Coverart for item
The Resource Phantom billing, fake prescriptions, and the high cost of medicine : health care fraud and what to do about it, Terry L. Leap, (electronic resource)

Phantom billing, fake prescriptions, and the high cost of medicine : health care fraud and what to do about it, Terry L. Leap, (electronic resource)

Label
Phantom billing, fake prescriptions, and the high cost of medicine : health care fraud and what to do about it
Title
Phantom billing, fake prescriptions, and the high cost of medicine
Title remainder
health care fraud and what to do about it
Statement of responsibility
Terry L. Leap
Creator
Subject
Language
eng
Summary
"U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation's GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York's Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse-the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws-Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America"--Jacket
Member of
http://library.link/vocab/creatorDate
1948-
http://library.link/vocab/creatorName
Leap, Terry L.
Dewey number
364.16/3
Index
index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
Series statement
The culture and politics of health care work
http://library.link/vocab/subjectName
  • Medical care
  • Fraud
Label
Phantom billing, fake prescriptions, and the high cost of medicine : health care fraud and what to do about it, Terry L. Leap, (electronic resource)
Instantiates
Publication
Bibliography note
Includes bibliographical references and index
Contents
Health care fraud and its facilitating crimes -- The major health care fraud laws -- Fraud in fee-for-service and managed care : different sides of the same coin -- Fraud at major hospitals : profits at any cost, part 1 -- Fraud in the pharmaceutical, medical equipment, and supply industries : profits at any cost, part 2 -- Fighting health care fraud and abuse
Control code
ocn731128347
Dimensions
unknown
Extent
1 online resource (xi, 237 pages)
Form of item
online
Isbn
9780801460807
Specific material designation
remote
System control number
(OCoLC)731128347
Label
Phantom billing, fake prescriptions, and the high cost of medicine : health care fraud and what to do about it, Terry L. Leap, (electronic resource)
Publication
Bibliography note
Includes bibliographical references and index
Contents
Health care fraud and its facilitating crimes -- The major health care fraud laws -- Fraud in fee-for-service and managed care : different sides of the same coin -- Fraud at major hospitals : profits at any cost, part 1 -- Fraud in the pharmaceutical, medical equipment, and supply industries : profits at any cost, part 2 -- Fighting health care fraud and abuse
Control code
ocn731128347
Dimensions
unknown
Extent
1 online resource (xi, 237 pages)
Form of item
online
Isbn
9780801460807
Specific material designation
remote
System control number
(OCoLC)731128347

Library Locations

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