Health Care Fraud
A health services management issue that caught my interest is “Health Care Fraud”. Health care fraud is an unethical intentional misrepresentation, deception, or intentional act of deceit for the purpose of receiving huge profits. Furthermore, it is a total disregard that goes against and is inconsistent with good business and /or medical practices. Healthcare fraud has become a national problem that affects all of us directly or indirectly. It is mainly perpetrated by fraudsters, scammers, organized criminal gangs and even dishonest doctors, nurses and other licensed medical professionals who allegedly rip-off billions of dollars each year from the Federal and State governments, from American taxpayers and some of our most …show more content…
According to Rob Montemorra, chief of the FBI’s Health Care Fraud Unit, “hackers also break into digital medical records and steal billions of dollars from Medicare systems, making the government to single biggest victim of health care fraud.” (Kavilanz, 2010). The news that President Obama mandated all Americans to have electronic medical records is a growing concern that puts more patients’ records online could lead to more open doors to health care …show more content…
Department of Health and Human Services (HHS), has implemented high-tech anti-fraud tools that put innovative improvements in place to stop fraud before bills are paid. CMS also works with agencies like the Federal Bureau of Investigations (FBI), Health and Human Services (HHS), Department of Justice (DOJ), the National Health Care Anti-Fraud Association (NHCAA) and other private sectors to help crack down on fraudulent practices as well as to identify any loopholes in the systems that allow for all unnoticed
A health services management issue that caught my interest is “Health Care Fraud”. Health care fraud is an unethical intentional misrepresentation, deception, or intentional act of deceit for the purpose of receiving huge profits. Furthermore, it is a total disregard that goes against and is inconsistent with good business and /or medical practices. Healthcare fraud has become a national problem that affects all of us directly or indirectly. It is mainly perpetrated by fraudsters, scammers, organized criminal gangs and even dishonest doctors, nurses and other licensed medical professionals who allegedly rip-off billions of dollars each year from the Federal and State governments, from American taxpayers and some of our most …show more content…
According to Rob Montemorra, chief of the FBI’s Health Care Fraud Unit, “hackers also break into digital medical records and steal billions of dollars from Medicare systems, making the government to single biggest victim of health care fraud.” (Kavilanz, 2010). The news that President Obama mandated all Americans to have electronic medical records is a growing concern that puts more patients’ records online could lead to more open doors to health care …show more content…
Department of Health and Human Services (HHS), has implemented high-tech anti-fraud tools that put innovative improvements in place to stop fraud before bills are paid. CMS also works with agencies like the Federal Bureau of Investigations (FBI), Health and Human Services (HHS), Department of Justice (DOJ), the National Health Care Anti-Fraud Association (NHCAA) and other private sectors to help crack down on fraudulent practices as well as to identify any loopholes in the systems that allow for all unnoticed