Of all the topics available I elected to research and write about the subject of healthcare fraud because I feel very strongly about our healthcare system as a citizen and as an individual with regular health needs. If the current system continues to experience negative repercussions due to the immoral, selfish and illegal actions of others then I believe it will surely diminish the already unsteady structure. The definition of healthcare fraud is the deceptive, dishonest and unlawful misrepresentations relayed to insurers such as Medicare and or Medicaid, made by a doctor, facility or patient in order to obtain money and services to which one is not entitled.
Examples of fraud include billing for services not performed, arrangements …show more content…
Although these examples are appalling, there are unfortunately far more reprehensible acts that are committed by doctors including falsifying a patient’s diagnosis in order to justify tests and surgical procedures not vital to a patient’s quality of life as well as unbundling or uncoding billing statements in order to receive additional financial reward. Not only are there intentional acts of deception but it is also estimated that every 8 out of 10 monthly medical bills issued contain a multiple number of unintentional errors. Healthcare in the United States is big business. According to an article written in March of 1998 titled the 13th Survey of White Collar
Crime, individuals in the U.S. acquire more than a trillion dollars annually in healthcare costs.
Taxpayers are held responsible for more than a hundred billion dollars generated from expenses accrued by fraudulent activities which continue to cause costs to rise and since many
Americans live paycheck to paycheck already there is little if any room left for these additional expenses and if care facilities or doctor’s offices do not receive payment for services then eventually individuals may end up receiving less quality of care for a number of
Examples of fraud include billing for services not performed, arrangements …show more content…
Although these examples are appalling, there are unfortunately far more reprehensible acts that are committed by doctors including falsifying a patient’s diagnosis in order to justify tests and surgical procedures not vital to a patient’s quality of life as well as unbundling or uncoding billing statements in order to receive additional financial reward. Not only are there intentional acts of deception but it is also estimated that every 8 out of 10 monthly medical bills issued contain a multiple number of unintentional errors. Healthcare in the United States is big business. According to an article written in March of 1998 titled the 13th Survey of White Collar
Crime, individuals in the U.S. acquire more than a trillion dollars annually in healthcare costs.
Taxpayers are held responsible for more than a hundred billion dollars generated from expenses accrued by fraudulent activities which continue to cause costs to rise and since many
Americans live paycheck to paycheck already there is little if any room left for these additional expenses and if care facilities or doctor’s offices do not receive payment for services then eventually individuals may end up receiving less quality of care for a number of