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.










Ethical Marketing Through Data Governance Standards and Effective Technology


Book Description

Marketing on digital platforms requires critical thinking on data management systems, machine learning methods, and attributes like customer trust, societal ethics, and managing consumer feedback with the utmost utilization of technology in different ways. The pursuit for a unified source of information is fundamental for marketers in digital marketing. Ethical Marketing Through Data Governance Standards and Effective Technology delves into the intricacies of achieving this unity by addressing the challenges and presenting solutions in a structured manner. The book explores the fundamental necessity for an effective data governance strategy. It emphasizes the eradication of silos and the establishment of regulations governing data classification, storage, and processing. Within this framework, the application of artificial intelligence in marketing takes center stage. The book investigates Artificial Intelligence (AI) marketing, machine learning methods, and data management systems. Furthermore, the book studies advertising standards and challenges on online platforms. The intersection of technology and advertising is dissected, focusing on virtual assistance through avatars and their impact on consumer psychology. The importance of a comprehensive database governance strategy is underscored, presenting a complete approach for corporations to navigate the intricacies of online marketing while upholding ethical standards.










A Progress Report to the President


Book Description










Preventing Fraud and Mismanagement in Government


Book Description

Dig to the root of public fraud with deep exploration of theory, standards, and norms Preventing Fraud and Mismanagement in Government identifies common themes in public fraud and corruption, describes the forces that drive them, and provides an objective standard of good practices with no political bent. From Bridgegate to Iran-Contra, this book walks through the massive scandals that resulted from public mismanagement and fraud to illustrate how deeply-entrenched, entity-specific norms can differ from actual best practices. The discussion includes the theoretical underpinnings of public fraud, and how intense corporate culture and limited exposure to outside practice standards can lead to routine deviation from normal behavior and moral standards. You'll find a compendium of practices that illustrate actual norms, allowing you to compare your own agency's culture and operations to standard practice, and contrast the motivations for fraud in the public and private sectors. Public agencies and governmental entities are generally driven by a pubic benefit or goal, but are widely varied in the ability and desire to deliver value while retaining best practices. This book explicitly explores the common patterns of agency practices and cultural norms, and describes how they can easily cross over into illegal acts. Understand why fraud exists in the public sector Discover how your agency's mindset diverges from the norm Review cases where agency practices diverged from best financial practices Learn good practices in an objective, nonpolitical context The government/public sector provides some of the most basic services that are critical to a functioning society. Lacking a profit motive, these agencies nonetheless show a pattern of fraud and borderline behavior that could be mitigated with the adoption of standards and best practices. Preventing Fraud and Mismanagement in Government shares a canon of knowledge related to public operations and fraud, providing deep insight into the causes, solutions, and prevention.