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Health care fraud [[electronic resource] ] : types of providers involved in Medicare cases, and CMS efforts to reduce fraud : testimony before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives / / statement of Kathleen M. King
| Health care fraud [[electronic resource] ] : types of providers involved in Medicare cases, and CMS efforts to reduce fraud : testimony before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives / / statement of Kathleen M. King |
| Autore | King Kathleen M (Kathleen Marie), <1952-> |
| Pubbl/distr/stampa | [Washington, D.C.] : , : U.S. Govt. Accountability Office, , [2012] |
| Descrizione fisica | 1 online resource (12 pages) |
| Collana | Testimony |
| Soggetto topico | Medicare fraud - Prevention |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Health care fraud |
| Record Nr. | UNINA-9910704346203321 |
King Kathleen M (Kathleen Marie), <1952->
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| [Washington, D.C.] : , : U.S. Govt. Accountability Office, , [2012] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Health care fraud [[electronic resource] ] : types of providers involved in Medicare, Medicaid, and the Children's Health Insurance Program cases : report to congressional requesters
| Health care fraud [[electronic resource] ] : types of providers involved in Medicare, Medicaid, and the Children's Health Insurance Program cases : report to congressional requesters |
| Pubbl/distr/stampa | [Washington, D.C.] : , : U.S. Govt. Accountability Office, , [2012] |
| Descrizione fisica | 1 online resource (iii, 51 pages) : illustrations |
| Soggetto topico |
Health insurance - Corrupt practices - United States
Fraud - Prevention - Government policy - United States Medicare fraud - Prevention Medicaid fraud - Prevention Governmental investigations - United States |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Health care fraud |
| Record Nr. | UNINA-9910704358003321 |
| [Washington, D.C.] : , : U.S. Govt. Accountability Office, , [2012] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Health care fraud : all public and private payers need federal criminal anti-fraud protections : eleventh report / / by the Committee on Government Reform and Oversight
| Health care fraud : all public and private payers need federal criminal anti-fraud protections : eleventh report / / by the Committee on Government Reform and Oversight |
| Pubbl/distr/stampa | Washington : , : U.S. G.P.O., , 1996 |
| Descrizione fisica | v, 14 pages ; ; 24 cm |
| Collana | Report / 104th Congress, 2nd session, House of Representatives |
| Soggetto topico |
Health insurance - Corrupt practices - United States
Medical care - Corrupt practices - United States Medicare fraud |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Health care fraud |
| Record Nr. | UNINA-9910690293303321 |
| Washington : , : U.S. G.P.O., , 1996 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Health care fraud : schemes to defraud Medicare, Medicaid and private health Care insurers : statement of Robert H. Hast, Associate Comptroller, General for Special Investigations, Office of Special Investigations, before the Subcommittee on Government M
| Health care fraud : schemes to defraud Medicare, Medicaid and private health Care insurers : statement of Robert H. Hast, Associate Comptroller, General for Special Investigations, Office of Special Investigations, before the Subcommittee on Government M |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Health care fraud |
| Record Nr. | UNINA-9910691047303321 |
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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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 |
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Busch Rebecca S
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| Hoboken, N.J., : John Wiley & Sons, c2012 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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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 |
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Busch Rebecca S
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| Hoboken, N.J., : John Wiley & Sons, c2008 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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