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Health care fraud investigations : hearing before the Subcommittee on Oversight of the Committee on Ways and Means, U.S. House of Representatives, One Hundred Fourteenth Congress, second session, September 28, 2016
| Health care fraud investigations : hearing before the Subcommittee on Oversight of the Committee on Ways and Means, U.S. House of Representatives, One Hundred Fourteenth Congress, second session, September 28, 2016 |
| Pubbl/distr/stampa | Washington : , : U.S. Government Publishing Office, , 2017 |
| Descrizione fisica | 1 online resource (iii, 54 pages) |
| Soggetto topico |
Health insurance - Corrupt practices - United States
Medicare fraud Medicaid fraud Fraud investigation - United States Governmental investigations - United States |
| Soggetto genere / forma | Legislative hearings. |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Health care fraud investigations |
| Record Nr. | UNINA-9910706197603321 |
| Washington : , : U.S. Government Publishing Office, , 2017 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Health care fraud, information of most common schemes and the likely effect of smart cards : report to congressional requesters
| Health care fraud, information of most common schemes and the likely effect of smart cards : report to congressional requesters |
| Pubbl/distr/stampa | [Washington, D.C.] : , : United States Government Accountability Office, , 2016 |
| Descrizione fisica | 1 online resource (ii, 38 pages) : color illustrations |
| Soggetto topico |
Medical care - Corrupt practices - United States
Health insurance - Corrupt practices - United States Medicare fraud Medicaid fraud Smart cards Fraud - United States - Prevention Fraud - Prevention Health insurance - Corrupt practices Medical care - Corrupt practices |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Health care fraud, information of most common schemes and the likely effect of smart cards |
| Record Nr. | UNINA-9910707293703321 |
| [Washington, D.C.] : , : United States Government Accountability Office, , 2016 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Health care waste, fraud, and abuse : hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Fifth Congress, first session, October 9, 1997
| Health care waste, fraud, and abuse : hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Fifth Congress, first session, October 9, 1997 |
| Descrizione fisica | 1 online resource (iii, 136 p.) : ill |
| Soggetto topico |
Medical care - Law and legislation - United States - Criminal provisions
Health insurance - Corrupt practices - United States Medicare fraud Waste in government spending - United States |
| Soggetto non controllato |
Medical care
Medical laws and legislation Medicare fraud Health insurance Waste in government spending Law Medical Political science |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Health care waste, fraud, and abuse |
| Record Nr. | UNINA-9910689340203321 |
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
|
Healthcare fraud [[electronic resource] ] : auditing and detection guide / / Rebecca Saltiel Busch
| Healthcare fraud [[electronic resource] ] : auditing and detection guide / / Rebecca Saltiel Busch |
| Autore | Busch Rebecca S |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Hoboken, N.J., : John Wiley & Sons, c2012 |
| Descrizione fisica | 1 online resource (362 p.) |
| Disciplina | 345.73/0263 |
| Soggetto topico |
Medicare fraud
Medical care - Law and legislation - United States - Criminal provisions |
| ISBN |
1-119-20363-5
1-118-24025-1 1-280-59072-6 9786613620552 1-118-22722-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Healthcare Fraud; Contents; Preface; Acknowledgments; CHAPTER 1 Introduction to Healthcare Fraud; What Is Healthcare Fraud?; Healthcare Fraud in the United States; Healthcare Fraud in International Markets; What Does Healthcare Fraud Look Like?; Who Commits Healthcare Fraud?; What Is Healthcare Fraud Examination?; The Primary Healthcare Continuum: An Overview; Healthcare Fraud Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 2 Defining Market Players within the Primary Healthcare Continuum; The Patient; The Provider; The Payer; The Employer/Plan Sponsor
The Vendor and the SupplierThe Government; Organized Crime; Market Players Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 3 Continuum Audit and Investigative Model; Market Understanding; The Primary Healthcare Continuum (P-HCC); The Secondary Healthcare Continuum (S-HCC); The Information Healthcare Continuum (I-HCC); The Consequence Healthcare Continuum (C-HCC); The Transparency Healthcare Continuum (T-HCC); The Rules Based Healthcare Continuum (R-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes CHAPTER 4 Secondary Healthcare ContinuumThe Secondary Healthcare Continuum (S-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 5 Information Healthcare Continuum; Case Study Dr. Traveler-Recap; Continuum Audit Progression-Recap; The Information Healthcare Continuum (I-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 6 Consequence Healthcare Continuum; Case Study Dr. Traveler-Recap; Continuum Audit Progression-Recap; The Consequence Healthcare Continuum (C-HCC) Economic Business ImpactServiceability and Service Integrity; Service, Medical, and Financial Errors; Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 7 Transparency Healthcare Continuum; Case Study Dr. Traveler-Recap; Continuum Audit Progression-Recap; The Transparency Healthcare Continuum (T-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 8 Rules Based Healthcare Continuum; Case Study Dr. Traveler-Recap; The Rules Based Healthcare Continuum (R-HCC) Continuum Audit Progression-SummaryAudit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 9 Protected Health Information; Health Insurance Portability and Accountability Act of 1996; Audit Guidelines in Using Protected Health Information; Protected Health Information Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 10 Health Information Pipelines; The Auditor's Checklist; What Are the Channels of Communication in a Health Information Pipeline?; Unauthorized Parties Health Information Pipelines Overview: Implications for Prevention, Detection, and Investigation |
| Record Nr. | UNINA-9910141296103321 |
Busch Rebecca S
|
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| Hoboken, N.J., : John Wiley & Sons, c2012 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Healthcare fraud : auditing and detection guide / / Rebecca Saltiel Busch
| Healthcare fraud : auditing and detection guide / / Rebecca Saltiel Busch |
| Autore | Busch Rebecca S |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Hoboken, N.J., : John Wiley & Sons, c2012 |
| Descrizione fisica | 1 online resource (362 p.) |
| Disciplina | 345.73/0263 |
| Soggetto topico |
Medicare fraud
Medical care - Law and legislation - United States - Criminal provisions |
| ISBN |
1-119-20363-5
1-118-24025-1 1-280-59072-6 9786613620552 1-118-22722-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Healthcare Fraud; Contents; Preface; Acknowledgments; CHAPTER 1 Introduction to Healthcare Fraud; What Is Healthcare Fraud?; Healthcare Fraud in the United States; Healthcare Fraud in International Markets; What Does Healthcare Fraud Look Like?; Who Commits Healthcare Fraud?; What Is Healthcare Fraud Examination?; The Primary Healthcare Continuum: An Overview; Healthcare Fraud Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 2 Defining Market Players within the Primary Healthcare Continuum; The Patient; The Provider; The Payer; The Employer/Plan Sponsor
The Vendor and the SupplierThe Government; Organized Crime; Market Players Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 3 Continuum Audit and Investigative Model; Market Understanding; The Primary Healthcare Continuum (P-HCC); The Secondary Healthcare Continuum (S-HCC); The Information Healthcare Continuum (I-HCC); The Consequence Healthcare Continuum (C-HCC); The Transparency Healthcare Continuum (T-HCC); The Rules Based Healthcare Continuum (R-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes CHAPTER 4 Secondary Healthcare ContinuumThe Secondary Healthcare Continuum (S-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 5 Information Healthcare Continuum; Case Study Dr. Traveler-Recap; Continuum Audit Progression-Recap; The Information Healthcare Continuum (I-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 6 Consequence Healthcare Continuum; Case Study Dr. Traveler-Recap; Continuum Audit Progression-Recap; The Consequence Healthcare Continuum (C-HCC) Economic Business ImpactServiceability and Service Integrity; Service, Medical, and Financial Errors; Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 7 Transparency Healthcare Continuum; Case Study Dr. Traveler-Recap; Continuum Audit Progression-Recap; The Transparency Healthcare Continuum (T-HCC); Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 8 Rules Based Healthcare Continuum; Case Study Dr. Traveler-Recap; The Rules Based Healthcare Continuum (R-HCC) Continuum Audit Progression-SummaryAudit Continuum Models Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 9 Protected Health Information; Health Insurance Portability and Accountability Act of 1996; Audit Guidelines in Using Protected Health Information; Protected Health Information Overview: Implications for Prevention, Detection, and Investigation; CHAPTER 10 Health Information Pipelines; The Auditor's Checklist; What Are the Channels of Communication in a Health Information Pipeline?; Unauthorized Parties Health Information Pipelines Overview: Implications for Prevention, Detection, and Investigation |
| Altri titoli varianti | Health care fraud |
| Record Nr. | UNINA-9910811059503321 |
|
Busch Rebecca S
|
||
| Hoboken, N.J., : John Wiley & Sons, c2012 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Healthcare fraud [[electronic resource] ] : auditing and detection guide / / Rebecca S. Busch
| Healthcare fraud [[electronic resource] ] : auditing and detection guide / / Rebecca S. Busch |
| Autore | Busch Rebecca S |
| Pubbl/distr/stampa | Hoboken, N.J., : John Wiley & Sons, c2008 |
| Descrizione fisica | 1 online resource (306 p.) |
| Disciplina | 345.73/0263 |
| Soggetto topico |
Medicare fraud
Medicaid fraud Medical care - Law and legislation - United States - Criminal provisions |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-281-10030-7
9786611100308 0-470-22708-7 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Defining market players within the healthcare continuum -- Protected health information -- Health information pipelines -- Accounts receivable pipelines -- Operational flow activity -- Product, service, and consumer market activity -- Data management -- Normal infrastructure -- Normal infrastructure and anomaly tracking systems -- Components of the data mapping process -- Components of the data mining process -- Components of the data mapping and data mining process -- Data analysis models -- Clinical content data analysis -- Profilers -- Market implications. |
| Record Nr. | UNINA-9910458193103321 |
|
Busch Rebecca S
|
||
| Hoboken, N.J., : John Wiley & Sons, c2008 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Healthcare fraud [[electronic resource] ] : auditing and detection guide / / Rebecca S. Busch
| Healthcare fraud [[electronic resource] ] : auditing and detection guide / / Rebecca S. Busch |
| Autore | Busch Rebecca S |
| Pubbl/distr/stampa | Hoboken, N.J., : John Wiley & Sons, c2008 |
| Descrizione fisica | 1 online resource (306 p.) |
| Disciplina | 345.73/0263 |
| Soggetto topico |
Medicare fraud
Medicaid fraud Medical care - Law and legislation - United States - Criminal provisions |
| ISBN |
1-281-10030-7
9786611100308 0-470-22708-7 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Defining market players within the healthcare continuum -- Protected health information -- Health information pipelines -- Accounts receivable pipelines -- Operational flow activity -- Product, service, and consumer market activity -- Data management -- Normal infrastructure -- Normal infrastructure and anomaly tracking systems -- Components of the data mapping process -- Components of the data mining process -- Components of the data mapping and data mining process -- Data analysis models -- Clinical content data analysis -- Profilers -- Market implications. |
| Record Nr. | UNINA-9910784771303321 |
|
Busch Rebecca S
|
||
| Hoboken, N.J., : John Wiley & Sons, c2008 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Healthcare fraud : auditing and detection guide / / Rebecca S. Busch
| Healthcare fraud : auditing and detection guide / / Rebecca S. Busch |
| Autore | Busch Rebecca S |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Hoboken, N.J., : John Wiley & Sons, c2008 |
| Descrizione fisica | 1 online resource (306 p.) |
| Disciplina | 345.73/0263 |
| Soggetto topico |
Medicare fraud
Medicaid fraud Medical care - Law and legislation - United States - Criminal provisions |
| ISBN |
1-281-10030-7
9786611100308 0-470-22708-7 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Defining market players within the healthcare continuum -- Protected health information -- Health information pipelines -- Accounts receivable pipelines -- Operational flow activity -- Product, service, and consumer market activity -- Data management -- Normal infrastructure -- Normal infrastructure and anomaly tracking systems -- Components of the data mapping process -- Components of the data mining process -- Components of the data mapping and data mining process -- Data analysis models -- Clinical content data analysis -- Profilers -- Market implications. |
| Altri titoli varianti | Health care fraud |
| Record Nr. | UNINA-9910820720303321 |
|
Busch Rebecca S
|
||
| Hoboken, N.J., : John Wiley & Sons, c2008 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Home health : problem providers and their impact on Medicare / / Department of Health and Human Services, Office of Inspector General
| Home health : problem providers and their impact on Medicare / / Department of Health and Human Services, Office of Inspector General |
| Pubbl/distr/stampa | [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1997 |
| Descrizione fisica | 1 online resource (48 unnumbered pages) : illustrations |
| Soggetto topico |
Medicare fraud
Home care services - United States - Evaluation Home care services - Evaluation |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Home health |
| Record Nr. | UNINA-9910707423403321 |
| [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1997 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Hospices inappropriately billed Medicare over $250 million for general inpatient care
| Hospices inappropriately billed Medicare over $250 million for general inpatient care |
| Pubbl/distr/stampa | Washington, DC : , : Department of Health and Human Services, Office of Inspector General, , 2016 |
| Descrizione fisica | 1 online resource (34 pages) : color illustrations |
| Soggetto topico |
Medicare fraud
Medicare beneficiaries - Hospice care - Auditing Hospices (Terminal care) - United States - Auditing Waste in government spending - United States |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Hospices inappropriately billed Medicare over $250 million for general inpatient care |
| Record Nr. | UNINA-9910707413903321 |
| Washington, DC : , : Department of Health and Human Services, Office of Inspector General, , 2016 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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