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Fraud, Abuse and Overpayments in the Medicare and Medicaid Programs

Chapter 1 focuses on how the Centers for Medicare and Medicaid Services (CMS) identifies and combats waste, fraud, and abuse in both;

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Fraud Detection & Deterrence in Medicare & Medicaid

of duplicate claims or fraud, waste, and abuse. As the administrator of these programs, the Centers for Medicare and Medicaid Services (CMS;

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Health Care Fraud & Questionable Costs

In fiscal year 2011, 48.4 million individuals were enrolled in Medicare; 55.6 million in Medicaid, and 8.7 million in the Children's Health;

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Medicaid Fraud Control

Medicaid is a significant expenditure for the federal government and the states, with total federal outlays of $310 billion in fiscal year;

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Nursing Homes and Elder Abuse

agency within the Department of Health and Human Services (HHS), defines standards nursing homes must meet to participate in the Medicare and;

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Medicare & Medicaid

This new book presents important analyses of topical issues concerning the Medicare and Medicaid programs. Medicare is the name given to a;

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Dual-Eligible Beneficiaries of Medicare & Medicaid

). Medicaid, which is funded jointly by the federal government and the states, provides health care coverage to low-income people who meet specific;

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Prescription Drug Prices Paid Under Federal Programs

In 2011, federal spending for prescription drugs by DOD, Medicaid, and Medicare Part D totalled $71.2 billion -- representing about 85;

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Health Care in the United States

) estimates the budgetary effects of legislative proposals to reduce fraud in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP;

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Statistics and Health Care Fraud

Statistics and Health Care Fraud: How to Save Billions helps the public to become more informed citizens through discussions of real world;

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Statistics and Health Care Fraud

Statistics and Health Care Fraud: How to Save Billions helps the public to become more informed citizens through discussions of real world;

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Medicare

reducing expenditures, unnecessary utilization, and improper payments through prior authorization. The Centers for Medicare & Medicaid Services;

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Health Law

the government's efforts to control costs and expand access through Medicare and Medicaid. Examines government attempts to police;

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Social Security, Medicare & Government Pensions

state’s Medicaid agency. This new edition has the latest benefit numbers for Social Security, Medicare, SSI, and veterans;

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Prescription for Profit

doctors, recipients of a sacred trust and sworn to the Hippocratic Oath, violate Medicaid so egregiously? The authors trace patterns of abuse to;

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Medicaid Fee-For-Service Payments

in Titles VIII through X as noted. The cost containment provisions are in Title VIII and the Medicaid and other provisions are in Title X.;

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Healthy, Wealthy, and Wise

behavior and competition in both private markets and government programs such as Medicare and Medicaid, we can slow the rate of growth of health;

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Technological Change & the Growth of Health Care Spending

not only for the government's two major health insurance programs - Medicare and Medicaid - but also for the private sector. As health care;

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The Economics of US Health Care Policy

chronic disease management, fraud and abuse detection, information technology, and other key issues. The Economics of US Health Care Policy;

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Health Economics

; private health insurance; medicaid and medicare; health care fraud and abuse; national health insurance. The economics of each field are discussed;

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Medicaid & Treatment for People with Substance Abuse Problems

Protection and Affordable Care Act of 2010, will increase the importance of Medicaid as a payment system for chemical dependency care. Now entering;

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Disproportionate Medicaid Expenditures

high-expenditure populations -- both those dually eligible for Medicare and Medicaid, and those who are Medicaid-only -- could enhance efforts;

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Medicaid Spending by States

Medicaid is a means-tested entitlement program that finances the delivery of primary and acute medical services as well as long-term care;

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Welfare Medicine in America

of the American population. It is a huge program-in the same period it consumed over nine billion dollars of public funds. And Medicaid;

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The Law of Health Care Organization and Finance

and tools used in health policy and reform efforts. The book includes extensive coverage of payment systems, including Medicare, Medicaid;

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Medicare, Health Care Delivery & Payment Reform Recommendations

dually eligible for Medicare and Medicaid and the variation in private-sector payment rates for services across and within markets.;

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The Least Among Us

firsthand how vulnerable hard-working people are in the face of corporate indifference and government neglect. From fatal industrial fires to;

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