HSM 420 Fraud and Abuse

$4.50

HSM 420 Fraud and Abuse
Discuss fraud and abuse in healthcare. Provide at least three specific…

Description

HSM 420 Fraud and Abuse

HSM 420 Fraud and Abuse

Discussions Week 6 All Students Posts 44 Pages

Discuss fraud and abuse in healthcare. Provide at least three specific examples of fraudulent practices that have taken place in U.S. healthcare, and describe ways to prevent these in our modern healthcare environment….

Imagine how many other deceased patients there are that have been billed for services that they did not receive.  Many families will just ignore the bill and the provider will receive payment.  Monitoring fraud and abuse needs to be a priority.  Decreasing such acts will save the country millions.  What are some of the consequences that are given to providers who abuse the system or commit fraud?

What are Medicaid and Medicare agencies doing to prevent this type of fraud?  Does fraudulent behavior of employees stealing time contribute to growing healthcare expenditure?  Why or why not? In recent years, several companies have experienced a breach in their security and their patrons have been affected.  Within a healthcare facility, if a patient’s private information is stolen, who is responsible?

If it results in monetary damage such as credit cards being opened in the victim’s name, will the healthcare facility cover the damages?  Are there cases of providers serving jail time for fraud or abuse?  Are fraud and abuse different?  Are the penalties different for fraud than for abuse?…