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Fraud Detection & Deterrence in Medicare & Medicaid

) is responsible for safeguarding them from loss. This book explores fraud detection and deterrence in Medicare and Medicaid, with a focus on fraud;

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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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Health Care Fraud & Questionable Costs

different types of providers and suppliers who serve Medicare, Medicaid, and CHIP beneficiaries are subjects of fraud cases, including physicians;

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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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Medicare

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

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The Handbook of Fraud Deterrence

The Handbook of Fraud Deterrence encompasses the applicable professional standards and common applications for forensic accounting, fraud;

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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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Social Security, Medicare & Government Pensions

Your complete guide to Social Security retirement, MedicareMedicaid benefits, and other federal benefits If you want to;

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Dual-Eligible Beneficiaries of Medicare & Medicaid

elderly or disabled people who are jointly enrolled in Medicare and Medicaid. Medicare is a federal program that provides health insurance;

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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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Medicaid Fee-For-Service Payments

modified. This book discusses the fee-for-service (FFS) provisions of the legislation, those affecting Medicaid as well as the Medicare cost;

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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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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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Financial Statement Fraud

Financial statement fraud (FSF) continues to be a major challenge for organizations worldwide. Financial Statement Fraud: Prevention and Detection;

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Disproportionate Medicaid Expenditures

Medicaid is an important source of health coverage for millions of low-income individuals. Research on Medicaid has demonstrated that a;

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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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Fraud and Fraud Detection

Detect fraud faster no matter how well hidden with IDEA automation Fraud and Fraud Detection takes an advanced approach to fraud management;

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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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Medicaid Third-Party Liability

In fiscal year 2013, Medicaid -- jointly financed by states and the federal government -- provided health care coverage to over 70 million;

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Statistics and Health Care Fraud

transactions * Detection of excessive billings * Revealing new fraud patterns * Challenges and opportunities with health care fraud analytics Dr. Tahir;

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Statistics and Health Care Fraud

of fraudulent transactions * Detection of excessive billings * Revealing new fraud patterns * Challenges and opportunities with health care;

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Fraud Analytics Using Descriptive Predic

Techniques is an authoritative guidebook for setting up a comprehensive fraud detection analytics solution. Early detection is a key factor;

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The Successful Frauditor's Casebook

Learn what works well and avoid the pitfalls in the real world of fraud detection and fraud investigation This casebook reveals how frauds;

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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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Forensic Accounting and Fraud Examination

Forensic Accounting and Fraud Examination introduces students and professionals to the world of fraud detection and deterrence, providing a;

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Fraud Analytics

and helpful tools, Fraud Analytics is the ultimate guide, with proven fraud detection and prevention strategies to get you started. Fraud;

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