PPT-Chapter 3 Health Fraud Health Fraud

an intentional act perpetrated to be deceptive in order to gain something of value services or articles of unproven effectiveness that are promoted to improve health well being or . MPA Winter CE + Ski . January 12. th. , 2014. Jason Walker-Crawford, R.Ph. – PAAS National®, Inc.. Learning Objectives. Discuss the Medicare Part D requirements for Fraud, Waste & Abuse Compliance (FWAC).. ORGANIZATIONS:. (A different context for teaching about fraud. ). Mary Anne Atkinson. Cheryl . Prachyl. Carol . Sullivan. American Accounting Association Annual Meeting . Atlanta, Georgia August 2014. © 2016 Cengage Learning. All Rights Reserved. May not be scanned, copied, or duplicated, or posted to a publicly accessible website, in whole or in part.. To the Student. With this chapter, you are embarking on an exciting journey of the study of fraud. Many of you will find this course more interesting than any other course you have taken before. . Neil . Versel.  . ,. Information Week, November 15, 2011. Shipi. . Kankane. Prashanth. . Nakirekommula. Applying analytics and risk- management capabilities to health insurance through LexisNexis data platforms. . Feldman Firm PLLC. ABA . Health Law Section . Member . BENEFIT PARTS I-ii. May 20, . 2015 AND June 24, 2015. OVERVIEW. Major Government Enforcement Initiatives: What to Anticipate? . Government Enforcement Trends . Social Networking. Holly Pu. Chief Statistician. Health Integrity, LLC. $190 Million Lost . to Fraud Per . Day. Every Day of The Year…. 2. Statistics about Health Care. In 2008, . $2.34 trillion. was spent on health care in. Senior Medicare Patrol. LTC Ombudsman Program . 2014-2015. . Funded by the U.S. . Department of . . Health & Human Services – . Administration on Community Living. Administration on Aging established 12 demonstration projects . . – . Andrew . Carnegie. Lesson 5: Avoiding Fraud and Scams. Module 10: Small Steps to Health and Wealth. TM. for Older Adults.  . Top 10 Scams Targeting Seniors. Health . Care/Medicare/Health Insurance . NIDHI RAO, CPA, CFE, CFF, CIA. OCTOBER 12, 2017. FRAUD DETECTION IS AS SIMPLE AS…. DISCUSSION THEMES. Tales. Risk Assessment. Cost. Fraud Myths. It couldn’t happen to us. . If something happened, it would be discovered quickly.. Presented by Statewide Health Insurance Benefits Advisors (SHIBA), Washington state’s SMP SMP program funded by the U.S. Administration for Community Living Take Charge… Help Prevent Health Care Fraud and Abuse! Common Denominators, Universal Challenges. and. Perspective for CEOs. William J. Mahon. The Mahon Consulting Group, LLC. 2020. Please review the notes section of each slide for additional information and details.. Publicly-funded insurance program. Americans age 65 and over. Disabled Americans. A Medicare plan may include:. Setting. Shauna B. Itri, ESQ. . 267-973-4265. www.linkedin.com/in/shaunaitri/ . Speaker . Biography: . Shauna Itri . Shauna . represents whistleblowers in False Claims . Act law suits in state and federal courts throughout the United States, and tax and securities whistleblowers with claims under the IRS and SEC whistleblower programs. Ms. Itri received a B.A. and an M.A. from Stanford University, where she . EXCEL MSO seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members and supports the efforts of health plans, federal, and state authorities in their enforcement of prohibitions of fraudulent practices by providers, members, or other entities dealing with the provision of health care services..