Medicaid Fraud HCS/545 July 9‚ 2012 Medicaid fraud comes in many forms. A provider who bills Medicaid for services that he or she does not provide is committing fraud. Overstating the level of care provided to patients and altering patient records to conceal the deception is fraud. Recipients also commit fraud by failing to report or misrepresenting income‚ household members‚ residence‚ or private health insurance. Facilities have also been known to commit Medicaid fraud through false billing
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FRAUD In criminal law‚ fraud is the crime of deliberately deceiving another person or company in order to damage them‚ usually for personal gain. Defrauding people of money is the money is the most common type of fraud. Some types of fraud include false accounting‚ check fraud‚ and Internet fraud. Accounting fraud or scandals are business scandals that come from the tampered reports‚ usually by long time employees or trusted executives in either a large corporation or small business. In order
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The fallout that accompanied the accounting scandals of the early 2000’s had an immediate impact on corporate business and accounting practices which is still being felt today. The collapse of Enron and its accounting firm Arthur Andersen‚ as well as the subsequent collapses of Worldcom and others have left a permanent mark on how corporate businesses and accounting firms are perceived and how they are regulated. It has also altered the experiences of students who are pursuing‚ or are considering
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Issues in Financing Medicare Background With the rising number of uninsured Americans‚ health care has been a major issue in the United States. Due to “The Great Recession” and the growing number of Americans who found themselves unemployed‚ the number of uninsured Americans has rose from 46.6 million in 2005 to a record number of 50.7 million in 2010. Many of these uninsured again have lost their employee health insurance benefits or they made the decision to cut their health insurance just
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Evolution of Healthcare: Medicare Serious diseases were of primary interest to early humans‚ although they were not able to treat them effectively. Many diseases were attributed to the influence of malevolent demons‚ alien spirit‚ a stone‚ or a worm into the body of the unsuspecting patient. These diseases were warded off by incantations‚ dancing‚ magic charms and talismans‚ and various other measures. If the demon managed to enter the body of its victim‚ either in the absence of such precautions
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Medicare Medicare was established in 1965 to guarantee elderly Americans access to quality health care regardless of their financial circumstances. Medicare spends more than $200 billion a year and it will increase‚ partly because greater numbers of Americans will become eligible for coverage when the baby boomers begin to turn sixty-five after 2010. According to the article The Political Economy of Medicare by Bruce C. Vladeck‚ to understand the political economy of Medicare it is necessary
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I 111TH CONGRESS 1ST SESSION H. R. 3962 To provide affordable‚ quality health care for all Americans and reduce the growth in health care spending‚ and for other purposes. IN THE HOUSE OF REPRESENTATIVES OCTOBER 29‚ 2009 Mr. DINGELL (for himself‚ Mr. RANGEL‚ Mr. WAXMAN‚ Mr. GEORGE MILLER of California‚ Mr. STARK‚ Mr. PALLONE‚ and Mr. ANDREWS) introduced the following bill; which was referred to the Committee on Energy and Commerce‚ and in addition to the Committees on Education
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[pic] ACCTG 312 SC 2012: Assignment 1 Current issues – scandals in auditing Introduction • For this assignment‚ you are required to research and report back on one of four well known scandals that involve auditors in some way. • It can be commenced after week 1 lectures are completed‚ so gives you a chance to get part of your semester’s work done early. It is due in week 3 (Thursday at 4 pm). • You will also be required to very briefly report to your tutorial group on one interesting
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of the Enron Scandal The main problem of the Enron scandal was that they committed business fraud. This is what the root problem of the company was. The sad thing about the Enron scandal was that approximately 22‚000 men and women lost their jobs. Not only did it affect the people who worked for the company but the problem was that it also affected other accounting firms that worked directly with Enron‚ for example the company Arthur Anderson went under because of the Enron scandal and this also
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Medical Billing Fraud What is Medical Billing Fraud? It is an attempt to fraudulently obtain payments from insurance carriers. Medicare and Medicaid are the most susceptible to fraud because of their payment arrangements. Fraud in medical billing cost tax payers and medical providers millions of dollars annually. In 1996‚ HIPPA established the Health Care Fraud and Abuse Control Program (HCFAC) to help combat medical billing and health care fraud. Fraud is an act done with the knowledge that you
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