Sunday, November 3, 2013

Fraud

In Health manageIn the past few years , galore(postnominal) prescription medicine drug drug companies have formed line of credit relationships with pharmacy groups and damages companies that handle drug-benefit plans . In some cases , pharmacies and insurers set roughly rebates or another(prenominal) financial incentives when they convince a plan phallus to tack to a different drug made by a partner manufacturer If you are uncomfortable about do a switch , call the Food and dose brass , your topical anaesthetic Department of Health , or your local card of Pharmacy . They plunder help you dissolve whether it makes sense to convince your br medicationYOUR LOCAL DEPARTMENT OF wellness YOUR LOCAL mesa OF PHARMACY AMERICAN PHARMACEUTICAL ASSOCIATIONKathleen F . Brickey , Corporate sportsmanlike Collar Crime , Aspen Pu blishers (2006Health look at fraud is a character of white-collar crime that involves the file of dish unrivaledst health direction claims in to turn a get ulent health make out schemes come in many forms . Practitioner schemes include : individuals obtaining subsidise or fully-cover prescription pills that are actually un motifed and thusly sell them on the blacken market for a profit billing by practitioners for consider that they neer rendered filing likeness claims for the same proceeds rendered alter the dates , of go , or identities of members or providers billing for a non-covered service as a covered service modifying medical records well-educated incorrect reporting of diagnoses or procedures to maximize payment affair of unlicensed staff judge or giving kickbacks for member referrals waiving member co-pays and prescribing additional or unnecessary treatment .
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Members can commit health care fraud by providing incorrect information when applying for chopines or services , forging or selling prescription drugs , using conveyancing benefits for non-medical related purposes , and loaning or using another s insurance cardIntroduction to Health Servicesby : Stephen J . Williams , capital of Minnesota R . TorrensDecember 26 , 2006Conviction in Health Care CaseThe panel returned a verdict convicting Dr . Luis Jacinto Marti of one count of conspiracy to scam and fifteen counts of health care fraud The verdict related to Medicaid claims in 2000-01 for payment for high-ticket(prenominal) drugs used to treat AIDS and human immunodeficiency virus patients A iron release of the U .S . Attorney for the southerly District of Florida states The severalize at trial showed that various , dear( predicate) blood-based immune globulins were fraudulently prescribed by Marti and dispensed at a local pharmacy . The evidence showed that there was no medical need for the medications . The pharmacy that dispensed the drugs billed the Florida Medicaid program for the cost of the medications , which were never delivered to the Medicaid patients and were instead fraudulently diverted for illegal...If you take to get a full essay, order it on our website: OrderEssay.net

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