Health care fraud investigation
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Authors
Hankel, Karla R.
Issue Date
2002
Type
Thesis
Language
en
Keywords
Forensic sciences
Alternative Title
Abstract
Federal Medicaid and Medicare funding is being assaulted on an ever increasing level by fraud. It has been conservatively estimated that 10% of every federal health care dollar is lost to fraud in the United States. This study examines Medicaid fraud investigation by way of a real case example and published works. Undercover laboratory work was utilized to develop a case involving trafficking of beneficiary information and blood. Rent-a-patient, pill mills, drop boxes, and third-party billing are examples of four fraud schemes discussed.