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BHS 499 (Senior Capstone Project) Module 3 SLP - Essay Example

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Health care fraud and abuse exist in variety of schemes. Medicare, Medicaid and other federally funded health benefit programs are the targets of these schemes. Double billing schemes, billing for needless or unperformed tests, and kickbacks are some of the fraudulent activity that affected patients…
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BHS 499 (Senior Capstone Project) Module 3 SLP

Download file to see previous pages... One major implication of health care fraud and abuse is the monetary loss due to e improper activities which endanger patient safety. The United States Attorneys' offices (USAOs) are held responsible for the civil and criminal prosecution of health care providers, professionals, and other specialized business agencies who engage with health care fraud and abuse. The US government has appropriated certain amount (DOJ, 2000) from the United States Treasury general fund and they in turn must appropriate the Account for transfer some to the federal Bureau of Investigation in order to carry out the purpose and processes as described in above statements.
Another implication is the intensification of health care fraud enforcement. This can never be achieved without the cooperation of other stakeholders. In fact, the FBI is one organization involved in the said cooperative effort. Federal agencies needs to collaborate with health care fraud working groups, have a liaison program among organizations and attend trainings as well as conferences. New statutory tools are believed to support ad be provided in order to combat health care fraud. Although
Around $451,000 was budgeted to HCFA ($395,500) as well as the ASMB or Assistant Secretary for Management and Budget at the end of 2000 for the formal risk management operations. ...Download file to see next pagesRead More
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