Phantom Billing, Fake Prescriptions, and the High Cost of Medicine : Health Care Fraud and What to Do about It /

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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 Medic...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Leap, Terry L. (Autor)
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Ithaca, NY : Cornell University Press, [2011]
Colección:The Culture and Politics of Health Care Work
Temas:
Fraud > United States.
Medical care > Corrupt practices > United States.
Business (General).
Consumer Health & Fitness.
Labor History.
MEDICAL / Health Policy.
kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient, pill-mill schemes, insurance scams, short-pilling, off-label marketing, pharmaceuticals, rebate fraud.
Acceso en línea:Texto completo
Texto completo
Tabla de Contenidos:
  • Frontmatter
  • Contents
  • Preface
  • Acknowledgments
  • Introduction: The Big Picture
  • 1. Health Care Fraud and Its Facilitating Crimes
  • 2. The Major Health Care Fraud Laws
  • 3. Fraud in Fee-for-Service and Managed Care: Different Sides of the Same Coin
  • 4. Fraud at Major Hospitals: Profits at Any Cost, Part One
  • 5. Fraud in the Pharmaceutical, Medical Equipment, and Supply Industries: Profits at Any Cost, Part Two
  • 6. Fighting Health Care Fraud and Abuse
  • Conclusion
  • Appendix: A Note on the Major U.S. Public Insurance Programs
  • Notes
  • References
  • Index

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