Read e-book online Healthcare fraud : auditing and detection guide PDF

By Rebecca S. Busch

ISBN-10: 0470127104

ISBN-13: 9780470127100

ISBN-10: 0470227087

ISBN-13: 9780470227084

ISBN-10: 1118179803

ISBN-13: 9781118179802

ISBN-10: 1118227220

ISBN-13: 9781118227220

ISBN-10: 1118240251

ISBN-13: 9781118240250

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ISBN-13: 9781118264959

ISBN-10: 1281100307

ISBN-13: 9781281100306

In response to inner most and public estimates, nearly 24 million is misplaced consistent with hour to healthcare waste, fraud, and abuse. vital reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud: Auditing and Detection advisor offers assistance and strategies that can assist you spot-and prevent-the "red flags" of fraudulent job inside of your company. Eminently readable, it's your "go-to" Read more...

summary: based on inner most and public estimates, nearly 24 million is misplaced in line with hour to healthcare waste, fraud, and abuse. a must have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud: Auditing and Detection advisor offers tips and methods that will help you spot-and prevent-the "red flags" of fraudulent task inside of your company. Eminently readable, it's your "go-to" source, equipping you with the required abilities to appear for and take care of strength fraudulent occasions

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Extra resources for Healthcare fraud : auditing and detection guide

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Other areas of abuse include excessive psychotherapy treatments and individuals submitting claims for services allegedly received while traveling abroad. Finally, the individual patient may participate in a more complex and organized fraud scheme. These examples include crime rings that stage accidents in which individuals falsify injuries and subsequent care. Another complex fraud scheme is called rent-a-patient. In this scheme, patients participate in “renting” their bodies to fraudulent providers, who then perform unnecessary procedures to submit to the patients’ benefit plans for reimbursement.

The fourth type of physician is a Doctor of Chiropractic, designated as DC: Chiropractic Medicine seeks to diagnose, treat, correct, and prevent neurological, skeletal, or soft tissue dysfunction by employing spinal and other articular adjustments and manipulations. The chiropractic approach was founded in 1895 by Daniel David Palmer. Other professional health disciplines include podiatry, dentistry, and psychiatry. Podiatrists receive a license designation of Doctor of Podiatric Medicine (DPM).

I am sick of the job—it’s a thankless one and full of grief. ” Another clear sign is direct denial of an event; saying “I never did that,” regardless of any incontrovertible evidence. In addition, look for statements that are inconsistent with known events. Follow this by noting examples of inconsistent emotional responses under similar circumstances within the subject’s life, lack of any emotional responses at all, or inconsistent emotional responses in comparison to social norms. Finally, another hallmark sign is a series of failures due to lack of planning and consistent irresponsibility in various walks of life.

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Healthcare fraud : auditing and detection guide by Rebecca S. Busch


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