Some legal and managerial strategies for managing healthcare fraud.
Healthcare fraud is an increasingly serious problem in the industry. The problem is complicated by disagreement over its basic causes and how it can be managed. Attempts to manage healthcare fraud introduce privacy issues as well as the proper role of the government. Even law enforcement officials appear to be undecided concerning jurisdiction and prosecution. Healthcare fraud is everyone's loss and will require the cooperation of all if it is to be controlled. The medical and legal as well as insurance organizations and the public must get involved.
Paul
R J
RJ
College of Business, Kansas State University, Manhattan 66506, USA.
Townsend
J B
JB
D005607:Fraud / Q000191:economics / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D007344:Insurance Claim Reporting / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000191:economics / Q000331:legislation & jurisprudence; D006278:Medicare / Q000191:economics / Q000331:legislation & jurisprudence; D013219:State Government; D014481:United States; D014942:Workers' Compensation / Q000331:legislation & jurisprudence