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Healthcare fraud and abuse account for millions of dollars in unnecessary expens

ID: 193115 • Letter: H

Question

Healthcare fraud and abuse account for millions of dollars in unnecessary expenses. Research a current (3 years old or less) journal article or news story regarding medical coding or healthcare fraud and abuse (as an alternative you may choose to research an article on ways Medicare acts to combat healthcare fraud and abuse). Post a link to your article and provide a short summary of the article. Please try to choose an article different from those already posted. You do not need to respond to your classmates, but please be sure to read some of them as a learning tool

Explanation / Answer

General Healthcare fraud and abuse frequently includes bogus reports of medicinal conditions made to social insurance suppliers as well as the legislature. Some of the time this incorporates creating reports identifying with understanding disease, enslavement, mishaps, or wrongdoing; and in some cases it implies manufacturing reports to disguise quiet disregard and mishandle. Extortion plans extend from the oversimplified to the complex.

False announcing expected to swindle freely supported Healthcare fraud and abuse is across the board and developing. This mirrors the extent of the medicinal services framework's organization, the absence of oversight and correspondence in the repayment procedure, and the enormous measure of cash included. These things influence general wellbeing to mind a compelling target.

The general population view of Healthcare fraud and abuse does not precisely mirror the most illustrative cases. Most trust extortion begins from people mishandling state help. As a general rule, cases mirroring the extortion of individual patients include low dollar sums. Be that as it may, cases including social insurance suppliers and providers, acting alone or as a major aspect of a specially appointed criminal syndicate, can bilk state and government programs out of a large number of dollars. They additionally prove the inclination of social insurance misrepresentation plans to be lucrative and complex, as well as long haul.

https://www.sciencedirect.com/science/article/pii/B9780128012505000057

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