"Medicare fraud" Essays and Research Papers

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    Canada Healthcare vs. U.S. Healthcare The health care system in the United States has been a subject of criticism in terms of its effectiveness in the delivery. Arguably‚ the Canadian health care system model best suits the United States health care requirements. The United States and Canada had similar health care systems before Canada opted to reform its health care policies during the 1960’s and 70’s. Presently‚ the health care systems in the two countries are quite different‚ with the Canadian

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    I. Societal Responses to Disability 1. How the perceived cause of disability affects societies response. 2. Personal examples of societal response to disability. II. Social Workers and People with Disabilities 1. Service systems designed to address issues specific to disability. 2. Personal thoughts on the service systems design to help the disabled. III. The Ecosystems Model and People with Disability 1. Individual 2. Family 3. Culture 4. Environmental-Structural 5. Historical

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    basic earnings per share (EPS) of $1.23”.4 About two-thirds of HealthSouth’s revenues come from the Medicare program. In 2003‚ a massive accounting fraud was discovered that almost let to the company’s bankruptcy. The major problems of the fraud are lack of credulity‚ lack of integrity on the management part‚ lack of independence on the auditor part‚ and negligent of the auditors played role in the fraud. The company went public in 1986 and in order for the company to meet Wall Street’s expectation

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    The False Claims Acts is the federal government’s primary civil remedy for improper or fraudulent claims. The False Claims Act prohibits activity that does not fall under the definition of fraud. Fraud is the actual knowledge and the intent to defraud. For example “On March 10‚2000‚ the department of Justice filed claims under the FCA (False Claims Act) seeking recovery of over $1 billion from Vencor Inc.‚ a long-term healthcare provider‚ for its alleged knowing submission of false claims. The

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    Healthsouth

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    are now convinced that the accounting fraud‚ more then likely‚ began with the company’s establishment. Minor adjustments made to the accounting records by Aaron Beam were the beginning of the largest fraudulent accounting schemes in history. HEALTHSOUTH used fraudulent financial statements to secure well over $50 million from unsuspecting bankers. Even with marked executive turnover the fraud continued. Any HEALTHSOUTH personnel that questioned the fraud found themselves not longer in the company’s

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    Reaction Paper

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    PROJECT IN HRDM Social Security Act of 1997 [RA 8282] REPUBLIC ACT NO. 8282 AN ACT FURTHER STRENGTHENING THE SOCIAL SECURITY SYSTEM THEREBY AMENDING FOR THIS PURPOSE‚ REPUBLIC ACT NO. 1161‚ AS AMENDED‚ OTHERWISE KNOWN AS THE SOCIAL SECURITY

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    Portability and Accountability Act” (2012)‚ “HIPAA does the following; provides the ability to transfer and continue health insurance coverage for millions of American workers and their families when they change or lose their jobs‚ reduces health care fraud and abuse‚ mandates industry-wide standards for health care information on electric billing and other processes‚ and requires the protection and confidential handling of protected health information” (What is HIPAA?). The main reason HIPAA was enacted

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    Insurance Fraud

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    CHAPTER - 1 INSURANCE 1.1 Introduction In law and economics‚ insurance is a form of risk management primarily used to hedge against the risk of a contingent‚ uncertain loss. Insurance is defined as the equitable transfer of the risk of a loss‚ from one entity to another‚ in exchange for payment. An insurer is a company selling the insurance; an insured‚ or policyholder‚ is the person or entity buying the insurance policy. The insurance rate is a factor used to determine the amount to be charged

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    The Healthsouth Debacle

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    hospitals in the United States. Since the company’s inception in 1984‚ HealthSouth has garnered the attention of Wall Street and millions of investors. However‚ the attention was because the iconic HealthSouth was involved in one of the largest accounting fraud scandals in United States history. HealthSouth’s founder and CEO‚ Richard M. Scrushy‚ was also the inventor of the entire scheme that defrauded the government and private investor out of $2.5 billion dollars. The HealthSouth scandal provides a look

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    Welfare Reform in the United States Americans are some of the most generous people in the world‚ even when they are not trying to be. From its first enactment into law in 1935‚ to its current state the U.S. Welfare system has assisted hundreds of thousands of people in need. From depression to recession the U.S. Welfare system has changed constantly its role in society providing assistance to the elderly‚ to dependent children‚ and to the unemployed. The funding for the welfare system derives

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