Navigation Links
New DeKaye Article Identifies 'Hierarchy of Greed' in Healthcare Fraud
Date:8/3/2009

and "loophole exploitation" or pushing the envelop in areas like cost-reporting or entering risking contracts places healthcare organizations in the crosshairs of federal and state prosecutors.

In "scheme greed," DeKaye goes on to provide examples of how individuals and even families exploit the thinly protected Medicare and Medicaid programs from theft of individual and provider identification numbers to facilitate generating false claims. He also describes how these schemes operate as they move from one geographic area to another to avoid being detected. Ethnicity and barriers to employment entry are also presented as contributing factors to this type of greed. The entry of organized crime into healthcare is portrayed as criminal enterprises seeking out lower penalties than drug-trafficking and other crimes to capitalize on schemes and other weak points in the trust based Medicare and Medicaid programs.

While painting these various portraits of the criminal mind, DeKaye does explore the enhanced role that health care boards of trustees are beginning to play in order to reduce an organization's vulnerability. He also indicates that the same type of data-mining used by federal and state agencies to target fraud could also be employed by providers to build their own internal data defense systems of protection. He also describes the types of screening that should be considered when hiring new employees.

DeKaye called upon colleagues from the legal, accounting and human resources arenas to offer additional perspectives on how healthcare providers can protect themselves from the internal and external assault of fraud, abuse and waste. He also provides insight from the prosecutorial perspective as law enforcement nationwide ratchets up the HEAT (new national task force) on fraud detection, investigation and prosecution.

The two-part article can be downloaded from DeKaye's home page at his w
'/>"/>

SOURCE DEKAYE Consulting, Inc.
Copyright©2009 PR Newswire.
All rights reserved

Page: 1 2 3 4

Related medicine news :

1. Nanoparticle-delivered 'Suicide' Genes Slowed Ovarian Tumor Growth
2. AlphaRx Presents Positive Preclinical Data on Zysolin(TM) Inhalable Nanoparticles at Controlled Release Society Annual Meeting
3. Team24 News Article - New EU Directive Offers a Healthy Outlook for Niche Recruitment Companies like Team24
4. Physician Hospitals (PHA) Responds to TIME Magazine Article: Filled With Incorrect Assumption and Innuendo
5. Eliminating polio requires global, coordinated effort -- Health Affairs article highlights risks, rewards of eradication
6. Crestor Patent Invalidity Evidence Uncovered By Article One Partners Community
7. Articles by Prominent Scientists Featured in 25th Anniversary Issue
8. AACE Response to Insulin Glargine Cancer Risk Articles in Diabetologia
9. Making nanoparticles in artificial cells
10. Hospice of Michigan President and CEO Available for Comment on New England Journal of Medicine Article on Profits in Hospice Industry and Proposed Changes From MedPAC
11. Journal Publishes AssisTek Article on Best Practices in Electronic Patient Reported Outcomes (ePRO)
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:11/28/2014)... 2014 Dr. Paul Vitenas, one of the ... & Glow Holiday Event for those in the area that would ... practice. Glitter & Glow will take place on December 11, 2014, ... in the heart of Houston at 4208 Richmond Ave. , ... that you will come and celebrate the season with us on ...
(Date:11/28/2014)... (PRWEB) November 28, 2014 Secura ... the few insurance marketing organizations in the country ... and asset protection marketplace. Secura Consultants is proud ... with Principal Financial Group, a leading global financial ... ownership interests. With the ownership interest comes the ...
(Date:11/28/2014)... 2014 (HealthDay News) -- Celebration can quickly turn ... Thanksgiving Day, experts say. Over the last decade, ... occurred while people were using turkey fryers, according to ... actually cared for a patient who tried to deep ... done in any circumstances," Dr. Arthur Sanford, a burn ...
(Date:11/28/2014)... Kramer HealthDay Reporter , THURSDAY, ... the kitchen, through cooking classes or at home, may make ... recent review. Cooking programs and classes for children seem ... the new research. And, although the review didn,t look at ... programs might help children develop long-lasting healthy habits. ...
(Date:11/28/2014)... November 28, 2014 PreDiabetes ... and treatment, helped employees learn their risk for ... blood screening at a local school in partnership ... Work initiative. , As the Presenting Sponsor ... , PreDiabetes Centers is co-hosting diabetes-prevention presentations at ...
Breaking Medicine News(10 mins):Health News:Cosmetic Surgeon Dr. Paul Vitenas to Host Glitter & Glow Holiday Event 2Health News:Cosmetic Surgeon Dr. Paul Vitenas to Host Glitter & Glow Holiday Event 3Health News:Secura Consultants Offers Complimentary Buy-Sell Agreement Reviews 2Health News:Turkey Fryer Mishaps Can Cause Serious Burns 2Health News:Want Kids to Eat Better? Get Them Cooking 2Health News:Want Kids to Eat Better? Get Them Cooking 3Health News:PreDiabetes Centers Offers Workplace Diabetes Screening at Local School 2
... Study finds mortality and survival rates equal for both ... Minimally-invasive laparoscopic surgery and open surgery for colon cancer ... from 12 international studies involving over 3,300 patients. ... afraid that laparoscopy might impair survival in colorectal cancer ...
... not establish safe-limit price as guide for avoiding exposure ... you bought from a hip young street artist may be ... skin. , A new report finds that many pairs of ... stores and artists contain nickel, which can cause dermatitis on ...
... Bed & Back; Merger Sets Up Healthy ... Owned Back Retail Chain, LORTON, Va., May 16 ... home and workplace back wellness created an,ergonomic revolution, has ... Back. Healthy Back,s 18 stores and ecommerce division,claimed 2007 ...
... readings, study says , , FRIDAY, May 16 (HealthDay News) -- ... hormone secreted by the parathyroid glands may increase the risk ... , The Dutch study, published in the May issue ... by researchers that vitamin D, depression and other psychiatric illnesses ...
... Month-long Campaign to Emphasize the Importance of Oral ... National dental insurer United,Concordia Dental is celebrating ... and the British Dental Health Foundation to,promote the ... May 18,this year,s event is launching in the ...
... clinical trial has found that the experimental targeted therapy ... metastatic kidney cancer whose disease had worsened on other ... MD, an attending physician at Memorial Sloan-Kettering Cancer Center ... at the annual meeting of the American Society for ...
Cached Medicine News:Health News:Outcomes Similar for Laparoscopic, Open Colon Cancer Surgeries 2Health News:Cheaper Earrings More Likely to Contain Nickel 2Health News:Cheaper Earrings More Likely to Contain Nickel 3Health News:The Back Wars Come to a Close 2Health News:Low Vitamin D Tied to Depression in Older Adults 2Health News:United Concordia Dental Celebrates National Smile Month 2Health News:Drug fends off kidney cancer progression 2
(Date:11/27/2014)... Nov. 27, 2014 - New ... Research - JIN Co., Ltd. will launch JINS ... price of 500,000 yen or $5,000 (without tax /including two ... "ACADEMIC PACK" is a dedicated solution of "JINS MEME" to ... analyze deep data* generated by electrooculography and six-axis sensors without ...
(Date:11/26/2014)... 26, 2014  Aethlon Medical, Inc. (OTCQB:AEMD), announced today ... raise approximately $3.3 million at a price of $0.30 ... healthcare focused investor. Each unit consists of one common ... purchase warrant. Each whole warrant entitles the holder to ... for a period of five years from closing.  ...
(Date:11/26/2014)... Nov. 26, 2014  Genomic Health, Inc. (Nasdaq: ... Chairman, Chief Executive Officer and President, will participate in ... at The New York Palace Hotel in ... 11:30 am Eastern Time (ET). To access ... call, go to the  Investor Relations  section of the ...
Breaking Medicine Technology:JIN to Launch JINS MEME ACADEMIC PACK in Late April 2015 2JIN to Launch JINS MEME ACADEMIC PACK in Late April 2015 3Aethlon Medical Announces $3.3 Million Equity Investment 2Aethlon Medical Announces $3.3 Million Equity Investment 3Genomic Health to Present at the 26th Annual Piper Jaffray Healthcare Conference 2Genomic Health to Present at the 26th Annual Piper Jaffray Healthcare Conference 3
... a leading developer of innovative catheters and stents for ... closing of a $17M Round D financing.  The financing ... based EDB Investments (,EDBI,) with strong support from current ... are delighted to have Bio*One join our group of ...
... Arable Corporation ( www.arablecorp.com ) has announced the launch ... the clinical trial industry.  Whereas traditional CTMS systems have ... CTMS and EDC capabilities without the traditionally high start-up ... or CROs to manage the planning and implementation of ...
Cached Medicine Technology:TriReme Medical Announces $17 Million Series D Financing 2Arable Corporation Announces New Technology for Clinical Trial Industry 2
This table has adjustable height, an integral leg, and blade post. Includes a standard 2" (5 cm) pad....
... is designed for use without ... allowing for full C-Arm access. ... stored onboard when more stability ... quickly slide into standard sockets ...
... The onboard rail clamps ... O.R. tables and stretchers. ... any need for lifting. ... a stable surface combined ...
... The powered torso and ... Orthopedic Trauma Table simultaneously lift ... independent lift mechanism raises and ... for precise positioning. A wide ...
Medicine Products: