-
1
-
-
33847676571
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed July 21, 2016.
-
Centers for Medicare and Medicaid Services (CMS). National health expenditures historical. 2015. https:// www.cms.gov/Research-Statistics-Data-and-Systems/ Statistics-Trends-and-Reports/NationalHealthExpend Data/NationalHealthAccountsHistorical.html. Accessed July 21, 2016.
-
(2015)
National Health Expenditures Historical
-
-
-
3
-
-
85054695176
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed July 27, 2016.
-
Centers for Medicare and Medicaid Services (CMS). Medicare fraud and abuse: prevention, detection, and reporting. 2014. https://www.cms.gov/Outreachand-Education/Medicare-Learning-Network-MLN/ MLNProducts/downloads/Fraud_and_Abuse.pdf. Accessed July 27, 2016.
-
(2014)
Medicare Fraud and Abuse: Prevention, Detection, and Reporting
-
-
-
4
-
-
85127491846
-
-
Physician's News Digest, Accessed July 15, 2016.
-
Maruca WH. Fraud enforcement under Medicare Part D. 2006. Physician's News Digest. https://physician snews.com/2006/02/13/fraud-enforcement-undermedicare-part-d/. Accessed July 15, 2016.
-
(2006)
Fraud Enforcement under Medicare Part D
-
-
Maruca, W.H.1
-
5
-
-
85127487645
-
Unraveling Medicare and Medicaid prescription drug fraud and abuse
-
Toothman M, Moore K, Lee D. Unraveling Medicare and Medicaid prescription drug fraud and abuse. Compens Benefit Rev. 2011; 43(6):339-345.
-
(2011)
Compens Benefit Rev.
, vol.43
, Issue.6
, pp. 339-345
-
-
Toothman, M.1
Moore, K.2
Lee, D.3
-
6
-
-
85127501228
-
-
Office of Inspector General (OIG), Accessed July 27, 2016.
-
Office of Inspector General (OIG). A roadmap for new physicians: fraud & abuse laws. 2016. https://oig. hhs.gov/compliance/physician-education/01laws. asp. Accessed July 27, 2016.
-
(2016)
A Roadmap for New Physicians: Fraud & Abuse Laws
-
-
-
7
-
-
85127514434
-
-
Phillips & Cohen LLP, Accessed July 27, 2016.
-
Phillips & Cohen LLP. Healthcare anti-kickback laws and whistleblowers. 2016. http://www.phillipsand cohen.com/Health-Care-Fraud/Kickbacks.shtml. Accessed July 27, 2016.
-
(2016)
Healthcare Anti-kickback Laws and Whistleblowers
-
-
-
8
-
-
85127510536
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed July 26, 2016.
-
Centers for Medicare and Medicaid Services (CMS). Health care fraud and program integrity: an overview for providers. 2015. https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Downloads/fwa-overview-booklet. pdf. Accessed July 26, 2016.
-
(2015)
Health Care Fraud and Program Integrity: An Overview for Providers
-
-
-
10
-
-
85127519866
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed July 28, 2016.
-
Centers for Medicare and Medicaid Services (CMS). The supplementary appendices for the Medicare feefor-service 2013 improper payment rate report. 2013. https://www.cms.gov/Research-Statistics-Dataand-Systems/Monitoring-Programs/Medicare-FFSCompliance-Programs/CERT/Downloads/November 2013ReportPeriodAppendixFinal12-13-2013_508 Compliance_Approved12-27-13.pdf. Accessed July 28, 2016.
-
(2013)
The Supplementary Appendices for the Medicare Feefor-service 2013 Improper Payment Rate Report
-
-
-
11
-
-
33749018035
-
-
Foundations of Research and Education of AHIMA (FORE), Accessed September 7, 2016.
-
Foundations of Research and Education of AHIMA (FORE). Automated coding software: development and use to enhance anti-fraud activities. 2005. http://library. ahima.org/PdfView?oid=65240. Accessed September 7, 2016.
-
(2005)
Automated Coding Software: Development and Use to Enhance Anti-fraud Activities
-
-
-
12
-
-
84871684069
-
Higher-complexity ED billing codes-sicker patients, more intensive practice, or improper payments?
-
Pitts SR. Higher-complexity ED billing codes-sicker patients, more intensive practice, or improper payments?. N Engl J Med. 2012; 367(26):2465-2467.
-
(2012)
N Engl J Med.
, vol.367
, Issue.26
, pp. 2465-2467
-
-
Pitts, S.R.1
-
13
-
-
70349213604
-
Combating fraud in health care: An essential component of any cost containment strategy
-
Morris L. Combating fraud in health care: an essential component of any cost containment strategy. Health Aff. 2009; 28(5):1351-1356.
-
(2009)
Health Aff.
, vol.28
, Issue.5
, pp. 1351-1356
-
-
Morris, L.1
-
15
-
-
85127486642
-
Effects of the Affordable Care Act on Medicaid and Medicare
-
Accessed August 6, 2016.
-
Chang RJ. Effects of the Affordable Care Act on Medicaid and Medicare. The Young Lawyer. 2013; 17(9). http://www.americanbar.org/publications/ young_lawyer/2012-13/july_august_2013_vol_17_ no_9/effects_of_the_affordable_care_act_on_medicaid_ and_medicare.html. Accessed August 6, 2016.
-
(2013)
The Young Lawyer.
, vol.17
, Issue.9
-
-
Chang, R.J.1
-
17
-
-
84886516793
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed August 10, 2016.
-
Centers for Medicare and Medicaid Services (CMS). CMS fraud prevention initiative: new tools to fight fraud and protect taxpayer dollars. 2011. https:// www.cms.gov/outreach-and-education/outreach/ partnerships/downloads/backgrounderfraudprevention initiative.pdf. Accessed August 10, 2016.
-
(2011)
CMS Fraud Prevention Initiative: New Tools to Fight Fraud and Protect Taxpayer Dollars
-
-
-
18
-
-
85057589651
-
-
Department of Health and Human Services (DHHS), Accessed August 10, 2016.
-
Department of Health and Human Services (DHHS). The Affordable Care Act and fighting fraud. 2016. https://www.stopmedicarefraud.gov/aboutfraud/ aca-fraud/. Accessed August 10, 2016.
-
(2016)
The Affordable Care Act and Fighting Fraud
-
-
-
19
-
-
85127532924
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed July 26, 2016.
-
Centers for Medicare and Medicaid Services (CMS). Recovery auditing in Medicare for fiscal year 2013. https://www.cms.gov/Research-Statistics-Dataand-Systems/Monitoring-Programs/Medicare-FFSCompliance-Programs/Recovery-Audit-Program/ Downloads/FY-2013-Report-To-Congress.pdf. Accessed July 26, 2016.
-
Recovery Auditing in Medicare for Fiscal Year 2013
-
-
-
20
-
-
85127475026
-
Life, death, and Medicare fraud: The corruption of hospice and what the private public partnership under the federal false claims act is doing about it
-
Barger JF. Life, death, and Medicare fraud: the corruption of hospice and what the private public partnership under the federal false claims act is doing about it. Am Crim Law Rev. 2016; 53(1):1-65.
-
(2016)
Am Crim Law Rev.
, vol.53
, Issue.1
, pp. 1-65
-
-
Barger, J.F.1
-
25
-
-
84861313061
-
Prevention not cure in tackling healthcare fraud
-
Jones B, Jing A. Prevention not cure in tackling healthcare fraud. Bull World Health Organ. 2013; 89(12): 858-859.
-
(2013)
Bull World Health Organ.
, vol.89
, Issue.12
, pp. 858-859
-
-
Jones, B.1
Jing, A.2
-
26
-
-
85127475588
-
-
Department of Health & Human Services and US Department of Justice (DHHS), Accessed September 14, 2014
-
Department of Health & Human Services and US Department of Justice (DHHS). About fraud. 2014. http://www.stopmedicarefraud.gov/aboutfraud/ index.html. Accessed September 14, 2014
-
(2014)
About Fraud
-
-
-
30
-
-
85127461834
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed July 20, 2016.
-
Centers for Medicare and Medicaid Services (CMS). CMS GAO high risk program report. 2011. https:// www.cms.gov/apps/files/2012_CMS_GAO_High_ Risk_Program:Report.pdf. Accessed July 20, 2016.
-
(2011)
CMS GAO High Risk Program Report
-
-
-
31
-
-
85127518809
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed July 21, 2016.
-
Centers for Medicare and Medicaid Services (CMS). Healthcare fraud prevention partnership. 2016. https:// downloads.cms.gov/files/HFPP-flyer-05312016.pdf. Accessed July 21, 2016.
-
(2016)
Healthcare Fraud Prevention Partnership
-
-
-
32
-
-
80054776878
-
Predictive modeling 101: How CMS's newest fraud prevention tool works and what it means for providers
-
White SE. Predictive modeling 101: how CMS's newest fraud prevention tool works and what it means for providers. J AHIMA. 2011; 82(9):46-47.
-
(2011)
J AHIMA.
, vol.82
, Issue.9
, pp. 46-47
-
-
White, S.E.1
-
33
-
-
85034406155
-
Assessment of predictive modeling for identifying fraud within the Medicare program
-
Parente S, Schulte B, Jost A, Sullivan T, Klindworth A. Assessment of predictive modeling for identifying fraud within the Medicare program. Health Manag Policy Innov. 2012; 1(2):8-37.
-
(2012)
Health Manag Policy Innov.
, vol.1
, Issue.2
, pp. 8-37
-
-
Parente, S.1
Schulte, B.2
Jost, A.3
Sullivan, T.4
Klindworth, A.5
-
35
-
-
85127527225
-
-
Centers for Medicare and Medicaid Services (CMS), Accessed August 9, 2016.
-
Centers for Medicare and Medicaid Services (CMS). Annual report to Congress on the Medicare and Medicaid integrity programs. 2016. https://www. cms.gov/About-CMS/Components/CPI/Downloads/ 2016-07-15-FY-2013-2014-MandM-PI-RTC-FINAL. PDF. Accessed August 9, 2016.
-
(2016)
Annual Report to Congress on the Medicare and Medicaid Integrity Programs
-
-
-
36
-
-
77954820064
-
The ACA's new weapons against health care fraud
-
Iglehart JK. The ACA's new weapons against health care fraud. N Engl J Med. 2010; 363(4):304-306.
-
(2010)
N Engl J Med.
, vol.363
, Issue.4
, pp. 304-306
-
-
Iglehart, J.K.1
-
37
-
-
84905239095
-
Medicare fraud in the United States: Can it ever be stopped?
-
Hill C, Hunter A, Johnson L, Coustasse A. Medicare fraud in the United States: can it ever be stopped?. Health Care Manag. 2014; 33(3):254-260.
-
(2014)
Health Care Manag.
, vol.33
, Issue.3
, pp. 254-260
-
-
Hill, C.1
Hunter, A.2
Johnson, L.3
Coustasse, A.4
-
38
-
-
84988357020
-
Health policy brief: Eliminating fraud and abuse
-
Accessed August 13, 2016.
-
Goldman TR. Health policy brief: eliminating fraud and abuse. Health Affairs. 2012. http://www.health affairs.org/healthpolicybriefs/brief.php?brief_ id=72. Accessed August 13, 2016.
-
(2012)
Health Affairs.
-
-
Goldman, T.R.1
-
41
-
-
47249088145
-
Whistleblowers: Troublemakers or virtuous nurses?
-
Lachman VD. Whistleblowers: troublemakers or virtuous nurses?. Medsurg Nurs. 2008; 17(2):126-128.
-
(2008)
Medsurg Nurs.
, vol.17
, Issue.2
, pp. 126-128
-
-
Lachman, V.D.1
-
43
-
-
67650912338
-
Finding money for health care reform- rooting out waste, fraud, and abuse
-
Iglehart JK. Finding money for health care reform- rooting out waste, fraud, and abuse. N Engl J Med. 2009; 361(3):229-231.
-
(2009)
N Engl J Med.
, vol.361
, Issue.3
, pp. 229-231
-
-
Iglehart, J.K.1
-
44
-
-
82255180818
-
Fraud in health care and organized crime
-
Dube JF. Fraud in health care and organized crime. Med Health RI. 2011; 94(9):268-269.
-
(2011)
Med Health RI.
, vol.94
, Issue.9
, pp. 268-269
-
-
Dube, J.F.1
-
45
-
-
85127485867
-
-
Healthcare Fraud Prevention Partnership (HFPP) Board, Accessed September 7, 2016.
-
Healthcare Fraud Prevention Partnership (HFPP) Board. Healthcare fraud prevention partnership overview. 2013. http://megaslides.com/doc/1744716/healthcare-fraudprevention-partnership-hfpp-%E2%80%A6. Accessed September 7, 2016.
-
(2013)
Healthcare Fraud Prevention Partnership Overview
-
-
-
46
-
-
85127528458
-
-
Government Accountability Office (GAO), Accessed August 9, 2016.
-
Government Accountability Office (GAO). Agency approach for allocating funds should be revised. 2006. http://www.gao.gov/assets/260/251317.pdf. Accessed August 9, 2016.
-
(2006)
Agency Approach for Allocating Funds Should Be Revised
-
-
|