issues country. How solve ongoing problem Medicare Fraud Abuse government sufficient effective regulation enforce. If, resolve problem? recommendation ? It Economics Healthcare economically sound. Economics of healthcare The population Continue Reading...
Through its partnership with the Department of Justice and the Human Health Services, the HEAT has expanded data sharing and improved information sharing procedures in order to get critical data and information into the hands of law enforcement agen Continue Reading...
Healthcare Law -- Ethics & Policy Memo to ABC Hospital Board of Directors: How to develop strategies to help mitigate abuse and fraud within our organization by understanding fraud and abuse issues. The Department of Health and Human Services h Continue Reading...
Health Care Costs Ways to Cut Them Right Now In the face of high health care costs, the health care industry is striving to reduce costs by addressing chronic, expensive drains on health care dollars. Researchers have offered numerous steps that ca Continue Reading...
Liability Criminal Liability and Healthcare Organizations Providing the highest quality care possible to patients is of course the overarching goal for any ethically operating medical establishments, and should guide most practices. There are othe Continue Reading...
Criminological Theories and Their Application Character History Nikita Voronov was born in Omsk, Russia in 1977 to a 17-year-old mother named Natasha Voronov. She had gotten pregnant with him after dating a man for one month, another Russian male w Continue Reading...
The greater availability of patient records can make it easier to create false claims, through electronic tampering. This is yet another risk of telemedicine, which must be guarded against through encryption and proper security infrastructure. Sell Continue Reading...
Ashley, Assistant Director, Criminal Investigative Division of the FBI relates that in 1991: "...the U.S. Attorney's office in Los Angeles charged 13 defendants in a $1 billion false medical billing scheme that was headed by two Russian emigre broth Continue Reading...
The Purpose of E/M Codes E/M codes are generic and are intended for use by all medical practitioners including nurse-practitioners, physicians and physician assistants. They can be used in both specialty care and primary care. All E/M codes can be u Continue Reading...
Many people using illicit and illegal drugs often have no impulse control and may turn violent or to another form of crime. Once an individual's mind is altered from the constant use of drugs, he or she will often steal, lie, and cheat to make the n Continue Reading...
(Chizek, 2003) The Role legal nurse consultant may provide service in a number of roles, including but not limited to: Consulting expert Testifying expert Facility-based investigator Trainer and in-service presenter Peer reviewer Quality impr Continue Reading...
Passing Congress with bipartisan support, the Health Insurance Portability and Accountability Act (HIPAA, Public Law 104-191) became the legislative vehicle to address those issues. Your health information cannot be used or shared without your writt Continue Reading...
