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Sandy Hayek

Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road - 1 views

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    Abstract: Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount - no one quite knows for sure - might be lost to fraud. But the relationship between health care fraud and the U.S. health care system is far more complex than might first appear. Would-be "fraudsters" are not the only ones who respond to the financial incentives in the system. Due to the unique nature of the laws used to pursue health care fraud, both public and private prosecutors also follow the money in choosing their targets and both may share in the spoils of a successful prosecution. Perceptions about the money lost to health care fraud also have enormous influence on policymakers, as exemplified by the recent health care reform debate. In short, money may drive health care fraud, but not all roads lead in the same direction. This essay explores three different perspectives on the ways in which health care fraud "follows the money" - the would-be perpetrators of fraudulent schemes, the public and private prosecutors who pursue fraudulent activities, and the policymakers who work to prevent fraud and recapture lost funds for legitimate program purposes. Number of Pages in PDF File: 27 Keywords: Health Care, Health Care Fraud, Crime, White Collar Crime Accepted Paper Series
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    I think you've made some truly interesting points. Not too many people would actually think about this the way you just did.
Sean Marle

Feds: Crestwood chiropractic center padded patient bills - 1 views

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    ST. LOUIS * A Crestwood chiropractic center, the chiropractor and an employee have been indicted for billing insurance companies for work that was never done, federal prosecutors said Wednesday. Dr. Anthony Calandro, 55, of Chesterfield, and his billing assistant, Sherry Rueter, 62, of St. Louis County, billed insurance companies for X- rays that were never taken and appointments that had been canceled or missed, prosecutors said. The charges are the result of two undercover investigations in 2010 and 2011, they said. Calandro, Rueter and the Chiropractic Accident Centre each face one felony count of health care fraud and four felony counts of making false statements related to health care services. "Dr. Calandro has been working diligently with the federal authorities to address reconciliation of the billing issues and will continue to do so despite the indictment," said Albert Watkins, Calandro's attorney.
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    That is surely be a phenomenon.
haide clarkson

Springhill Medical Group : Study: Medicare Contractors Vulnerable to Conflict - 0 views

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    your website is very stylish and modern. and your articles are all informative.keep it up!.
Thomas Lee

In new effort to tackle health care fraud, government and insurers to scrutinize clai... - 1 views

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    WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses. Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership "puts criminals on notice that we will find them and stop them," while Attorney General Eric Holder called it "a critical step forward" against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies. Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud. The agreement is also unusual because it brings the Obama administration and longtime foes in the insurance industry together to tackle a common problem. While carrying out the requirements of President Barack Obama's health care overhaul law, insurers are also lobbying to roll back some of its provisions, such as new taxes on the industry and cuts to private plans offered through Medicare. Obama continues to rail against industry "abuses." Fraud is estimated to cost Medicare about $60 billion a year, and the Obama administration has beefed up the government's efforts to stop it, bringing in record settlements with drug companies for marketing violations as well as using new powers in the health care law to pursue low-level fraudsters with greater zeal. Yet, although Medicare is becoming a harder target, it's too early to say if the tide has turned. Some antifraud efforts launched with great fanfare have yet to deliver convincing results.
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    Good to know that the previous bug has been fixed now and it's working great on my droid, too! Thanks for this useful entry!
haide clarkson

springhill medical Group : How to Prevent Medicare Fraud - 0 views

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    your articles are highly appreciated from me and some people i know, good work.
Child Therapy

Child Therapy Works - 1 views

I have the chance of asking professional help for my kid who has been depressed for the past few weeks. We did not know what the reason was and so we asked help from NLP4Kids a reputed therapy orga...

Child therapist Therapy for children health

started by Child Therapy on 24 Feb 12 no follow-up yet
Patty Zephyr

SPRINGHILL GROUP: Chime.in :: Springhill Care Group :: Care2 Groups - 0 views

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    Springhill Opaque Colors Paper 24/60 Basis Weight Springhill Opaque Colors Paper 24/60 Basis Weight, Paper Size 8.5X11 - 500 Sheets Gold by international Color Paper Be the first to review this item | Like (0) Price: $22.99 Color: Gold Blue GoldGray Green Ivory Pink Tan Canary Orchid In Stock. Ships from and sold by M & H Shoppers. Amazon.com: Customer Reviews: A Night to Remember The most helpful favorable review The most helpful critical review 119 of 123 people found the following review helpful: 5.0 out of 5 stars Best Titanic movie yet. Cameron's film has its moments, but in truth I only liked it for the chance it gave me to see a great old ocean liner brought to life again on screen. In "A Night To Remember", the effects are not nearly so impressive, but the story is far better. It's very much in the style of a docudrama, but its a docudrama about one of the most fascinating and enduring stories in... Read the full review › Published on December 9, 2002 by Darren B. O'Connor › See more 5 star, 4 star reviews 1 of 1 people found the following review helpful: 3.0 out of 5 stars Distorted Aspect Ratio (Region 2) I have just viewed "A Night to Remember" from Granada Ventures (ITV DVD) purchased from Amazon.co.uk (Region 2 PAL). The Amazon.co.uk web-site describes the aspect ratio as 4:3 (1.33:1). The DVD packaging claims the aspect ratio to be 16:9 (1.78:1). It is in fact a letterbox presentation that has been stretched (east-west) from the cinema 15:9 (1.66:1) matted version... Read the full review › Published 10 months ago by Diotima
Damon Carter

News Center - Springhill Group Home Loans - Livejournal - FC2 Knowhow - 0 views

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    In order to add knowhows to favorites, please make a [free regsistration]. http://springhillgroup.livejournal.com/Personal review on amazon products for sale on springhill gold A-2 envelope.Actually, I was not expecting much from products I purchase online because of past experiences where the shipped items were not at all what they are advertised to be.
teremoso

Hamilton Optical Store - 15 Minute Service - 1 views

> Our a new state of the art lab that can produce your glasses in 15 minutes. Our cutting edge technology produces the finest lenses in the industry. One stop shopping, get your eye exam and glasse...

Glasses Hamilton

started by teremoso on 12 Jun 12 no follow-up yet
Hasse Honey

Springhill Care Group Labor Group fights for better pay for Home Care Workers - 1 views

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    Springhill Care Group Labor Group fights for better pay for Home Care Workers Americans live longer base from the statistics, thus making the population age and as it ages the need for home care workers will grow significantly. According to the Bureau of Labor Standards, the Home Care Workforce will grow from 1.7 Million to 2.6 million in 2018, but the people caring for seniors in their homes earn on average less than 10 dollars an hour and many do not get benefits. A number of those workers assembled at the Food and Medicine Headquarters in Brewer Thursday to encourage their Senators to make it a priority to improve pay, benefits and training for this growing workforce. Helen Hanson stood at a podium from her huddling under the tent and shared her financial struggles during her work as a home care worker. "My bills are paid but when the oil tank is down do I pay the mortgage or do I spend 350 dollars to put 100 gallons in the oil tank," she said. Although Hanson loves going into peoples' homes to care for them she couldn't make the ends meet. So instead, she went to work at a rehab facility as a certified nurse and she got better pay and benefits. This kind of problem is one example of a nationwide concern. "We have 3 million direct care health workers in the country right now and we're projecting 27 million seniors by 2050," Pointed out Reverend Mark Doty, one of those gathered at the Food and Medicine Rally. The pro workers group had a stage demonstration where they showed how hard their work is. The demonstration is even complete with a juggler to show how complicated it is for home care workers to juggle their responsibilities. Everything is happening while caring for a growing number of seniors and finding an easy solution may be a juggling act too. The issue becomes how to pay for a better wage for them after all agree that home care workers should be paid well. Source: http://news.springhillcaregroup.net/2013/05/14/labor-gr
Springhill Care

Springhill Home Care Group: Three Care Home Workers at Hillcroft nursing home Guilty ov... - 2 views

http://news.springhillcaregroup.net/2013/12/12/springhill-home-care-group-three-care-home-workers-at-hillcroft-nursing-home-guilty-over-abuse/ Three care workers at Lancashire home care have been ...

Home Care Group springhill

started by Springhill Care on 12 Dec 13 no follow-up yet
Rusels Jacksons

A Perfect Fiscal Backing Available Through Online - 0 views

Long term loans are an efficient pecuniary maintain that offer a large sum of money with long reimbursement duration during emergency time. If you require speedy finances with trouble-free repaymen...

500 loans no credit check quick cash loans no credit check long term monthly payment loans

started by Rusels Jacksons on 13 Oct 15 no follow-up yet
quicksilverusa

Liposomal Glutathione - 1 views

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    Glutathione is the master detoxifier and the body's main endogenous antioxidant. Toxins are linked to glutathione, which then carries them into the bile and the stool, and out of the body. Glutathione protects our cells' delicate chemical machinery and helps energy metabolism run efficiently.
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