Health care fraud and abuse : hearing before the Subcommittee on Human Resources and Intergovernmental Relations of the Committee on Government Reform and Oversight, House of Representatives, One Hundred Fourth Congress, first session, on H.R. 1850 to improve federal enforcement against health care fraud and abuse and H.R. 2326 to improve federal efforts to combat fraud and abuse against health care programs, and for other purposes, September 28, 1995 |
Pubbl/distr/stampa | Washington : , : U.S. Government Printing Office, , 1997 |
Descrizione fisica | 1 online resource (iii, 257 pages) |
Disciplina | 345.73/0263 |
Soggetto topico |
Medicare fraud - Prevention
Medicaid fraud - Prevention Medical care - Law and legislation - United States - Criminal provisions Insurance fraud - Law and legislation - United States - Criminal provisions Medical care - United States - Cost control Fraud investigation - United States Insurance fraud Medical care - Law and legislation - Criminal provisions |
Soggetto genere / forma | Legislative hearings. |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Altri titoli varianti | Health care fraud and abuse |
Record Nr. | UNINA-9910706887503321 |
Washington : , : U.S. Government Printing Office, , 1997 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|
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 | ||
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 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-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 |
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 |
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 [[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-9910820720303321 |
Busch Rebecca S | ||
Hoboken, N.J., : John Wiley & Sons, c2008 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|
Trust and honesty : America's business culture at a crossroad / / Tamar Frankel |
Autore | Frankel Tamar |
Pubbl/distr/stampa | Oxford, [England] : , : Oxford University Press, , 2006 |
Descrizione fisica | 1 online resource (264 p.) |
Disciplina | 345.73/0263 |
Soggetto topico |
Corporation law - United States - Criminal provisions
Fraud - United States Breach of trust - United States Corporations - Corrupt practices - United States |
Soggetto genere / forma | Electronic books. |
ISBN |
1-280-56046-0
1-4237-3399-1 0-19-534363-8 1-60256-675-5 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
Contents; Introduction; 1. The Spreading Abuse of Trust and Deception; 2. Old and New Concerns; 3. Toward Abuse of Trust and Mistrust; 4. Toward Deception; 5. Toward a Different American Culture; 6. Rising Opportunities and Temptations; 7. The Shift to Weaker Morality, Weaker Law, and Stronger Market Discipline; 8. The Subtle Changes in Legal Doctrine and Intepretation; 9. The Shift from Professions to Businesses; 10. In Markets We Trust; 11. Why Did Legal Enforcement Fail to Stem the Avalanche of Fraud?; 12. Toward an Honest Society; Notes; Bibliography; Index; A; B; C; D; E; F; G; H; I; J
KL; M; N; O; P; R; S; T; V; W; Y |
Record Nr. | UNINA-9910449923003321 |
Frankel Tamar | ||
Oxford, [England] : , : Oxford University Press, , 2006 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|
Trust and honesty : America's business culture at a crossroad / / Tamar Frankel |
Autore | Frankel Tamar |
Pubbl/distr/stampa | Oxford, [England] : , : Oxford University Press, , 2006 |
Descrizione fisica | 1 online resource (264 p.) |
Disciplina | 345.73/0263 |
Soggetto topico |
Corporation law - United States - Criminal provisions
Fraud - United States Breach of trust - United States Corporations - Corrupt practices - United States |
ISBN |
0-19-770388-7
0-19-992402-3 1-280-56046-0 1-4237-3399-1 0-19-534363-8 1-60256-675-5 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
Contents; Introduction; 1. The Spreading Abuse of Trust and Deception; 2. Old and New Concerns; 3. Toward Abuse of Trust and Mistrust; 4. Toward Deception; 5. Toward a Different American Culture; 6. Rising Opportunities and Temptations; 7. The Shift to Weaker Morality, Weaker Law, and Stronger Market Discipline; 8. The Subtle Changes in Legal Doctrine and Intepretation; 9. The Shift from Professions to Businesses; 10. In Markets We Trust; 11. Why Did Legal Enforcement Fail to Stem the Avalanche of Fraud?; 12. Toward an Honest Society; Notes; Bibliography; Index; A; B; C; D; E; F; G; H; I; J
KL; M; N; O; P; R; S; T; V; W; Y |
Record Nr. | UNINA-9910783686203321 |
Frankel Tamar | ||
Oxford, [England] : , : Oxford University Press, , 2006 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|
Trust and honesty : America's business culture at a crossroad / / Tamar Frankel |
Autore | Frankel Tamar |
Pubbl/distr/stampa | Oxford, [England] : , : Oxford University Press, , 2006 |
Descrizione fisica | 1 online resource (264 p.) |
Disciplina | 345.73/0263 |
Soggetto topico |
Corporation law - United States - Criminal provisions
Fraud - United States Breach of trust - United States Corporations - Corrupt practices - United States |
ISBN |
0-19-770388-7
0-19-992402-3 1-280-56046-0 1-4237-3399-1 0-19-534363-8 1-60256-675-5 |
Formato | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione | eng |
Nota di contenuto |
Contents; Introduction; 1. The Spreading Abuse of Trust and Deception; 2. Old and New Concerns; 3. Toward Abuse of Trust and Mistrust; 4. Toward Deception; 5. Toward a Different American Culture; 6. Rising Opportunities and Temptations; 7. The Shift to Weaker Morality, Weaker Law, and Stronger Market Discipline; 8. The Subtle Changes in Legal Doctrine and Intepretation; 9. The Shift from Professions to Businesses; 10. In Markets We Trust; 11. Why Did Legal Enforcement Fail to Stem the Avalanche of Fraud?; 12. Toward an Honest Society; Notes; Bibliography; Index; A; B; C; D; E; F; G; H; I; J
KL; M; N; O; P; R; S; T; V; W; Y |
Record Nr. | UNINA-9910815149203321 |
Frankel Tamar | ||
Oxford, [England] : , : Oxford University Press, , 2006 | ||
Materiale a stampa | ||
Lo trovi qui: Univ. Federico II | ||
|