State to State


Book Description




Preventing, Fraud, Waste, and Abuse in the Workplace


Book Description

In businesses, governments, or any system involving resources, processes, and people, fraud, waste, and abuse are three separates but connected ideas that can happen. It takes a complete strategy that combines preventive, detection, and reaction techniques to address fraud, waste, and abuse. Policies, processes, controls, and training programs are put in place by businesses and governments to stop fraud, deal with waste, and deal with abusive behavior. In addition, procedures including audits, inquiries, hotlines for reporting fraud, waste, and abuse, and disciplinary measures, are employed to identify and address fraud, waste, and abuse incidents when they arise. Encouraging openness, responsibility, and moral conduct is crucial for reducing the dangers of fraud, waste, and misuse and cultivating an honest culture in businesses and society at large.










Health Care Fraud and Abuse


Book Description

Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.




Healthcare Fraud, Corruption and Waste in Europe


Book Description

The lack of well-documented, factual information on fraud, waste and corruption in the healthcare sector is an important ally for those who would seek to abuse healthcare systems for their own profit. Our lack of knowledge of the incidence, nature and extent of fraud, waste and corruption in healthcare is a threat to the establishment of effective counter-fraud strategies. It prevents those who finance healthcare provision from understanding in clear and quantifiable terms the need to invest resources into counter-fraud activities. As a consequence, fraud remains a matter of moral hazard and healthcare systems continue to suffer considerable financial damage, as well as all the associated consequences for the quality of care that patients receive. It was for these reasons that the 'European Healthcare Fraud and Corruption Network' (EHFCN) and the 'Dutch Healthcare Authority' (NZa, member of EHFCN) decided to collaborate to publish this book... --