License To Steal: How Fraud Bleeds America's Health Care System, Updated Edition

by Malcolm K. Sparrow

Overview

This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service—all of which have to defend themselves against fraud.

Product Details

ISBN-13:	9780429721090
Publisher:	Taylor & Francis
Publication date:	03/13/2019
Sold by:	Barnes & Noble
Format:	eBook
Pages:	256
File size:	579 KB

About the Author

Sparrow, Malcolm K.

Table of Contents

Foreword -- Preface -- Introduction -- Understanding the Fraud-Control Challenge -- The Pathology of Fraud Control -- Particular Challenges in the Health Care Field -- The Importance of Measurement -- Assessment of Fraud-Control Systems -- The Antithesis of Modern Claims Processing -- Current Developments -- Electronic Claims Processing -- Managed Care -- Prescription for Progress -- A Model Fraud-Control Strategy -- Detection Systems -- Conclusion -- Appendix: Site Selection and Interview Subjects