makes it illegal to submit a falsified bill to Medicare? Your Answer: Federal False Claims Act Rationale: The Federal False Claims Act makes it illegal to submit a falsified bill to Medicare. The Stark Act makes it illegal for providers to refer patients to a provider or facility with whom the referring provider has a financial relationship. HIPAA protects a patient’s privacy and Miranda is a safeguard against false arrest. Question 4 - INCORRECT A patient has a living will. The patient is in
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Beneath the Surface: False Appearance in The Faerie Queene In his classic literary work‚ The Faerie Queene‚ Edmund Spenser brilliantly weaves a number of themes together to communicate complex moral‚ political‚ and cultural meanings. The first book alone characterizes this incredible complexity. He leads the reader through Redcrosse’s journey to reunite with Una‚ from one dangerous setting to another memorable character‚ in interrelated cantos. Two such scenes in Book one poignantly demonstrate
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1. Who is ultimately accountable / responsible for the medical staff working at a hospital? Who would be the responsible party at this hospital? Support your answer with documentation and legal reference (for example did your support come from your text‚ if so‚ state the page)‚ eg. past cases (cite case)‚ specific Tennessee code‚ specific federal law‚ etc. Answer: The Board of Directors or board of trustees is responsible to check doctors. According to the textbook‚ in chapter 16‚ on page 462
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The False Claims Act includes delibrate ignorance or reckless disregard to the truth. Civil penalties for false claims are up to $11‚000 for each false claim‚ plus three times the amont of damages the government sustains from each claim. Violation may also lead to exclusion from Medicare and Medicaid (or other Federal health
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Peyton LaBauve Defining the (False) Gender Binary A little boy sits in protest as his father puts his son’s selected toy back on the shelf. The reason for his objection is due to the color of the toy: pink‚ a girl’s color. The little boy is told to pick out another toy from a different aisle. The previous scenario is an over-simplified example of the norms and standards society has implemented
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Whistleblowing and Sarbanes-Oxley Due Artize L. Johnson Professor: Steve Harris LEG 500 Law‚ Ethics‚ & Corporate Governance 26 April 2015 According to Halbert‚ Ingulli‚ & Frey (2015)‚ whistleblowers are people who decide to report unethical or illegal activities‚ usually activities under the control of their employers. They may be working for private companies‚ nonprofit organizations‚ or for the government. A whistleblower is an individual working in an organization who decides
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Fraud‚ Abuse‚ and Waste in the US Healthcare System Tony Hackman University of Phoenix Financial Management in Health Care HCS/577 Adam Craft August 01‚ 2010 Fraud‚ Abuse‚ and Waste in the US Healthcare System Healthcare insurance costs have risen at the average rate of three percent over the inflation rate for the past 10 years. As a result‚ the government is spending a larger percentage of GDP on healthcare for Americans. One of the reasons for this increase in the overall cost for healthcare
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The five elements pertaining to the establishment of a false claim under the False Claims Act are the government must establish that the claim submitted is false and that it was submitted knowingly‚ the government must establish that the person submitted the claim with actual knowledge‚ in deliberate ignorance‚ or with reckless disregard for the claim’s truth or falsity‚ the claim was against a department or agency of the United States and if the claim was material. Privacy Standards were designed
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Organizational Responsibility and Current Health Care Issues HCS/545 University of Phoenix Claudette Grant July‚ 01‚ 2013 Fraud‚ Abuse‚ and Waste in the US Healthcare System is a major problem. As a result of this the government is spending a greater percentage of the GDP on healthcare for Americans. The primary reason for this increase in the overall cost for healthcare is related to the increase in fraud‚ waste‚ and abuse. It is estimated that the United States spends between 15 and 25
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References: Wikipedia (2007) Whistleblower. Wikipedia‚ http://en.wikipedia.org/wiki/Whistleblower Guttman‚ Reuben A.‚ Lugbill‚ Ann‚ Murphy‚ Mark The Law: An Overview False Claims Act Whistleblower Employee Protections. Whistleblowerlaws.com‚ http://whistleblowerlaws.com/protection.htm Ravishankar‚ Lilanthi Encouraging Internal Whistleblowing in Organizations. http://www.scu.edu/ethics/publications/submitted/whistleblowing
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