Medicare Fraud Essays (Examples)

Fraud And Abuse In Healthcare

fraud and abuse present significant problems for the healthcare sector, leading to both financial losses and reduced quality of care. The outcomes of fraud and abuse are similar; but fraud and abuse are legally differentiated based on motive. According to Magellan Healthcare (2019), fraud is committed with clear intent, whereas abuse “involves actions that are inconsistent with sound fiscal, business or accepted behavioral healthcare practices,” (p. 1). … whereas abuse “involves actions that are inconsistent with sound fiscal, business or accepted behavioral healthcare practices,” (p. 1). Determining intent to differentiate between fraud and abuse can be challenging, which is why healthcare leaders need to treat all forms of waste and deception with equal severity.
Healthcare … and abuse can be challenging, which is why healthcare leaders need to treat all forms of waste and deception with equal severity.
Healthcare fraud is alarmingly common, with major cases resulting in FBI investigations.……