Module 01 Assignment – Healthcare Fraud and Abuse


Module 01 Assignment – Healthcare Fraud and Abuse

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QuestionsProvide your answer(s) beneath each question as indicated.

 

1.            HIPAA established a national Healthcare Fraud and Abuse _________ Program (HCFACP).Answer(s):
2.            HCFACP is under the control of the Attorney General and the Secretary of the Department of _________ and _________ Services (HHS).Answer(s):
3.            They identify and prosecute the most egregious instances of healthcare fraud, to _________ future fraud and abuse and to protect program _________.Answer(s):
4.            In 2015, a total of _________ defendants were convicted of healthcare fraud and related crimes.Answer(s):
5.            HHS also excluded _________ individuals and entities from participating in Medicare, Medicaid and other federal healthcare programs.Answer(s):
6.            Thought Question:
In question 5 above, consider what ‘individuals’ (for example physicians, nurses and occupational therapists) and ‘entities’ (for example clinics, diagnostic laboratories and ambulance companies) mean. The sentence indicates that the illegal actions that convicted them of fraudulent healthcare activities have resulted in them being excluded from participation in Medicare, Medicaid and other federal healthcare programs. Explain why this penalty is critically damaging to their professional healthcare futures.Answer(s):
7.            Locate the table titled: “Monetary Results: Total Transfers/Deposits, FY 2015” and record the $ amount of Restitution/Compensatory Damages $ _________.Answer(s):
8.             In the same table, locate the $ amount for Relator payments $ _________.Answer(s):
9.            In the same table, see the ** after Relator and record who these funds were awarded to: _________.Answer(s):
10.        See The Mission of the Healthcare Fraud Prevention and Enforcement Action Team. Part of it says ‘crackdown on_________ costing us all billions of dollars.Answer(s):
11.        The Medicare Fraud Strike Force was launched in 2007 to investigate and prosecute fraud in southern Florida. It later expanded to cover nine areas. Name 4 of the 5 states listed:Answer(s):
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