License To Steal
How Fraud Bleeds America's Health Care System, Updated Edition
Edition number: 1
Publisher: Routledge
Date of Publication: 7 December 2020
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Estimated delivery time: In stock at the publisher, but not at Prospero's office. Delivery time approx. 3-5 weeks.
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Product details:
| ISBN13: | 9780367159580 |
| ISBN10: | 0367159589 |
| Binding: | Paperback |
| No. of pages: | 256 pages |
| Size: | 235x152 mm |
| Weight: | 367 g |
| Language: | English |
| 268 |
Category:
Short description:
This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service&&&8212;all of which have to defend themselves against fraud.
Long description:
This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service&&&8212;all of which have to defend themselves against fraud.
Table of Contents:
Foreword -- Preface -- Introduction -- Understanding the Fraud-Control Challenge -- The Pathology of Fraud Control -- Particular Challenges in the Health Care Field -- The Importance of Measurement -- Assessment of Fraud-Control Systems -- The Antithesis of Modern Claims Processing -- Current Developments -- Electronic Claims Processing -- Managed Care -- Prescription for Progress -- A Model Fraud-Control Strategy -- Detection Systems -- Conclusion -- Appendix: Site Selection and Interview Subjects
