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008			230329s2011 xx |||||o ||| 0|eng d
020			_a9780801449796
020			_a9780801460807
020			_a9780801461286
020			_awszs-bn07
024	7		_a10.7298/wszs-bn07 _2doi
040			_aoapen _coapen
041	0		_aeng
042			_adc
072		7	_aMBQ _2bicssc
100	1		_aLeap, Terry L. _4auth _9674181
245	1	0	_aPhantom Billing, Fake Prescriptions, and the High Cost of Medicine _bHealth Care Fraud and What to Do about It
260			_aIthaca _bCornell University Press _c2011
300			_a1 electronic resource (256 p.)
336			_atext _btxt _2rdacontent
337			_acomputer _bc _2rdamedia
338			_aonline resource _bcr _2rdacarrier
506	0		_aOpen Access _fUnrestricted online access _2star
520			_aU.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation's GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York's Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse-the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws-Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America.
536			_aNational Endowment for the Humanities
540			_aCreative Commons _fhttps://creativecommons.org/licenses/by-nc-nd/4.0/ _2cc _uhttps://creativecommons.org/licenses/by-nc-nd/4.0/
546			_aEnglish
650		7	_aMedicolegal issues _2bicssc _91575417
653			_akickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient, pill-mill schemes, insurance scams, short-pilling, off-label marketing, pharmaceuticals, rebate fraud
793	0		_aOAPEN Library.
856	4	0	_uhttps://library.oapen.org/bitstream/id/aa9bc708-bf5f-436f-a441-4a7fed01cd95/9780801461286.epub _70 _zOpen Access: OAPEN Library, download the publication
856	4	0	_uhttps://library.oapen.org/bitstream/id/f83c4615-aaf1-421f-878b-7b5606fc6d3f/9780801460807.pdf _70 _zOpen Access: OAPEN Library, download the publication
856	4	0	_uhttps://library.oapen.org/handle/20.500.12657/62116 _70 _zOpen Access: OAPEN Library: description of the publication
999			_c3084313 _d3084313